Table 1.

Multidimensional Impact of Cancer Risk Assessment (MICRA) domain subscales

Distress (6 items)	Feeling upset about my risk information
	Feeling sad about my risk information
	Feeling anxious or nervous about my risk information
	Feeling guilty about my risk information
	Feeling a loss of control
	Having problems enjoying life because of my risk information
Uncertainty (9 items)	Worrying about my risk of getting cancer (or getting cancer again if you have already been diagnosed with cancer)
	Being uncertain about what my risk information means about my cancer risk
	Being uncertain about what my risk information means for my child(ren) and/or family’s cancer risk
	Having difficulty making decisions about cancer screening or prevention (e.g. having preventive surgery or getting medical tests done)
	Feeling frustrated that there are no definite cancer prevention guidelines for me
	Thinking about my risk information has affected my work or family life
	Feeling concerned about how my risk information will affect my insurance status
	Having difficulty talking about my risk information with family members
	Worrying that the genetic counselling and testing process has brought about conflict within my family
Positive experiences (4 items – reverse scaled)	Feeling relieved about my risk information
	Feeling happy about my risk information
	Feeling that my family has been supportive during the genetic counselling and testing process
	Feeling satisfied with family communication about my genetic risk information