Provider-Mediated Communication of Genetic Testing Results to At-Risk Relatives of Cancer Patients to Improve Genetic Counseling and Testing Rates, Family HOPE Study
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Best Practice, Electronic Health Record Review, Personal Contact, Survey Administration.
- Кому может быть актуально
- Состояния в реестре: Hematopoietic and Lymphoid System Neoplasm, Hereditary Malignant Neoplasm, Malignant Solid Neoplasm. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Family HOPE Study (Hereditary Lynch Syndrome Opportunities for Participation &Amp; Engagement)
Обзор
This clinical trial tests whether provider-mediated communication of genetic testing results to at-risk relatives of cancer patients can help improve genetic counseling and testing rates. Approximately 15% of people with cancer have an inherited form of cancer due to changes in a gene that they have inherited from one of their parents. These changes increase a person's risk for developing cancer. Most people who have an inherited harmful change in a cancer risk gene don't know that they have it and are therefore not able to get the health care that they need. The primary reason for this problem has been a lack of genetic counseling and testing for cancer patients and patients with a strong family history of cancer. Another reason for this lack of awareness is that, when cancer runs in a family, the patient who carries the gene change usually has to communicate the genetic risk information to their family members. When this process doesn't work well, family members may not know that they need to get genetic testing and then may not get potentially life-saving care. Provider-mediated contact to discuss genetic test results may help improve rates of genetic testing among at-risk relatives of patients with a family cancer syndrome.
Подробное описание
PRIMARY OBJECTIVES:
I. Improve rates of family member cascade testing. II. Evaluate the psychosocial impact of provider-mediated contact to communicate genetic testing results.
OUTLINE: Participants are randomized to 1 of 2 arms.
ARM I: Patients receive a family letter and their genomic test report to share with at-risk first degree relatives on study.
ARM II: Patients receive a family letter and their genomic test report to share with at-risk first degree relatives and relatives also receive provider-mediated contact to discuss genetic results on study.
Вмешательства
- Другое Best Practice
Receive family letter and genomic test report - Другое Electronic Health Record Review
Ancillary studies - Поведенческое Personal Contact
Receive family letter and genomic test report with provider-mediated contact - Другое Survey Administration
Ancillary studies
Первичные конечные точки
- The percentage of uptake of cascade testing among patients' first-degree at-risk relatives [Срок оценки: Up to 9 months after enrollment]
Критерии участия
Критерии включения
- PATIENTS: Enrolled in City of Hope (COH) institutional review board (IRB) 07047 or have been seen by COH Genetics for genetic testing
- PATIENTS: Have an pathogenic/ likely pathogenic germline variant
- PATIENTS: Fluent in English
- PATIENTS: Age >= 18 years
- PATIENTS: Willing to provide contact information for eligible first-degree relatives
- PATIENTS: >= 2 first-degree relatives that are eligible for genetic testing and reside in the United States of America
- FIRST-DEGREE RELATIVES: Proband is a COH patient and has consented to this study
- FIRST-DEGREE RELATIVES: First-degree relative of proband
- FIRST-DEGREE RELATIVES: Resides within the United States
- FIRST-DEGREE RELATIVES: Has not undergone genetic testing for the known familial variant
- FIRST-DEGREE RELATIVES: Are fluent in English
- FIRST-DEGREE RELATIVES: Age >= 18 years
Критерии исключения
- PATIENTS: Unable to provide informed consent
- PATIENTS: =< 2 at-risk first-degree relatives who are eligible for genetic testing and/or reside within the United States
- PATIENTS: Unwilling to provide contact information for family members
- FIRST-DEGREE RELATIVES: Unable or unwilling to provide informed consent
- FIRST-DEGREE RELATIVES: Have undergone genetic testing for the known familial variant
- FIRST-DEGREE RELATIVES: Resides outside of the United States
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Организация здравоохранения
Центры проведения
США · 1 центр
- City of Hope Medical Center — Duarte
Идентификаторы
NCT: NCT05772130 · 22261 · NCI-2023-01626 · 22261 · P30CA033572