Assessments of Genetic Counseling Augmented With an Educational Video or Pamphlet Versus Traditional Counseling

Study Overview
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Brief Summary
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The purpose of this research study is to understand the impact of an educational video or pamphlet on the patient experience in a hereditary cancer genetic counseling program. In order to make this assessment, it is necessary to perform qualitative and quantitative research among patients in a hereditary cancer genetic counseling clinic.

Official Title
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Assessments of Genetic Counseling Augmented With an Educational Video or Pamphlet Versus Traditional Counseling

Conditions
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Quality

Intervention / Treatment
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* Other: Educational video and pamphlet
* Other: Traditional genetic counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Inclusion criteria for: Limited English Proficiency (LEP), primarily Spanish speaking cohort Preferred language for receiving medical information is Spanish Has a personal or family history of cancer If assigned to the arm where they need to be pre-educated with a video or pamphlet, attests that they viewed the video or pamphlet Inclusion criteria for: Individuals with a personal or family history of breast cancer cohort Personal or family history of breast cancer English is preferred language If assigned to the arm where they need to be pre-educated with a video or pamphlet, attests that they viewed the video or pamphlet Inclusion criteria for: Individuals with a personal or family history of prostate cancer cohort Personal or family history of prostate cancer English is preferred language If assigned to the arm where they need to be pre-educated with a video or pamphlet, attests that they viewed the video or pamphlet Inclusion criteria for: Individuals with a personal or family history of any type of cancer referred for germline testing based on a genetic variant identified during tumor genomic analysis for the patient or affected family member cohort. Personal or family history of any type of cancer Referred based on a variant identified during tumor genomic analysis English is preferred language If assigned to the arm where they need to be pre-educated with a video or pamphlet, attests that they viewed the video or pamphlet Inclusion criteria for: Individuals with a personal or family history of gastrointestinal or gynecologic cancer, referred because they or their affected relative screened positive for Lynch Syndrome based on either an immunohistochemistry test or evidence of mismatch repair deficiency in their tumor cohort. Personal or family history of gastrointestinal or gynecologic cancer Screened positive for Lynch Syndrome based on IHC or MMR testing English is preferred language If assigned to the arm where they need to be pre-educated with a video or pamphlet, attests that they viewed the video or pamphlet Inclusion criteria for: Individuals with a personal or family history of ovarian and/or pancreatic cancer cohort Personal or family history of ovarian, and/or pancreatic cancer English is preferred language If assigned to the arm where they need to be pre-educated with a video or pamphlet, attests that they viewed the video or pamphlet Exclusion Criteria: Individuals who are minors Individuals who are decisionally impaired

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pre-educated with educational video<br>Participants will receive a message to view educational videos prior to their genetic counseling appointment if they are assigned to a pre-educated arm. The video will be shared with patients via MyHealth in the education tab in advance of the genetic counseling session | Other: Educational video and pamphlet<br>* The primary intervention in this study is watching the video or reading the pamphlet in advance of the genetic counseling session, which overview the same information that we currently provide in-person/via telehealth during the genetic counseling session.<br>Other: Traditional genetic counseling<br>* Patients will receive traditional genetic counseling<br>|
| Experimental: pre-educated with pamphlet<br>Participants will receive a message to view a pamphlet prior to their genetic counseling appointment if they are assigned to a pre-educated arm. The pamphlet will be sent to patients who cannot access the video via regular mail in advance of the genetic counseling session | Other: Educational video and pamphlet<br>* The primary intervention in this study is watching the video or reading the pamphlet in advance of the genetic counseling session, which overview the same information that we currently provide in-person/via telehealth during the genetic counseling session.<br>Other: Traditional genetic counseling<br>* Patients will receive traditional genetic counseling<br>|
| Other: educated during the session<br>Participants will receive traditional genetic counseling. . After the genetic counseling session, they will fill out a validated survey called the Multi-dimensional Measure of Informed Choice (MMIC) that assesses attitudes, knowledge, and uptake of genetic testing | Other: Traditional genetic counseling<br>* Patients will receive traditional genetic counseling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient impact with educational information prior to genetic counseling | Impact will be defined as the number of questions asked by patient during the counseling. | 36 months | 
| Patient impact without any educational information prior to genetic counseling | Impact will be defined as the number of questions asked by patient during the counseling. | 36 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cancer genetic counseling, educational video, pamphlet