Genetic Counseling Support for Breast Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if a culturally targeted video can encourage African American women at high risk for breast cancer to attend genetic counseling. Participants will either watch this decision aid video or review an informational brochure about genetic counseling. The goal is to identify which method better promotes genetic counseling and how these tools spread knowledge within personal networks. Women labeled high-risk for breast cancer after a genetic risk assessment, who identify as African American and have not yet had genetic counseling, might be a good fit for this trial.
As an unphased trial, this study offers a unique opportunity to contribute to research that could improve health communication strategies for high-risk communities.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this genetic counseling support method is safe?
Research shows that decision aid videos, like the one being tested, are generally safe and easy to use. In past studies, similar videos have helped people understand breast cancer and genetic testing without causing harm. Participants found these videos helpful for learning and decision-making.
The genetic counseling informational brochure is also safe. It serves as a standard educational tool, used in healthcare for a long time to provide information.
Overall, both the decision aid video and the brochure offer safe ways to learn about genetic counseling. They are designed to help people make informed health choices without any physical risk.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it's exploring innovative ways to support decision-making in breast cancer genetic counseling. Unlike traditional brochures, the decision aid video offers an interactive and engaging way to understand complex genetic information, potentially making it easier for patients to grasp their options. Meanwhile, the genetic counseling informational brochure serves as a reliable, straightforward resource that may help reinforce key information. By comparing these two approaches, the trial aims to identify which method better supports patients in understanding their genetic risks and making informed choices about their health.
What evidence suggests that this trial's treatments could be effective for promoting genetic counseling attendance among high-risk African American women?
Research has shown that videos designed to aid decision-making can encourage more people, particularly in high-risk groups, to seek genetic counseling. In this trial, participants in one arm will watch a decision aid video. One study found that a culturally tailored video increased the number of Black women at risk for breast cancer who pursued genetic counseling. Another study demonstrated that educational videos might boost genetic testing for various cancers, including breast cancer. These videos clarify the pros and cons of genetic testing and counseling, increasing participation. Overall, decision aid videos offer a promising method to raise awareness and encourage action regarding genetic counseling.15678
Who Is on the Research Team?
Kent Hoskins, MD
Principal Investigator
University of Illinois at Chicago
Are You a Good Fit for This Trial?
This trial is for African American women aged 25 or older who have been identified as high risk for breast cancer through a genetic risk assessment and have not previously received genetic counseling. Participants must speak and understand English.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants are randomized to receive either a decision aid video or a genetic counseling brochure, followed by pretest and posttest assessments
Follow-up
Participants receive a phone call at 4 weeks post-intervention to verify counseling attendance and assess diffusion of knowledge
Long-term Follow-up
Participants are monitored for changes in knowledge, motivation, and distress related to genetic counseling over a 52-week period
What Are the Treatments Tested in This Trial?
Interventions
- Decision aid video
- Genetic counseling informational brochure
Trial Overview
The study is testing the effectiveness of a culturally targeted video versus an informational brochure in encouraging attendance at genetic counseling sessions among high-risk African American women.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants receiving the intervention will complete a pretest, watch the decision aid video, and complete posttest via tablet computer facilitated by Patient Navigators.
Participants receiving the control will complete pretest, review a genetic counseling brochure with the Patient Navigators, and complete posttest via tablet computer facilitated by a Patient Navigator.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Illinois at Chicago
Lead Sponsor
National Cancer Institute (NCI)
Collaborator
Citations
Effect of a Computer-Based Decision Aid on Knowledge, ...
It is an interactive, multimedia CD-ROM–based decision aid designed to educate women about breast cancer, heredity, and the benefits and limitations of genetic ...
2.
bmchealthservres.biomedcentral.com
bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08193-xPilot study of a culturally sensitive intervention to promote ...
Our team developed a culturally sensitive, narrative decision aid video to promote uptake of genetic counseling among Black women at risk ...
Results From a Randomized Study | JCO Oncology Practice
This paper shows that VE is a viable option, which may increase GT uptake for patients with breast, ovarian, pancreatic, or metastatic prostate cancer.
Implementing interventions to increase genetic testing for ...
To systematically review the implementation strategies, outcomes, and quality of interventions aimed at increasing the uptake of breast cancer-related genetic ...
Outcomes and effectiveness of decision aids for families ...
Most DAs targeted women (69.6%) with hereditary breast and ovarian cancer syndrome (73.9%) in North America and Europe (81.3%), primarily ...
Pilot study of a culturally sensitive intervention to promote ...
Our team developed a culturally sensitive, narrative decision aid video to promote uptake of genetic counseling among Black women at risk for a hereditary ...
The breast cancer genetic testing experience: probing the ...
The breast cancer genetic testing experience: probing the potential utility of an online decision aid in risk perception and decision making.
Evaluation of a decision aid for families considering p53 ...
We evaluated outcomes following the administration of a video-based decision aid (DA) prior to clinical p53 genetic counseling and testing among persons who had ...
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