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Table 1 Multidimensional Impact of Cancer Risk Assessment (MICRA) domain subscales

From: The Melanoma Genomics Managing Your Risk Study randomised controlled trial: statistical analysis plan

Distress (6 items)

Feeling upset about my risk information

Feeling sad about my risk information

Feeling anxious or nervous about my risk information

Feeling guilty about my risk information

Feeling a loss of control

Having problems enjoying life because of my risk information

Uncertainty (9 items)

Worrying about my risk of getting cancer (or getting cancer again if you have already been diagnosed with cancer)

Being uncertain about what my risk information means about my cancer risk

Being uncertain about what my risk information means for my child(ren) and/or family’s cancer risk

Having difficulty making decisions about cancer screening or prevention (e.g. having preventive surgery or getting medical tests done)

Feeling frustrated that there are no definite cancer prevention guidelines for me

Thinking about my risk information has affected my work or family life

Feeling concerned about how my risk information will affect my insurance status

Having difficulty talking about my risk information with family members

Worrying that the genetic counselling and testing process has brought about conflict within my family

Positive experiences (4 items – reverse scaled)

Feeling relieved about my risk information

Feeling happy about my risk information

Feeling that my family has been supportive during the genetic counselling and testing process

Feeling satisfied with family communication about my genetic risk information