{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T15:19:41Z","timestamp":1764688781723},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,5,19]],"date-time":"2010-05-19T00:00:00Z","timestamp":1274227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The Cancer Risk Education Intervention Tool (<jats:italic>CREdIT<\/jats:italic>) is a computer\u2010based (non\u2010interactive) slide presentation designed to educate low\u2010literacy, and ethnically and racially diverse public hospital patients at risk of Hereditary Breast and Ovarian Cancer (HBOC) about genetics. To qualitatively evaluate participants\u2019 experience with and perceptions of a genetic education program as an adjunct to genetic counseling, we conducted direct observations of the intervention, semi\u2010structured in person interviews with 11 women who viewed CREdIT, and post\u2010counseling questionnaires with the two participating genetic counselors. Five themes emerged from the analysis of interviews: (1) genetic counseling and testing for breast\/ovarian cancer was a new concept; (2) CREdIT's story format was particularly appealing; (3) changes in participants\u2019 perceived risk for breast cancer varied; (4) some misunderstandings about individual risk and heredity persisted after CREdIT and counseling; (5) the context for viewing CREdIT shaped responses to the presentation. Observations demonstrated ways to make the information provided in CREdIT and by genetic counselors more consistent. In a post\u2010session counselor questionnaire, counselors\u2019 rating of the patient's preparedness before the session was significantly higher for patients who viewed CREdIT prior to their appointments than for other patients. This novel educational tool fills a gap in HBOC education by tailoring information to women of lower literacy and diverse ethnic\/racial backgrounds. The tool was well received by interview participants and counselors alike. Further study is needed to examine the varied effects of CREdIT on risk perception. In addition, the implementation of CREdIT in diverse clinical settings and the cultural adaptation of CREdIT to specific populations reflect important areas for future work.<\/jats:p>","DOI":"10.1007\/s10897-010-9303-3","type":"journal-article","created":{"date-parts":[[2010,5,18]],"date-time":"2010-05-18T21:16:34Z","timestamp":1274217394000},"page":"447-462","source":"Crossref","is-referenced-by-count":44,"title":["Pre\u2010counseling Education for Low Literacy Women at Risk of Hereditary Breast and Ovarian Cancer (HBOC): Patient Experiences Using the Cancer Risk Education Intervention Tool (CREdIT)"],"prefix":"10.1002","volume":"19","author":[{"given":"Galen","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Anthropology, History, and Social Medicine University of California, San Francisco San Francisco CA USA"},{"name":"Department of Anthropology, History, and Social Medicine University of California, San Francisco Box 0128; 1450 3rd Street HD551 San Francisco CA 94143 \u2010 0128 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary S.","family":"Beattie","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California, San Francisco San Francisco CA USA"},{"name":"University of California, San Francisco, and San Francisco General Hospital Cancer Risk Program San Francisco CA USA"},{"name":"Department of Epidemiology &amp; Biostatistics University of California, San Francisco San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Lee","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, and San Francisco General Hospital Cancer Risk Program San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dejana","family":"Braithwaite","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics University of California, San Francisco San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Wilcox","sequence":"additional","affiliation":[{"name":"San Antonio Medical School University of Texas San Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Metrikin","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, and San Francisco General Hospital Cancer Risk Program San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Lamvik","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, and San Francisco General Hospital Cancer Risk Program San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Luce","sequence":"additional","affiliation":[{"name":"Oncology and Hematology Department University of California, San Francisco, and San Francisco General Hospital San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,5,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.552"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.14.1729"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-005-4065-z"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.gim.0000195884.86201.a0"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.10150"},{"key":"e_1_2_7_7_1","volume-title":"Qualitative research methods for the social sciences","author":"Berg B.","year":"1995"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2005.10.007"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1998.135"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/90.9.668"},{"key":"e_1_2_7_11_1","volume-title":"Explaining illness to patients with limited literacy. 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