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Article| Volume 25, ISSUE 8, 100876, August 2023

Development and evaluation of a novel educational program for providers on the use of polygenic risk scores

  • Tatiane Yanes
    Correspondence
    Correspondence and requests for materials should be addressed to Tatiane Yanes, University of Queensland Dermatology Research Center, 37 Kent St, Woolloongabba, QLD 4102, Australia.
    Affiliations
    Frazer Institute, The University of Queensland, Dermatology Research Centre, Brisbane, QLD, Australia
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  • Courtney K. Wallingford
    Affiliations
    Frazer Institute, The University of Queensland, Dermatology Research Centre, Brisbane, QLD, Australia
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  • Mary-Anne Young
    Affiliations
    Clinical Translational and Engagement Platform, Garvan Institute of Medical Research, Darlinghurst, NSW, Australia

    School of Clinical Medicine, UNSW Medicine & Health, St Vincent’s Healthcare Clinical Campus, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW, Australia
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  • Aideen M. McInerney-Leo
    Affiliations
    Frazer Institute, The University of Queensland, Dermatology Research Centre, Brisbane, QLD, Australia
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  • Amanda M. Willis
    Affiliations
    Clinical Translational and Engagement Platform, Garvan Institute of Medical Research, Darlinghurst, NSW, Australia

    School of Clinical Medicine, UNSW Medicine & Health, St Vincent’s Healthcare Clinical Campus, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW, Australia
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  • Lauren McKnight
    Affiliations
    Clinical Translational and Engagement Platform, Garvan Institute of Medical Research, Darlinghurst, NSW, Australia
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  • Bronwyn Terrill
    Affiliations
    Clinical Translational and Engagement Platform, Garvan Institute of Medical Research, Darlinghurst, NSW, Australia

    School of Clinical Medicine, UNSW Medicine & Health, St Vincent’s Healthcare Clinical Campus, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW, Australia
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  • Simone McInerny
    Affiliations
    Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia
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  • Laura E. Forrest
    Affiliations
    Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia

    Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
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  • Linda Cicciarelli
    Affiliations
    Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia

    Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia
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  • Rachel Williams
    Affiliations
    Hereditary Cancer Centre, Prince of Wales Hospital, Randwick, NSW, Australia

    School of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Kensington, NSW, Australia
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  • Holly Keane
    Affiliations
    Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia
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  • Paul A. James
    Affiliations
    Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia

    Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
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      Abstract

      Purpose

      This study aimed to develop an online educational program for using polygenic risk score (PRS) for breast and ovarian cancer risk assessments and to evaluate the impact on the attitudes, confidence, knowledge, and preparedness of genetic health care providers (GHPs).

      Methods

      The educational program comprises an online module that covers the theoretical aspects of PRS and a facilitated virtual workshop with prerecorded role-plays and case discussions. Data were collected in pre- and posteducation surveys. Eligible participants were GHPs working in Australian familial cancer clinics registered to recruit patients for a breast and ovarian cancer PRS clinical trial (n = 12).

      Results

      A total of 124 GHPs completed the PRS education, of whom 80 (64%) and 67 (41%) completed the pre- and posteducation surveys, respectively. Before education, GHPs reported limited experience, confidence, and preparedness using PRS, but they recognized its potential benefits. After education, GHPs indicated improved attitudes (P ≤ .001), confidence (P ≤ .001), knowledge (P ≤ .001), and preparedness (P ≤ .001) to use PRS. Most GHPs thought that the program entirely met their learning needs (73%) and was completely relevant to their clinical practice (88%). GHPs identified PRS implementation barriers, including limited funding models, diversity issues, and need for clinical guidelines.

      Conclusion

      Our education program improved GHP attitudes, confidence, knowledge, and preparedness for using PRS/personalized risk and provides a framework for the development of future programs.

      Keywords

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