Testing a Narrative Intervention to Enhance Genetic Counseling and Testing in Latina Women at Risk for Hereditary Breast and Ovarian Cancer

What this Trial Is About

Researchers are evaluating a culturally targeted video compared to a Spanish-language fact sheet to improve genetic counseling and testing among Latina women at risk for hereditary breast and ovarian cancer (HBOC). This mixed-methods study combines a two-arm randomized controlled trial and a process evaluation to understand the effectiveness and implementation of these tools in community clinics. The study aims to address psychosocial barriers and motivators related to genetic services uptake in this population. Participants will be randomly assigned to either watch an 18-minute narrative video, available in Spanish with English subtitles, or receive a fact sheet about HBOC and genetic services in Spanish or English. The video is designed to evoke emotional responses and is delivered via a secure link or DVD. The fact sheet is provided as a PDF or printed copy. Community clinics will use an adapted Risk Screening Tool (RST) to identify eligible women, and clinic staff will participate in focus groups to assess implementation outcomes. Women who join the study will be assessed at baseline and followed for four months. Researchers will track uptake of genetic counseling and testing, changes in knowledge, self-efficacy, attitudes, norms, and emotions related to genetic risk assessment. Participants will complete surveys at baseline, two weeks, and four months post-baseline. The study also evaluates how well the intervention fits into community clinics and its acceptability and feasibility. Total participation includes initial screening, intervention delivery, and follow-up assessments.

CONTIGO - A Narrative Intervention to Enhance Genetic Counseling and Testing