Abstract B057: Promoting genetic counseling among African American women with hereditary risk for breast cancer

Abstract

Abstract Background: Breast cancer mortality is substantially higher in the U.S. for African American (AA) women compared to their white counterparts. Increasing the uptake of genetic counseling among AA women identified with increased breast cancer risk in Federally Qualified Health Centers (FQHC) is a key step in developing a successful approach to breast cancer disparities. However, studies show that women of color are less likely to receive genetic counseling for breast cancer risk. Our research group developed a multimedia culturally tailored educational video, informed by multiple qualitative methods, to improve uptake of genetic counseling among underserved AA women with increased breast cancer risk. We are conducting a pilot study to demonstrate the feasibility of incorporating the intervention with cancer genetic risk assessment in a mammography clinic. Methods: AA women will be recruited at the University of Illinois Mammography Center. Per current standard of care, all women who present for a mammogram complete a cancer genetic risk assessment (CGRA) as part of clinic intake. Women recommended for genetic counseling by the assessment tool will be invited to participate in this study. Participation includes: a pre-survey, viewing the educational video, and a post-survey. Pre- and post survey questions will capture data on the following constructs: knowledge, attitudes, normative beliefs, motivation, perceived social norms, intention to engage in genetic counseling, efficacy beliefs, skills, environmental constraints and opinions on video. Genetic counseling attendance will be monitored via electronic medical record. Thirty participants will be enrolled. Results: Preliminary results will be presented at the meeting. Conclusion: Culturally tailored health communication tools have shown to increase positive health behaviors. It is expected that the culturally tailored educational intervention will increase knowledge, motivation and intention to attend genetic counseling. Citation Format: Vida Henderson, Delawnia Comer-Hagans, Vickii Coffey, Giesela Grumbach, Jennifer Newsome, Kent Hoskins. Promoting genetic counseling among African American women with hereditary risk for breast cancer [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr B057.