Genetic CounselingCulturally Adapting an Intervention to Increase Genetic Testing in African American Cancer Survivors

Inclusion Criteria:

• Participants enrolled in Detroit Research on Cancer Survivors (Detroit ROCS)
• Diagnosis of Primary Breast, prostate, or colorectal cancer on or after 1/1/2013
• have received or currently receiving care at Karmanos Cancer Institute
• meet one or more of the National Comprehensive Cancer Network (NCCN) guidelines for cancer genetic testing as described below

Female breast

1. personal diagnosis at age ≤50
2. personal history of the triple-negative subtype
3. at least 1 close (first- or second-degree) relative diagnosed with breast cancer at age <50
4. at least 1 close relative diagnosed with ovarian cancer
5. 2+ close relatives diagnosed with breast or prostate cancer
6. age <50 AND another primary breast cancer at any age
7. 2+ primary breast cancers at any age

OR Prostate

1. personal history of high-risk or very high-risk prostate cancer
2. personal history of regional or metastatic prostate cancer
3. personal history of less than high-risk prostate cancer with a suggestive family history (i.e., father or brother or multiple relatives with prostate cancer diagnosed at age <60; at least 1 relative with breast, ovarian, or pancreatic cancer; or at least 1 relative with colorectal, ovarian, pancreatic, or kidney cancer)

OR Colorectal

1. personal diagnosis at age ≤50
2. at least 1 close relative diagnosed with HNPCC at age <50
3. at least 2 close relatives diagnosed with an HNPCC cancer at any age
4. colorectal and >=1 primary endometrial, ovarian, gastric, pancreatic, or prostate

Exclusion Criteria:

• Previous genetic counseling and/or testing