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. 2022 Jun 21;22:805. doi: 10.1186/s12913-022-08172-2

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© The Author(s) 2022

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 3 — Schedule of enrolment, interventions and assessments. In the control phase participants make an appointment in the Departments of Human Genetics Hannover or Dresden after enrolment. They receive a questionnaire about socio demographic data and their expectations of the genetic counseling. One week after genetic counseling participants receive the GCSS and VSQ questionnaires. Participants with a suspicion of TRS get diagnostic testing. Test results are communicated by Geneticists. Afterwards participants are asked to fill out the questionnaires GCSS, VSQ and MICRA. If participants have been enrolled but no consultation has been recorded, the patient is asked about the non-utilization by a follow-up telephone call (t3). In the invention phase telemedical genetic counseling takes place. Oncologists communicate the test results of genetic testing and a second telemedical genetic counseling takes place