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We analyzed 24 audio recordings of CGC sessions conducted in Spanish via telephone interpreters at two public hospitals. Patients were referred for risk of hereditary breast and ovarian cancer; all were offered genetic testing. Audio files were coded by two bilingual English\u2010Spanish researchers and analyzed using conventional content analysis through an iterative process. The 24 sessions included 13 patients, 6 counselors, and 18 interpreters. Qualitative data analyses identified three key domains \u2013 Challenges Posed by Hypothetical Explanations, Misinterpretation by the Medical Interpreter, and Communication Facilitators \u2013 that reflect communication patterns and their impact on the counselor's ability to facilitate shared decision\u2010making. Overall, we found an absence of patient participation in the decision\u2010making process. Our data suggest that when counseling LEP Latina patients via medical interpreter, prioritizing information with direct utility for the patient and organizing information into short\u2010 and long\u2010term goals may reduce information overload and improve comprehension for patient and interpreter. Further research is needed to test the proposed counseling strategies with this population and to assess how applicable our findings are to other populations.<\/jats:p>","DOI":"10.1007\/s10897-017-0132-5","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T22:43:02Z","timestamp":1502232182000},"page":"155-168","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Cancer Counseling of Low\u2010Income Limited English Proficient Latina Women Using Medical Interpreters: Implications for Shared Decision\u2010Making"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4972-9292","authenticated-orcid":false,"given":"Daniella","family":"Kamara","sequence":"first","affiliation":[{"name":"Women's Cancer Program, Cedars\u2010Sinai Medical Center Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Weil","sequence":"additional","affiliation":[{"name":"Department of Biological Sciences and Human Genetics California State University, Stanislaus Stanislaus CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janey","family":"Youngblom","sequence":"additional","affiliation":[{"name":"Department of Biological Sciences and Human Genetics California State University, Stanislaus Stanislaus CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Guerra","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galen","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Anthropology, History, and Social Medicine University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,9]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Atkinson P. &Hammersley M.(1994).Ethnography and participant observation."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1109283"},{"key":"e_1_2_12_4_1","first-page":"993","article-title":"Prenatal genetic counseling in cross\u2010cultural medicine: A frame work for family physicians","volume":"56","author":"Bhogal A. 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