• The goal of this research study is to try to find an effective way to provide information to Hispanic women about breast cancer risk and genetic testing for inherited cancer risk. [ Time Frame: 3 Years ] [ Designated as safety issue: No ]
  

• Researchers want to see which of 3 methods is most effective at improving women's knowledge and understanding about breast cancer risk and genetic testing for inherited cancer risk. [ Time Frame: 3 Years ] [ Designated as safety issue: No ]
  

This study will test ways to help improve Hispanic women's knowledge and understanding about breast cancer risk and genetic testing for inherited cancer risk. These methods include providing printed educational materials, using an educational computer program, and using the computer program with the assistance of a lay health worker (a promotora).

If you agree to take part in this study, you will complete a questionnaire that will ask about your personal health as well as your knowledge and attitudes toward cancer and genetic testing. After the questionnaire is completed, you will be randomly assigned (as in the roll of dice) to 1 of 3 study groups. One group will be asked to read educational materials. Another group will use an educational computer program to learn about breast cancer risk and genetic testing without guidance. Another group will use the computer program with the guidance of a promotora.

Each of the 3 study groups should take between 30 and 60 minutes to complete.

Immediately after participating in your assigned group, you will be asked to complete another questionnaire that will ask about your knowledge and attitudes toward cancer and genetic testing. You will also be contacted later by telephone to complete similar questionnaires at about 1 month and 6 months after your study visit. Some women will be asked to complete an additional questionnaire by telephone 1 week after reading the educational materials or the computer program, and researchers will ask for permission to audiotape this interview. It will take about 20 minutes to complete each of the questionnaires used in this study.

This is an investigational study. There is no cost to you for taking part in this study. Up to 414 women will take part in this study.

Focus Groups and/or Semi-Structured Interviews:

If you agree to take part in this study, you will be asked to take part in a small group discussion (a focus group), or you will have a one-on-one, in-person interview. You may be asked to look at or use an educational computer program on breast cancer risk and genetic testing. You may be shown other pictures, a video, or text about breast cancer risk or genetic testing that are similar to the computer program.

You will be asked for your thoughts, feelings, and opinions about the computer program and other materials. You will be asked for some demographic information, such your age or marital status. Researchers will ask for permission to audiotape the focus group or interview. The focus group or interview will take about 60 to 90 minutes to complete.

Your answers to the questions in the focus group or interview and your personal information will be kept strictly confidential. Based on what is learned in this study, researchers will revise the computer program to make it more appealing to Hispanic women.

This is an investigational study. There is no cost to you for taking part in this study. Up to 85 women will take part in this study.

Inclusion Criteria:

• Residing in the El Paso metropolitan area and self-identifying as Hispanic
• Being 18 years of age or older
• Women who have a personal history of breast cancer or have a first-degree relative with breast cancer OR lay health workers (male or female)
• Able to provide informed consent

Exclusion Criteria:

• Having a primary language other than English or Spanish