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August 15, 2026Journal of Community GeneticsOpen Access

Understanding patient perspectives on breast cancer risk: a qualitative study to inform genetic testing communication in the primary care setting

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Authors

JMJennifer McGuireMedical University of South CarolinaVDVanessa DiazMedical University of South CarolinaKSKatherine SterbaMedical University of South Carolina

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Overview

Qualitative study reveals patient preferences for empathetic breast cancer risk communication and genetic testing in primary care, highlighting the need to address financial and psychological...

Key Points

  • To investigate patient experiences and preferences regarding breast cancer risk assessment and genetic testing communication within primary care settings.
  • Conducted 20 semi-structured interviews with individuals at average and high breast cancer risk (mean age 44 years; 45% self-reported high risk).
  • Applied the informed decision-making framework to guide interviews, reviewed decision aids, and performed thematic analysis using two independent coders.
  • Participants across risk categories preferred clear, empathetic, and personalized communication along with structured decision aids to facilitate prevention and decision-making.
  • Primary barriers included financial concerns, anxiety over test results, and confidentiality issues.
  • High-risk participants exhibited greater information-seeking behavior, prioritized family implications, and requested dedicated ongoing support post-testing.

Cite This Study

McGuire et al. (2026) studied this question.

synapsesocial.com/papers/6a8019ce75c2e31742c85f3ehttps://doi.org/10.1007/s12687-026-00933-4
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Also Consider

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  1. 1Perceptions of patients and healthcare providers on BRCA testing in early‐stage breast cancer: Qualitative research findings2025 · 1 citations
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  3. 3The Breast Cancer Genetic Testing Experience: Probing the Potential Utility of an Online Decision Aid in Risk Perception and Decision Making2024
  4. 4Information-seeking experiences during genetic testing and counseling: a qualitative study of patients at high risk for hereditary breast cancer2026
  5. 5Primary care stakeholder perspectives on clinical implementation of patient-reported hereditary cancer risk-assessment2026