- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT04420858
Effect of Video Education on Patients' Knowledge and Attitudes of Privacy in Prenatal Genetics
3 de noviembre de 2020 actualizado por: Women and Infants Hospital of Rhode Island
The investigators propose a randomized controlled trial to assess baseline maternal knowledge of and attitudes toward commercial prenatal genetic testing laboratories' genetic privacy practices, and to determine whether a brief educational intervention alters these attitudes.
Descripción general del estudio
Estado
Terminado
Intervención / Tratamiento
Descripción detallada
The investigators propose a randomized controlled trial to assess baseline maternal knowledge of and attitudes toward commercial prenatal genetic testing laboratories' genetic privacy practices, and to determine whether a brief educational intervention alters these attitudes.
Pregnant women undergoing specialized fetal anatomic ultrasound surveys at Women and Infants' maternal fetal medicine prenatal diagnostic imaging centers will be recruited to participate.
Volunteers will be randomized to receive either standard education about prenatal genetic testing or standard education plus additional education about federal genetic privacy protections.
Next, the participants view the educational materials to which they were randomized.
Finally, all volunteers will take the same survey, which will assess baseline demographic variables as well as their knowledge of and attitudes toward broad sharing of data obtained from prenatal genetic testing.
Once finished with the survey, volunteers will have completed their participation in this study.
Tipo de estudio
Intervencionista
Inscripción (Actual)
162
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
-
-
Rhode Island
-
Providence, Rhode Island, Estados Unidos, 02905
- Women and Infants Hospital
-
-
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
Sí
Géneros elegibles para el estudio
Femenino
Descripción
Inclusion Criteria:
- Pregnant patients undergoing a scheduled L2 ultrasound at the Women and Infants Prenatal Diagnosis Center (PDC)
- Singleton pregnancies
- English speaking
- Results available from cell-free DNA screening for this pregnancy
Exclusion Criteria:
- Prior L2 ultrasound at the PDC during the current pregnancy (to avoid test-retest or multiple approach)
- Prior participation in this study
- Gestational age <17'0 weeks or >23'6 weeks
- Suboptimally dated pregnancies (i.e. dated by ultrasound after 22 weeks gestation)
- Unscheduled / add-on L2 ultrasounds
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Otro
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Cuadruplicar
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Otro: Control
The control arm will receive standard education about cell-free DNA screening that would typically be presented during a prenatal visit.
|
See arm description.
|
|
Experimental: Experimental
The experimental arm will receive additional education about federal legislation that protects the privacy of genetic information (Genetic Information Nondiscrimination Act, GINA).
|
See arm description.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Knowledge about broad sharing of genetic data for non-clinical research purposes
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: What is patient knowledge about the potential sharing of their genetic data for non-clinical research purposes?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Acceptability of broad sharing of genetic data for non-clinical research purposes
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: What is patient acceptance of laboratory-initiated sharing of their de-identified genetic data for non-clinical purposes?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Acceptability of retention of genetic data for non-clinical purposes
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: What is patient acceptance of retaining their de-identified genetic data to potentially use it for non-clinical purposes?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Acceptability of use of genetic data for non-clinical purposes
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: What is patient acceptance of using their de-identified genetic data for non-clinical purposes such as research and development?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Knowledge and understanding of aneuploidy screening and results
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Are patients aware that they underwent aneuploidy screening with cell-free fetal DNA (cfDNA)?
Are they aware of their results?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Knowledge and understanding of carrier testing and results
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: Are patients aware that they underwent carrier testing?
Are they aware of their results?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Acceptability of retention, use, and broad sharing of fetal genetic data for non-clinical research purposes
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: Assess maternal acceptance of each of these outcomes.
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Maternal rationale for pursuing cfDNA
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: What prompted patient to pursue cfDNA testing?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Maternal knowledge of different commercial cfDNA providers
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: Are patents who have undergone cfDNA testing aware that multiple companies offer this service?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Maternal knowledge pertaining to Down Syndrome and the genetics of trisomies.
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: To what extent do mothers who have undergone cfDNA screening and are participating in this study understand these topics?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
|
Maternal perceptions of the de-identifiability of genetic data
Periodo de tiempo: This outcome will be assessed immediately after exposure to education (day 0)
|
Using a newly designed survey instrument (the Prenatal Testing Opinions Survey), the investigators aim to answer the following question: To what extent do mothers who have undergone cfDNA screening believe that deidentified genetic information is not re-identifiable?
Outcome will be measured on the Likert scale.
|
This outcome will be assessed immediately after exposure to education (day 0)
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Christian Parobek, Department of OB/GYN, Women and Infants Hospital
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Parobek CM, Thorsen MM, Has P, Lorenzi P, Clark MA, Russo ML, Lewkowitz AK. Video education about genetic privacy and patient perspectives about sharing prenatal genetic data: a randomized trial. Am J Obstet Gynecol. 2022 Jul;227(1):87.e1-87.e13. doi: 10.1016/j.ajog.2022.03.047. Epub 2022 Mar 26.
- Parobek CM, Has P, Lorenzi P, Russo ML, Clark MA, Lewkowitz AK. What test did I have? Patient uncertainty about prenatal genetic screening. Am J Obstet Gynecol. 2021 Sep;225(3):341-342. doi: 10.1016/j.ajog.2021.05.030. Epub 2021 May 27. No abstract available.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
21 de julio de 2020
Finalización primaria (Actual)
16 de octubre de 2020
Finalización del estudio (Actual)
16 de octubre de 2020
Fechas de registro del estudio
Enviado por primera vez
18 de mayo de 2020
Primero enviado que cumplió con los criterios de control de calidad
3 de junio de 2020
Publicado por primera vez (Actual)
9 de junio de 2020
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
4 de noviembre de 2020
Última actualización enviada que cumplió con los criterios de control de calidad
3 de noviembre de 2020
Última verificación
1 de noviembre de 2020
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 1500909-1
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
SÍ
Descripción del plan IPD
Non-identifiable data will be freely shared with other researchers upon request for facilitate reproducibility or future systemic review, pending approval from local institutional review board.
Marco de tiempo para compartir IPD
De-identified study data will be available after publication and for a time period of 6 years after enrollment of the final volunteer.
Criterios de acceso compartido de IPD
De-identified study data will be shared with researchers upon request.
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Standard (control) education.
-
University of SheffieldUniversity of Liverpool; University of Manchester; University of MelbourneActivo, no reclutandoDesarrollo del lenguajeReino Unido
-
Tarsus UniversityTerminadoEducación EnfermeríaPavo
-
Chia-Tzu LineTerminadoDiabetes mellitus tipo 2 (DM2) | Pacientes diabéticos, autocuidado, basada en inteligencia artificial, autoeficaciaPorcelana
-
State University of New York at BuffaloActivo, no reclutando
-
University of Texas at AustinActivo, no reclutandoPrediabetes / Diabetes tipo 2Estados Unidos
-
University of OxfordTerminado
-
Medical University of South CarolinaIcahn School of Medicine at Mount SinaiTerminadoAccidente Cerebrovascular IsquémicoEstados Unidos
-
Kate Farms IncNationwide Children's HospitalReclutamientoNiños Dependientes de Fórmula de 1 a 2 Años de EdadEstados Unidos
-
Chelsea and Westminster NHS Foundation TrustImperial College London; University of OxfordAún no reclutando
-
Stanford UniversityNational Institute on Aging (NIA)Activo, no reclutandoLa inactividad físicaEstados Unidos