Development and evaluation of a BRCA1/2 education program for Nigerian healthcare providers

Abstract

Continued medical education is vital for cancer control in low-resource settings. A recent survey of healthcare providers (HCPs) in Nigeria identified lack of training programs as a major barrier to implementing breast cancer genetic testing. In response, we developed and evaluated an online program aimed at improving breast cancer genetics education for Nigerian HCPs. A multidisciplinary team of subject matter experts including genetic counsellors, surgical oncologists, a gynaecologist/obstetrician, and education experts from West Africa and North America, collaboratively designed a four-module education program. Pre- and post-module knowledge assessments were conducted using the Wilcoxon signed-rank test. Participants who completed the online course were invited to complete a structured survey assessing content quality, platform usability, and self-reported knowledge improvement. Thirty-one HCPs participated. Across all modules, both physician and nurse cadres showed significant improvements in knowledge. Physician scores increased by 1.00-2.22, highest in Module 3 (p<0.001). Nurses improved by 1.40-2.00, with the greatest increase in Module 4 (p=0.009). Twenty-six participants completed the evaluation survey: 96.2% indicated the program met its intended objectives; over 88% reported improved understanding of BRCA1/2 pathogenic variants; and 92.3% reported improved knowledge of genetic testing and counselling. Content was well presented, with 96.1% commending the clarity and effectiveness of the course. Over 96% found online learning effective. Module duration and contextual relevance were noted for improvement. The program significantly enhanced participants’ understanding of hereditary breast cancer and was highly rated for quality and usability. Online training is an effective and scalable approach to strengthen cancer genetic services in low-resource settings.