PRIMARY OBJECTIVE:
I. To assess the sensitivity and specificity of a chatbot's determination of meeting National Comprehensive Cancer Network (NCCN) criteria for germline genetic testing compared to a certified genetic counselor's determination
SECONDAY OBJECTIVES:
I. To assess the reliability and accuracy of a chatbot-generated cancer-focused family pedigree as determined by a certified genetic counselor.
II. To determine the sensitivity and specificity of a chatbot-generated Tyrer-Cuzick determination of breast cancer risk.
III. To evaluate the proportion of patients in a genetic counseling clinic population with greater than 20% lifetime risk of breast cancer and/or criteria met for germline genetic testing.
IV. To evaluate patient satisfaction using a chatbot for family history collection and breast cancer risk assessment.
V. To evaluate provider satisfaction with use, accuracy, and clinical workflow of chatbot-derived data.
OUTLINE:
Patients receive a text message with chatbot phone number at baseline. Patients then complete a phone call with the chatbot over 10-20 minutes consisting of a structured, genetics-specific interview and receive a chatbot generated provider summary, pedigree/structured data, NCCN flag, and Tyler-Cuzick score, which are routed to clinical team up to 21 days before scheduled genetics appointment.
