Table 2.

Summary of accessibility concerns with current genetic testing practices and how Making Genetic Testing Accessible study addresses each concern.

Dimension	Barriers	Assessment	Decisions and adjustments
Approachability	Genetic testing is not approachable	Assess all advertisements and posts	Outreach routes should include social media, in-person (clinical settings and flyers), emails, and collaborations with trusted organizations (including ovarian cancer advocacy groups) Outreach materials should include physical flyers, paid social media advertisements, and unpaid posts across different social media channels
Acceptability	Genetic testing is not universally acceptable	Assess imagery and text used across all written study components	Use web-based system that (1) facilitates anonymity, (2) identifies study collaborators, (3) facilitates branding, (4) builds associations between study and related trusted organizations, (5) encourages responsive messaging, (6) facilitates rotating imagery and content, and (7) enables ongoing assessment Use an electronic data collection tool
Availability	Genetic testing is not universally available	Assess usability of each component and the whole system (buttons and links)	Use a web-based system that (1) meets accessibility standards (including font and device accessibility); (2) makes all web components physically available (eg, the Get Started button), (3) simplifies the email verification process, (4) enables reminders (including when to check email), and (5) includes a video explaining the study Use a web-based genetic testing service to make genetic testing itself physically available
Affordability	Genetic testing is not affordable to everyone	Assess content related to cost of services	Genetic testing is free to participants
Appropriateness	Genetic testing is not appropriate for everyone	Assess imagery and text used across all components	Use a diverse array of imagery (including families, uplifting, women aged >30 years, and candid images) Avoid fear-based language Make modifications to outreach materials based on performance