Table 2.

Descriptions of usual care (UC) in select RCTs in the cancer genetics setting

1st Author, Year	Study Aim	UC Content	UC Delivery
Charles, 2006	Compare culturally tailored genetic counseling to standard genetic counseling for BRCA1/2 testing among African American women.	UC lasted 1.5 hours and included: 1) education about hereditary breast and ovarian cancer; 2) the risks associated with and the probability of having a BRCA1/2 mutation; 3) the process of genetic testing for BRCA1/2 mutations (including benefits, limitations, and risks of genetic testing); and 4) interpretation of genetic test results.	In-person delivery, semi-structured with visual aids, by a board-certified genetic counselor.
Graves, 2010	Evaluate the impact of augmenting standard genetic counseling with a psychosocial counseling intervention, consisting of 5 weekly telephone sessions and a mailed booklet.	UC included: 1) a pre-test discussion about hereditary breast and ovarian cancer, mutation testing, and the potential benefits, limitations, and risks of genetic testing; 2) a disclosure session consisting of disclosure of test results, information about the risks of developing cancer, and individualized management strategies.	In-person delivery by genetic counselor. Summary letter and follow-up call 2 weeks post-disclosure.
Rousi, 2010	Evaluate the impact of an enhanced counseling intervention on knowledge about the heritability of breast and ovarian cancer and distress, as a function of BRCA test result among high-risk women.	UC included: standard genetic counseling followed by a general health information session, including current recommendations for general health.	In-person delivery, 45-minutes led by a Health Educator.