Stand up to Cancer: MAGENTA (Making Genetic Testing Accessible)

PRIMARY OBJECTIVES: 1\. To test the effects of online genetic education versus telephone genetic counseling on cancer-risk distress. SECONDARY OBJECTIVES: 1. To test the effects of online genetic education versus telephone genetic counseling on testing completion rates. 2. To evaluate the role of psychological and social variables in women's reactions to genetic testing for ovarian cancer risk with variable education strategies. 3. To consider the effects of variations of genetic education/counseling on genetic knowledge, satisfaction with the decision to undergo testing, and family communication. 4. To examine the cancer screening and prevention behaviors, as well as cascade testing behaviors among patients who tested positive for a pathogenic variant. 5. To determine factors contributing to non-completion of genetic testing in subjects enrolled in a genetic testing trial. 6. To determine the impact of pre- and/or post-test genetic counseling on family communication, genetic testing concerns and screening behaviors. OUTLINE: Patients are randomized into 1 of 4 arms. ARM A: Patients watch genetic testing online educational video and receive genetic testing online test results report. ARM B: Patients watch genetic testing online educational video, receive genetic testing online test results report, and post-telephone genetic counseling. ARM C: Patients watch genetic testing online educational video, receive pre-telephone genetic counseling, genetic testing online test results report, and post-telephone genetic counseling. ARM D: Patients watch genetic testing online educational video, receive pre-telephone genetic counseling, and genetic testing online test results report.