- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02991729
Use of a Novel Computerized Decision Aid for Prenatal Aneuploidy Screening (DAAS)
September 25, 2020 updated by: University of North Carolina, Chapel Hill
Use of a Novel Decision Aid for Prenatal Aneuploidy Screening
The investigators aim to assess whether use of a novel, tablet-based computerized decision aid for aneuploidy screening is similar to routine care with a brief genetic counseling visit in improving patient knowledge and decreasing decisional conflict.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
184 women will be randomized in a 1:1 fashion to use of a novel computerized iPad-based decision aid in addition to routine counseling or routine counseling only during a single study visit.
This decision aid was developed at a 10th grade literacy level using input from Maternal Fetal Medicine physicians and certified genetic counselors, and piloted by 20 English and Spanish speaking women of varying education levels.
Following completion of genetic counseling, participants will complete several surveys assessing knowledge and decision conflict.
Data will be abstracted regarding demographics, screening and diagnostic testing uptake, and testing results.
Study Type
Interventional
Enrollment (Actual)
197
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27599
- University of North Carolina at Chapel Hill
-
-
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.
Eligibility Criteria
Ages Eligible for Study
18 years to 50 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Pregnancy at less than 22 weeks gestation
- English or Spanish speaking
- Undergoing genetic counseling at North Carolina Women's Hospital for aneuploidy screening
Exclusion Criteria:
- Known fetal anomalies
- Known multiple gestations
- Prior genetic counseling or aneuploidy screening in current pregnancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Routine care
These patients will receive routine care at our institution for counseling on aneuploidy screening; they will be counseled by a genetic counselor on options, and following counseling, will select their test of choice.
All patients will complete a knowledge and demographics questionnaire prior to genetic counseling.
Patients in this arm will then complete a knowledge and decisional conflict survey immediately following genetic counseling.
|
All participants will undergo an approximately 15 minute educational genetic counseling appointment regarding aneuploidy screening options.
Should family history concerns be identified on intake, this visit may be extended to include a discussion of additional issues.
|
Experimental: Experimental
These patients will use an iPad-based decision aid explaining options for aneuploidy screening and testing.
They will then immediately be counseled by a genetic counselor on their options as is routine at our institution, and following counseling, will select their test of choice.
All patients will complete a knowledge and demographics questionnaire prior to genetic counseling.
Patients in this arm will then complete a knowledge and decisional conflict survey following use of the decision aid, and again immediately following genetic counseling.
|
All participants will undergo an approximately 15 minute educational genetic counseling appointment regarding aneuploidy screening options.
Should family history concerns be identified on intake, this visit may be extended to include a discussion of additional issues.
This is a novel decision aid developed by genetic counselors and Maternal Fetal Medicine physicians.
It is used via an iPad and is interactive.
It is available in English and Spanish has been piloted by 20 English and Spanish speaking women.
It takes approximately 15 minutes to complete.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knowledge Score
Time Frame: At completion of genetic counseling for the Routine Care Group and at completion of decision aid and genetic counseling for Experimental Group, approximately 10-60 minutes
|
All patients in the intervention arm will complete a knowledge questionnaire following completion of the decision and and again immediately following genetic counseling.
The investigators will assess noninferiority of the decision aid on participant knowledge, with primary outcome comparing knowledge after completion of the decision aid in the intervention arm, to knowledge following genetic counseling only in the routine care arm.
The questionnaire is a modification of the validated Maternal Serum Screening Knowledge Questionnaire.
This is on a 12-point scale (values 0-12), with higher score indicating greater knowledge.
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At completion of genetic counseling for the Routine Care Group and at completion of decision aid and genetic counseling for Experimental Group, approximately 10-60 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Decisional Conflict Score
Time Frame: At completion of decision aid (Experimental group) and completion of genetic counseling (all participants), approximately 10-60 minutes
|
A low-literacy decisional conflict questionnaire will be used.
This will be completed by patients in the intervention arm following use of the decision and and again following genetic counseling.
It will be completed by patients in the routine care arm following genetic counseling.
Decisional conflict at all time points will be compared - specifically, decisional conflict following decision aid completion in the Experimental Group will be compared to decisional conflict following genetic counseling in the Routine Care Group, and decisional conflict following both decision aid completion and genetic counseling in the Experimental Group will be compared to decisional conflict following genetic counseling in the Routine Care Group.
This questionnaire is on a 40 point scale (values 0-40), with higher score indicating higher level of decisional conflict.
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At completion of decision aid (Experimental group) and completion of genetic counseling (all participants), approximately 10-60 minutes
|
Test Chosen
Time Frame: At completion of decision aid and at completion genetic counseling, approximately 10-60 minutes
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For participants in the intervention arm, initial choice of aneuploidy screening following use of the decision aid will be compared to final test chosen following genetic counseling.
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At completion of decision aid and at completion genetic counseling, approximately 10-60 minutes
|
Supplementary Tests Performed
Time Frame: 22 weeks gestation
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Use of additional aneuploidy screening or testing modalities (cell-free DNA, chorionic villus sampling, or amniocentesis in addition to initial screening test) in the current pregnancy will be assessed up to 22 weeks gestation.
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22 weeks gestation
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Laura M Carlson, MD, University of North Carolina, Chapel Hill
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 20, 2017
Primary Completion (Actual)
January 5, 2018
Study Completion (Actual)
January 12, 2018
Study Registration Dates
First Submitted
December 8, 2016
First Submitted That Met QC Criteria
December 9, 2016
First Posted (Estimate)
December 13, 2016
Study Record Updates
Last Update Posted (Actual)
October 22, 2020
Last Update Submitted That Met QC Criteria
September 25, 2020
Last Verified
January 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15-1745
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Individual participant data will not be shared with other researchers.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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