A Study Of TeleGenetics Versus Usual Care To Increase Access To Cancer Genetic Services

Study Overview
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Brief Summary
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The goal of this research is to evaluate the relative advantage of remote counseling over usual care in community health practices without access to genetic services. We will evaluate ability of remote telemedicine, referred to going forward as TeleGenetic services (phone or videoconferencing), to increase uptake of genetic testing and identification of genetic carriers compared to usual care. Secondly, we will evaluate the advantages of videoconferencing over telephone for delivery of remote genetic services and the short-term and longitudinal outcomes of TeleGenetic services in socio-demographically diverse patients in community practices.

Official Title
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A Randomized Study Of TeleGenetics Versus Usual Care To Increase Access To Cancer Genetic Services

Conditions
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Breast Cancer, Ovarian Cancer, Colorectal Cancer

Intervention / Treatment
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* Behavioral: Penn genetic counselors provides counseling and test results disclosure by videoconferene to patient at community site
* Behavioral: Penn genetic counselor provides counseling and test results disclosure by telephone to patient at community site
* Behavioral: Patient receives written information on how to find genetic services in their area


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligible participants will include adult men and women (aged 18 and older) who can understand and communicate in English meet National Comprehensive Cancer Network® criteria for cancer genetic testing for breast, ovarian or colorectal cancers have insurance coverage for genetic testing. Exclusion Criteria: Under 18 years old - professional guidelines do not recommend genetic testing for cancer risk in minors. Does not speak English. Does not have insurance.

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Remote cancer genetic services by videoconference<br> | Behavioral: Penn genetic counselors provides counseling and test results disclosure by videoconferene to patient at community site<br>* Baseline and follow up survey<br>|
| Remote cancer genetic services by telephone<br> | Behavioral: Penn genetic counselor provides counseling and test results disclosure by telephone to patient at community site<br>* Baseline and follow up surveys<br>|
| Usual Care<br> | Behavioral: Patient receives written information on how to find genetic services in their area<br>* Baseline and follow up surveys<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of Surveys |  | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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meet National Comprehensive Cancer Network® criteria for cancer genetic testing for breast, ovarian and colorectal cancers