Table 4.

Peer coach-led intervention components

Session/goal	Description	Content/strategies
1. Orientation and psychosocial assessment: introduction, peer support, raise awareness, identify stressors	This session focuses on introducing the particiapnt to the program, what is peer support and the peer coaching model of adjustment to HBOC risk in the family, Internet resources, and recognizing emotional/cognitive/behavioral sources of stress related to HBOC	Overview, working with a peer coach, understanding HBOC and sources of BRCA and HBOC stress, summarize issues, review written material
2. Coping strategy reinforcement: identify ways of coping	This session focuses on ways to enhance coping to decrease anxiety and distress, identifying healthy and unhealthy ways of coping and managing choices and common lifecycle events that are entangled with HBOC, how to untangle those events, risks/benefits of genetic counseling/genetic testing, and informtion needs	Reinforce written material. Definitions, examples, cognitive problem-solving training applied to genetic counseling and genetic testing for HBOC risk
3. Decision making and managing concerns: being strong for yourself	This session focuses on enhancing comprehension of risk and facilitating informed decision making, specific steps young adult relatives can take to gain information and support about HBOC, family and patient-provider communication anticipate their thoughts and feelings, and plan for next steps	Vignettes/role-playing techniques. Problem-solving, communication, decision making skills training, managing emotions, reinforce resource utilization