About this trial
The goal of this clinical trial is to learn about different ways cancer genetic screening can be provided to rural communities in participants at high risk for certain cancers. The main question it aims to answer is:
• Does receiving pre-genetic test education with a chat bot or genetic counselor affect if the participant decides to get genetic testing?
Participants will:
* have a pre-test genetic counselling session with a genetic counselor or the GIA chatbot * answer questions about their cancer genetic knowledge and how they are doing * provide a saliva sample for genetic testing to test for cancer gene mutations * have their genetic testing results provided to them. * have the option to share their genetic testing results with family members
Researchers will compare how many participants who had pre-genetic counseling with the chatbot received genetic testing to how many participants who had pre-genetic counseling with a genetic counselor received genetic testing.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
At high risk for having a genetic pathogenic variant as assessed by a GC or physician according to the NCCN guidelines
Provision of signed and dated informed consent form.
Stated willingness to comply with all study procedures and availability for the duration of the study.
Male or female, aged 18 and over.
Disqualifiers
Cannot communicate in English or Spanish.
Subjects must not have completed panel-based cancer genetic testing in the past.
Trial design
Parallel
Treatments tested in this trial
Genetic Information Assistant
Other interventionParticipants assigned will receive a link to Genetic Information Assistant for pre-test counseling.
Telegenetics with UVA genetic counselor
Other interventionParticipants assigned will have a pre-test counseling session via a telegentics visit with a genetic counselor.
Treatment groups
Trial outcomes
Primary outcomes
To assess feasibility of using a chatbot (GIA) for pre-test genetic counseling compared to standard of care GC
dichotomous measurement of whether the randomized participant completes genetic testing within three months.
Secondary outcomes
To test cancer knowledge following the pre-test genetic counseling with GIA versus GC
National Center for Human Genome Research Knowledge scale taken at baseline and one month after genetic testing.
To assess differences of Comprehensive Score of Financial Toxicity scale
To assess the difference in comprehensive score between one- and six-months of Comprehensive Score for Financial Toxicity (COST) survey. Scoring: 0 (Poor Financial well-being) to 48 (Better financial well-being)
To assess differences of SURE scale
To assess the difference in comprehensive scores of the following surveys between one- and six-months of SURE scale. Scoring 0-4: Score \<4 is a positive result for decisional conflict.
To assess differences of Decisional Conflict scale
To assess the difference in comprehensive scores of the following surveys between one- and six-months Decisional Conflict Scale. Scoring: 0 (no decisional conflict) to 100 (extremely high decisional conflict)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.