Access to Genetic Testing in Underserved Patients With Cancer

Description

This study compares the experiences of people who receive information about genetic testing from a computer-generated character to patients who receive information from a human genetics healthcare provider. Patients with cancer are increasingly recommended for genetic testing as standard of care. Multiple factors contribute to low usage of genetic testing but for many patients the lack of access to genetic counseling and testing is an important and flexible factor. Lack of access is especially relevant to racial/ethnic minority patients and those living in non-metropolitan rural settings who are frequently cared for at safety-net hospitals with limited genetics services. Alternative delivery models are necessary to improve rates of access to genetic testing in patients with cancer. Health information technology is under used by genetics providers. A patient-facing relational agent (PERLA) will provide pre-test genetics education in both English and Spanish across two clinical settings to facilitate more timely access to genetic testing. Using the PERLA intervention may help researchers learn different ways to provide education about genetic testing to patients with cancer compared to usual care.

Conditions

Breast Carcinoma, Male Breast Carcinoma, Malignant Solid Neoplasm, Metastatic Prostate Carcinoma, Ovarian Carcinoma, Pancreatic Exocrine Neoplasm, Stage IVB Prostate Cancer American Joint Committee on Cancer v8, Triple-Negative Breast Carcinoma

Study Overview

Study Details

Study overview

This study compares the experiences of people who receive information about genetic testing from a computer-generated character to patients who receive information from a human genetics healthcare provider. Patients with cancer are increasingly recommended for genetic testing as standard of care. Multiple factors contribute to low usage of genetic testing but for many patients the lack of access to genetic counseling and testing is an important and flexible factor. Lack of access is especially relevant to racial/ethnic minority patients and those living in non-metropolitan rural settings who are frequently cared for at safety-net hospitals with limited genetics services. Alternative delivery models are necessary to improve rates of access to genetic testing in patients with cancer. Health information technology is under used by genetics providers. A patient-facing relational agent (PERLA) will provide pre-test genetics education in both English and Spanish across two clinical settings to facilitate more timely access to genetic testing. Using the PERLA intervention may help researchers learn different ways to provide education about genetic testing to patients with cancer compared to usual care.

Increasing Access to Genetic Testing in Underserved Patients Using a Multilingual Conversational Agent

Access to Genetic Testing in Underserved Patients With Cancer

Condition
Breast Carcinoma
Intervention / Treatment

-

Contacts and Locations

Los Angeles

USC / Norris Comprehensive Cancer Center, Los Angeles, California, United States, 90033

Rochester

University of Rochester, Rochester, New York, United States, 14642

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Age \> 18 years old
  • * Diagnosed with least one of the following:
  • * Epithelial ovarian cancer
  • * Exocrine pancreatic cancer
  • * Metastatic or high or very high-risk prostate cancer
  • * Breast cancer at or before age 50
  • * Bilateral breast cancer
  • * Triple negative breast cancer
  • * Male breast cancer OR
  • * Healthcare provider who treats patients with any of the above types of cancer
  • * Able to read and write in English or Spanish
  • * Able to provide informed consent
  • * Patients who cannot provide informed consent
  • * Patients who cannot see, read, or write
  • * Patients who have the cancer and clinical characteristics defined in the inclusion criteria, but who do not speak English or Spanish
  • * Patients with none of the listed cancer diagnoses and clinical characteristics
  • * Healthcare provider who do not treats cancer patients

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

University of Southern California,

Charite Ricker, MS, PRINCIPAL_INVESTIGATOR, University of Southern California

Study Record Dates

2028-10-24