A Multi‐Level Analysis of Barriers and Promoting Factors to Cascade Screening Uptake Among Male Relatives of BRCA1/2 Carriers: A Qualitative Study Article Swipe
Giulia Ongaro
,
Jada G. Hamilton
,
Victoria Groner
,
Jennifer L. Hay
,
Mariarosaria Calvello
,
Serena Oliveri
,
Bernardo Bonanni
,
Irène Feroce
,
Gabriella Pravettoni
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/pon.70160
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/pon.70160
Background Pathogenic variants in the BRCA1/2 genes significantly elevate risks of breast, ovarian, prostate, and pancreatic cancer. Clinical guidelines recommend cascade screening (CS) to identify at‐risk family members and advance genetically targeted disease prevention. However, despite the benefits of CS, testing uptake remains suboptimal, particularly among male first‐degree relatives (FDRs) of female BRCA1/2 carriers. Aims Little is known about factors that hinder or enhance the implementation of CS in at‐risk men in BRCA‐ positive families. This qualitative study explored multifaceted barriers and promoting factors influencing CS in 11 untested male FDRs. Methods Participants engaged in semi‐structured interviews exploring their experiences and perspectives regarding CS uptake. Thematic analysis, guided by the Health Action Process Approach, revealed a complex interplay of barriers and promoting factors at individual, interpersonal, provider, and environmental levels. Results Key barriers included limited awareness and communication, inaccurate knowledge regarding genetic testing, logistical constraints, and concerns regarding potential psychological outcomes. Potential promoting factors encompassed factors such as men's stage of life, actionability of genetic testing results, perceived benefit of prevention, familial cohesion, and provider direct recommendations. Conclusions These findings contribute to a deeper understanding of the factors shaping CS uptake within BRCA ‐positive families and hold implications for targeted interventions to enhance CS uptake and improve the management of hereditary cancer syndromes. Gender‐specific education and public awareness campaigns are crucial, highlighting male cancer risk and surveillance strategies. Exploring alternative delivery methods, such as direct provider engagement with at‐risk males, can address challenges of low CS uptake, moving beyond traditional patient‐mediated approaches.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/pon.70160
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/pon.70160
- OA Status
- hybrid
- Cited By
- 1
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410385559
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410385559Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/pon.70160Digital Object Identifier
- Title
-
A Multi‐Level Analysis of Barriers and Promoting Factors to Cascade Screening Uptake Among Male Relatives of BRCA1/2 Carriers: A Qualitative StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-05-01Full publication date if available
- Authors
-
Giulia Ongaro, Jada G. Hamilton, Victoria Groner, Jennifer L. Hay, Mariarosaria Calvello, Serena Oliveri, Bernardo Bonanni, Irène Feroce, Gabriella PravettoniList of authors in order
- Landing page
-
https://doi.org/10.1002/pon.70160Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/pon.70160Direct link to full text PDF
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YesWhether a free full text is available
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-
hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/pon.70160Direct OA link when available
- Concepts
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Psychological intervention, Thematic analysis, Genetic testing, Cancer prevention, Medicine, Interpersonal communication, Psychology, Qualitative research, Social psychology, Cancer, Nursing, Sociology, Social science, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.uptake, | 247 |
| abstract_inverted_index.uptake. | 105 |
| abstract_inverted_index.ABSTRACT | 0 |
| abstract_inverted_index.Clinical | 18 |
| abstract_inverted_index.However, | 35 |
| abstract_inverted_index.Thematic | 106 |
| abstract_inverted_index.barriers | 81, 120, 133 |
| abstract_inverted_index.benefits | 38 |
| abstract_inverted_index.concerns | 147 |
| abstract_inverted_index.crucial, | 221 |
| abstract_inverted_index.delivery | 231 |
| abstract_inverted_index.explored | 79 |
| abstract_inverted_index.familial | 172 |
| abstract_inverted_index.families | 195 |
| abstract_inverted_index.findings | 180 |
| abstract_inverted_index.identify | 25 |
| abstract_inverted_index.included | 134 |
| abstract_inverted_index.methods, | 232 |
| abstract_inverted_index.ovarian, | 13 |
| abstract_inverted_index.positive | 74 |
| abstract_inverted_index.provider | 175, 236 |
| abstract_inverted_index.results, | 167 |
| abstract_inverted_index.revealed | 115 |
| abstract_inverted_index.targeted | 32, 200 |
| abstract_inverted_index.testing, | 143 |
| abstract_inverted_index.untested | 89 |
| abstract_inverted_index.variants | 3 |
| abstract_inverted_index.Approach, | 114 |
| abstract_inverted_index.Exploring | 229 |
| abstract_inverted_index.Potential | 152 |
| abstract_inverted_index.analysis, | 107 |
| abstract_inverted_index.at‐risk | 26, 70, 239 |
| abstract_inverted_index.awareness | 136, 218 |
| abstract_inverted_index.campaigns | 219 |
| abstract_inverted_index.carriers. | 54 |
| abstract_inverted_index.cohesion, | 173 |
| abstract_inverted_index.education | 215 |
| abstract_inverted_index.exploring | 98 |
| abstract_inverted_index.families. | 75 |
| abstract_inverted_index.interplay | 118 |
| abstract_inverted_index.knowledge | 140 |
| abstract_inverted_index.outcomes. | 151 |
| abstract_inverted_index.perceived | 168 |
| abstract_inverted_index.potential | 149 |
| abstract_inverted_index.promoting | 83, 122, 153 |
| abstract_inverted_index.prostate, | 14 |
| abstract_inverted_index.provider, | 127 |
| abstract_inverted_index.recommend | 20 |
| abstract_inverted_index.regarding | 103, 141, 148 |
| abstract_inverted_index.relatives | 49 |
| abstract_inverted_index.screening | 22 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Pathogenic | 2 |
| abstract_inverted_index.challenges | 243 |
| abstract_inverted_index.contribute | 181 |
| abstract_inverted_index.engagement | 237 |
| abstract_inverted_index.guidelines | 19 |
| abstract_inverted_index.hereditary | 211 |
| abstract_inverted_index.inaccurate | 139 |
| abstract_inverted_index.interviews | 97 |
| abstract_inverted_index.logistical | 144 |
| abstract_inverted_index.management | 209 |
| abstract_inverted_index.pancreatic | 16 |
| abstract_inverted_index.syndromes. | 213 |
| abstract_inverted_index.Conclusions | 178 |
| abstract_inverted_index.alternative | 230 |
| abstract_inverted_index.approaches. | 252 |
| abstract_inverted_index.encompassed | 155 |
| abstract_inverted_index.experiences | 100 |
| abstract_inverted_index.genetically | 31 |
| abstract_inverted_index.individual, | 125 |
| abstract_inverted_index.influencing | 85 |
| abstract_inverted_index.prevention, | 171 |
| abstract_inverted_index.prevention. | 34 |
| abstract_inverted_index.qualitative | 77 |
| abstract_inverted_index.strategies. | 228 |
| abstract_inverted_index.suboptimal, | 44 |
| abstract_inverted_index.traditional | 250 |
| abstract_inverted_index.‐positive | 194 |
| abstract_inverted_index.Participants | 93 |
| abstract_inverted_index.constraints, | 145 |
| abstract_inverted_index.highlighting | 222 |
| abstract_inverted_index.implications | 198 |
| abstract_inverted_index.multifaceted | 80 |
| abstract_inverted_index.particularly | 45 |
| abstract_inverted_index.perspectives | 102 |
| abstract_inverted_index.surveillance | 227 |
| abstract_inverted_index.actionability | 163 |
| abstract_inverted_index.environmental | 129 |
| abstract_inverted_index.interventions | 201 |
| abstract_inverted_index.psychological | 150 |
| abstract_inverted_index.significantly | 8 |
| abstract_inverted_index.understanding | 185 |
| abstract_inverted_index.communication, | 138 |
| abstract_inverted_index.first‐degree | 48 |
| abstract_inverted_index.implementation | 66 |
| abstract_inverted_index.interpersonal, | 126 |
| abstract_inverted_index.recommendations. | 177 |
| abstract_inverted_index.Gender‐specific | 214 |
| abstract_inverted_index.semi‐structured | 96 |
| abstract_inverted_index.patient‐mediated | 251 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 9 |
| citation_normalized_percentile.value | 0.89192266 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |