Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/127430
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dc.contributor.authorGleeson, M.en
dc.contributor.authorKentwell, M.en
dc.contributor.authorMeiser, B.en
dc.contributor.authorDo, J.en
dc.contributor.authorNevin, S.en
dc.contributor.authorTaylor, N.en
dc.contributor.authorBarlow-Stewart, K.en
dc.contributor.authorKirk, J.en
dc.contributor.authorJames, P.en
dc.contributor.authorScott, C.en
dc.contributor.authorWilliams, R.en
dc.contributor.authorGamet, K.en
dc.contributor.authorBurke, J.en
dc.contributor.authorMurphy, M.en
dc.contributor.authorAntill, Y.en
dc.contributor.authorPearn, A.en
dc.contributor.authorPachter, N.en
dc.contributor.authorEbzery, C.en
dc.contributor.authorPoplawski, N.en
dc.contributor.authorFriedlander, M.en
dc.contributor.authoret al.en
dc.date.issued2020en
dc.identifier.citationGynecologic Oncology, 2020; 158(2):431-439en
dc.identifier.issn0090-8258en
dc.identifier.issn1095-6859en
dc.identifier.urihttp://hdl.handle.net/2440/127430-
dc.description.abstractBackground: BRCA1/2 mutation status has increasing relevance for ovarian cancer treatments, making traditional coordination of genetic testing by genetic services unsustainable. Consequently alternative models of genetic testing have been developed to improve testing at the initial diagnosis for all eligible women. Methods: A training module to enable mainstreamed genetic testing by oncology healthcare professionals was developed by genetic health professionals. Oncology healthcare professionals completed questionnaires before and 12 months post-training to assess perceived skills, competence and barriers to their coordinating genetic testing for women with high-grade non-mucinous epithelial ovarian cancer. Genetic health professionals were surveyed 12 months post-training to assess perceived barriers to implementation of mainstreaming. Results: 185 oncology healthcare professionals were trained in 42 workshops at 35 Australasian hospitals. Of the 273 tests ordered by oncology healthcare professionals post-training, 241 (93.1%) met national testing guidelines. The number of tests ordered by genetic health professionals reduced significantly (z = 45.0, p = 0.008). Oncology healthcare professionals' perceived barriers to mainstreamed testing decreased from baseline to follow-up (t = 2.39, p = 0.023), particularly perceived skills, knowledge and attitudes. However, only 58% reported either 'always' or 'nearly always' having ordered BRCA testing for eligible patients at 12 months, suggesting oncology healthcare professionals' perceived barriers were not systematically addressed through training. Conclusions: Oncology healthcare professionals have demonstrated a willingness to be involved in the provision of genetic testing in a mainstreaming model. If oncology services are to hold responsibility for coordinating genetic testing, their readiness will require understanding of barriers not addressed by training alone to inform future intervention design.en
dc.description.statementofresponsibilityM. Gleeson, M. Kentwell, B. Meiser, J.Do, S. Nevin, N. Taylor, K.Barlow-Stewart, J. Kirk, P. James, C.L. Scott, R. Williams, K. Gamet, J. Burke, M. Murphy, Y.C. Antill, A. Pearn, N. Pachter, C.Ebzery, N. Poplawski, M. Friedlander, K.M. Tucker (the Australian Genetic Testing Mainstreaming Collaborative Group)en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsCrown Copyright © 2020 Published by Elsevier Inc. All rights reserved.en
dc.subjectMainstreaming; BRCA1/BRCA2; genetic testing; ovarian canceren
dc.titleThe development and evaluation of a nationwide training program for oncology health professionals in the provision of genetic testing for ovarian cancer patientsen
dc.typeJournal articleen
dc.identifier.rmid1000021655en
dc.identifier.doi10.1016/j.ygyno.2020.05.001en
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1078523en
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1092856en
dc.identifier.pubid533651-
pubs.library.collectionMedicine publicationsen
pubs.library.teamDS14en
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidPoplawski, N. [0000-0002-9372-3325]en
Appears in Collections:Medicine publications

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