Enhance the Use of Genetic Counseling and Testing in Latinas
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About
The investigators will conduct a two-arm RCT to evaluate the preliminary effectiveness of a culturally-adapted video developed by the team vs. a FORCE fact sheet on enhancing genetic cancer risk assessment (GCRA; including genetic counseling and option for genetic testing) uptake and psychosocial outcomes among Latinas at increased risk for hereditary breast and ovarian cancer (HBOC).
Full description
The investigators will conduct a two-arm RCT to evaluate the preliminary effectiveness of a culturally-adapted video developed by the team vs. FORCE fact sheet on enhancing genetic cancer risk assessment (GCRA; including genetic counseling and option for genetic testing) uptake and psychosocial outcomes among Latinas at increased risk for hereditary breast and ovarian cancer (HBOC).
All participants will receive referrals to free telephone genetic counseling in Spanish to address cost, pragmatic, and language barriers. The investigators will recruit 28 Latina women at-risk of HBOC (14 randomized at each arm) at three sites with sizable Latinx populations. The sites include community clinics/health organizations and hospitals with whom we have established collaborations [Georgetown University (DC); Virginia Commonwealth University (VA)].
Results will improve efforts to translate genomic guidelines into practice and will reduce disparities by evaluating a low cost highly disseminable culturally-targeted video while gathering data on effectiveness and implementation.
Aim 1. Evaluate the impact of video vs. FORCE fact sheet on GCRA and testing uptake and psychosocial outcomes.
Aim 2. Assess implementation potential and needs by evaluating feasibility, acceptability, reach, and adoption of the intervention arms (video and FORCE fact sheet) and of the HBOC screening process at the community clinics.
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
- Older than 18 years-old
- Self-identify as Latina
- Fluent in Spanish
- Meet NCCN criteria for breast and/or ovarian genetic cancer risk assessment based on -personal or family history of cancer
- Have not received genetic counseling or genetic testing
- Able to provide informed consent
- No other members of the same family have participated
- Must have access to the internet via smartphone, computer, or another device.
Exclusion criteria
- Not fluent in Spanish
- Previously received genetic counseling or genetic testing for HBOC
- Previously participated in another interventional study about HBOC and GCRA
Trial design
Primary purpose
Allocation
Interventional model
Masking
61 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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