Evidence map›Paper›PMID 41643404›Full record

ArticlePatient education and counseling2026

Adapting mainstreaming genetic education and clinical communication materials for cancer patients of varying backgrounds.

Stephanie N Christian-Afflu, Rania Sheikh, Anna Strang, Anthony M Chicaiza, Sabrina Oliveros, Etson Barthelus, Isabel Pagan-Lopez, Kathleen A Lynch, Lisa C Diamond, Carlos Javier Gonzalez and 8 more

Abstract read
In one paragraph

Article in Patient education and counseling, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Stephanie N Christian-AffluDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Rania SheikhDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anna StrangDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anthony M ChicaizaDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sabrina OliverosDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Etson BarthelusDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Isabel Pagan-LopezDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Kathleen A LynchDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lisa C DiamondDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Carlos Javier GonzalezDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Kenneth OffitDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Mark E RobsonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ying L LiuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jason P GonskyNYC Health + Hospitals/Kings County, Brooklyn, NY, USA.
Linda BuloneQueens Cancer Center of NYC Health + Hospitals/Queens, Jamaica, NY, USA.
Zsofia K StadlerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jennifer L HayDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jada G HamiltonDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. Electronic address: hamiltoj@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
The IMproving Access to Genetic INformation for Everyone (IMAGINE) Study: A Prospective Trial of a Mainstreaming Model for Hereditary Cancer Multigene Panel Testing Among Cancer PatientsU01CA243644 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI HAMILTON, JADA GABRIELLE · 2020 to 2025
$3.7M
NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461NCI NIH HHS U01 CA243644
6 · The paper itself

Abstract

objectivesMainstreaming genetic testing models that allow non-genetics healthcare professionals to order testing and then return results to patients with the aid of genetic counselors have shown promising outcomes. However, prior studies have not addressed the informational and communication needs of minority and medically underserved patients, who stand to benefit from greater genetic testing access. In the initial phase of a trial to develop, test, and evaluate a linguistically and culturally appropriate mainstreaming model for hereditary cancer multigene panel testing among cancer patients, we used formative research methods including expert review, revision, and transcreation to adapt educational materials (pre-test brochure and video) and clinical communication materials (post-test clinic visit summary and family letter).

methodsWe conducted cognitive interviews with participants (N = 61) recruited from two US community hospitals to evaluate the cultural and linguistic appropriateness of these adapted materials and identify areas for further refinement. Participants included a diverse sample of English- (59 %), Haitian Creole- (20 %), and Spanish- (21 %) speaking patients with varying educational levels and cancer diagnoses. Interviews, guided by the Learner Verification and Revision framework, provided insight to enhance materials based on attraction, comprehension, cultural acceptability, and self-efficacy.

resultsAlthough most participants found the materials useful, informative, and relevant, 41.7 % of participants thought the materials required a lot of mental effort, particularly among Haitian Creole-speaking participants. Critical areas for refinement included a more thorough explanation of gene nomenclature, testing procedures, and types of possible test results. Through integrating expert and participant feedback, the readability of all materials improved (e.g., English-language materials improved from grade 11.4 to 7.6).

conclusionsCognitive interviews identified important comprehension gaps that were addressable prior to integrating these materials into a larger trial of the mainstreaming genetic testing model. PRACTICE IMPLICATIONS: Patient-centered material design is critical to improving the reach of genetic services to diverse audiences.

Indexed as

CommunicationGenetic CounselingGenetic TestingNeoplasmsPatient Education as TopicTeaching MaterialsAdultComprehensionFemaleHumansInterviews as TopicMaleMiddle AgedMinority GroupsReturn of Individual Research ResultsAccessibilityCancerGenetic testingGenomic medicineHealth disparitiesUnderrepresented patients

Identifiers

PMID41643404
PMCPMC12959254

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.