NuGenA (Nurse Led Genetic Counselling and Awareness): A proof-of-concept to implementation of genetic counseling for HBOC in LMICs.

10583 Background: Poor access to genetic testing and counselling represents a major gap in cancer care in resource-restricted-settings. Our pilot work in Eastern India (2017-2019) demonstrated improved uptake of BRCA genetic testing (89% vs.55%) in ovarian cancer (OC) after training one nurse specialist in genetic counselling. We introduced NuGenA program in 2020 to scale-up this effort as proof-of-concept. Methods: Ethical approvals were obtained (KolGo/CTRI/2021/06/034308/HMSC). A nurse-led structured training program combining lectures/modules/live-demonstration-workshops/role-playing using offline and virtual learning methods were administered to sensitize/train all tiers of nurses including train-the-trainers in genetic counselling. A comprehensive NuGenA questionnaire including demographic, family history, CAM, pre/post-test counselling satisfaction-regret scale, QOL and willingness-to-pay (WTP) for genetic testing was administered by trained nurses. Physician and nursing interviews were…