Primary content


T Robinson (Lead)

A Janssen (Lead)

J Kirk

A DeFazio

A Goodwin

K Tucker

T Shaw


The QStream program aimed to increase participant knowledge about the latest evidence regarding genetic assessment and consideration of genetic testing for women with a particular type of ovarian cancer.


Participants completed an online, case based program with multiple choice questions in October, 2013. The cases could be accessed by email or phone. If questions were answered incorrectly the case was repeated in five days. If questions were answered correctly, they were repeated in eight days. After the program semi structured interviews (N=12) were conducted and were subject to thematic analysis by two researchers. In addition, the number of women diagnosed with ovarian cancer and the number subsequently referred for assessment and consideration of genetic testing over a 12 month period will be identified from gynaecological oncology records to further ascertain the program’s impact on the referral behaviour of participants.


The main themes to emerge from the interviews (N=12) include improved knowledge about referring women for assessment and consideration of genetic testing, the curriculum and format of QStream (which most found highly engaging) and the program’s usefulness for disseminating updated clinical guidelines. In addition, eight participants reported the program had changed the way they would now refer women for genetic counselling and consideration of testing.


Although more research is needed to identify optimal spacing patterns that facilitate retention, QStream has obvious benefits for disseminating new research or updated clinical guidelines among clinicians in high work volume environments.  It may also prove more effective than face- to- face education and training but it may be necessary to supplement QStream programs with implementation techniques such as audit and feedback to ensure that behaviour changes are sustained.