Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for genetic/familial high-risk assessment: colorectal V..2022. © National Comprehensive Cancer Network, Inc. 2022. All rights reserved. Accessed April 6, 2023. To view the most recent and complete version of the guideline, go online to NCCN.org.

Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for genetic/familial high-risk assessment: breast, ovarian, and pancreatic V.3.2023. © National Comprehensive Cancer Network, Inc. 2023. All rights reserved. Accessed April 6, 2023. To view the most recent and complete version of the guideline, go online to NCCN.org.

Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for prostate cancer early detection V.1.2023. © National Comprehensive Cancer Network, Inc. 2023. All rights reserved. Accessed January 19, 2023. To view the most recent and complete version of the guideline, go online to NCCN.org.

Riley BD, et al. Essential elements of genetic cancer risk assessment, counseling, and testing: updated recommendations of the National Society of Genetic Counselors. J Genet Couns. 2012. https://doi.org/10.1007/s10897-011-9462-x.

Article  PubMed  Google Scholar 

Penon-Portmann M, et al. Genetics workforce: distribution of genetics services and challenges to health care in California. Genet Med. 2020. https://doi.org/10.1038/s41436-019-0628-5.

Article  PubMed  Google Scholar 

Robson ME, et al. American Society of Clinical Oncology policy statement update: genetic and genomic testing for cancer susceptibility. J Clin Oncol. 2015. https://doi.org/10.1200/jco.2015.63.0996.

Article  PubMed  Google Scholar 

National Accreditation Program for Breast Centers Standards Manual. American College of Surgeons. 2018. https://www.facs.org/media/pofgxojm/napbc_standards_manual_2018.pdf. Accessed Apr 2023.

Frey MK, et al. Cascade testing for hereditary cancer syndromes: should we move toward direct relative contact? A systematic review and meta-analysis. J Clin Oncol. 2022. https://doi.org/10.1200/jco.22.00303.

Article  PubMed  Google Scholar 

Domchek SM, et al. Association of risk-reducing surgery in BRCA1 or BRCA2 mutation carriers with cancer risk and mortality. JAMA. 2010. https://doi.org/10.1001/jama.2010.1237.

Article  PubMed  PubMed Central  Google Scholar 

Gross AL, Blot WJ, Visvanathan K. BRCA1 and BRCA2 testing in medically underserved medicare beneficiaries with breast or ovarian cancer. JAMA. 2018. https://doi.org/10.1001/jama.2018.8258.

Article  PubMed  PubMed Central  Google Scholar 

Reid S, et al. Disparities in BRCA counseling across providers in a diverse population of young breast cancer survivors. Genet Med. 2020. https://doi.org/10.1038/s41436-020-0762-0.

Article  PubMed  PubMed Central  Google Scholar 

Gutierrez AM, et al. Examining access to care in clinical genomic research and medicine: experiences from the CSER Consortium. J Clin Transl Sci. 2021. https://doi.org/10.1017/cts.2021.855.

Article  PubMed  PubMed Central  Google Scholar 

Choi JJ, et al. The role of race and insurance status in access to genetic counseling and testing among high-risk breast cancer patients. Oncologist. 2022. https://doi.org/10.1093/oncolo/oyac132.

Article  PubMed  PubMed Central  Google Scholar 

Kurian AW, et al. Gaps in incorporating germline genetic testing into treatment decision-making for early-stage breast cancer. J Clin Oncol. 2017. https://doi.org/10.1200/jco.2016.71.6480.

Article  PubMed  PubMed Central  Google Scholar 

Villegas C, Haga SB. Access to genetic counselors in the Southern United States. J Pers Med. 2019. https://doi.org/10.3390/jpm9030033.

Article  PubMed  PubMed Central  Google Scholar 

Reid S, et al. An overview of genetic services delivery for hereditary breast cancer. Breast Cancer Res Treat. 2022. https://doi.org/10.1007/s10549-021-06478-z.

Article  PubMed  PubMed Central  Google Scholar 

Vadaparampil ST, et al. Pre-test genetic counseling services for hereditary breast and ovarian cancer delivered by non-genetics professionals in the state of Florida. Clin Genet. 2015. https://doi.org/10.1111/cge.12405.

Article  PubMed  PubMed Central  Google Scholar 

Cragun D, et al. A web-based tool to automate portions of pretest genetic counseling for inherited cancer. J Natl Compr Canc Netw. 2020. https://doi.org/10.6004/jnccn.2020.7546.

Article  PubMed  Google Scholar 

Watson CH, et al. Video-assisted genetic counseling in patients with ovarian, fallopian and peritoneal carcinoma. Gynecol Oncol. 2016. https://doi.org/10.1016/j.ygyno.2016.07.094.

Article  PubMed  PubMed Central  Google Scholar 

Schmidlen T, et al. Patient assessment of chatbots for the scalable delivery of genetic counseling. J Genet Couns. 2019. https://doi.org/10.1002/jgc4.1169.

Article  PubMed  Google Scholar 

Fitzpatrick KK, Darcy A, Vierhile M. Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agent (Woebot): a randomized controlled trial. JMIR Ment Health. 2017. https://doi.org/10.2196/mental.7785.

Article  PubMed  PubMed Central  Google Scholar 

Philip P, et al. Virtual human as a new diagnostic tool, a proof of concept study in the field of major depressive disorders. Sci Rep. 2017. https://doi.org/10.1038/srep42656.

Article  PubMed  PubMed Central  Google Scholar 

Dhinagaran DA, et al. Conversational agent for healthy lifestyle behavior change: web-based feasibility study. JMIR Form Res. 2021. https://doi.org/10.2196/27956.

Article  PubMed  PubMed Central  Google Scholar 

Hauser-Ulrich S, et al. A smartphone-based health care chatbot to promote self-management of chronic pain (SELMA): pilot randomized controlled trial. JMIR Mhealth Uhealth. 2020. https://doi.org/10.2196/15806.

Article  PubMed  PubMed Central  Google Scholar 

Chavez-Yenter D, et al. Patient interactions with an automated conversational agent delivering pretest genetics education: descriptive study. J Med Internet Res. 2021. https://doi.org/10.2196/29447.

Article  PubMed  PubMed Central  Google Scholar 

Nazareth S, et al. Hereditary cancer risk using a genetic chatbot before routine care visits. Obstet Gynecol. 2021. https://doi.org/10.1097/aog.0000000000004596.

Article  PubMed  PubMed Central  Google Scholar 

Heald B, et al. Using chatbots to screen for heritable cancer syndromes in patients undergoing routine colonoscopy. J Med Genet. 2020. https://doi.org/10.1136/jmedgenet-2020-107294.

Article  PubMed  Google Scholar 

McLellan S, Muddimer A, Peres SC. The effect of experience on system usability scale ratings. J Usability Stud. 2012;7:56–67.

Google Scholar 

Dobosh, MA. The Sage encyclopedia of communication research methods. In: Allen M, editor. SAGE Publications, Inc. 2017. p. 1702.