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- Klinische proef NCT04420858
Effect of Video Education on Patients' Knowledge and Attitudes of Privacy in Prenatal Genetics
3 november 2020 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
162
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
-
-
Rhode Island
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Providence, Rhode Island, Verenigde Staten, 02905
- Women and Infants Hospital
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Vrouw
Beschrijving
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
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Ander: 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.
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Experimenteel: 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.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Knowledge about broad sharing of genetic data for non-clinical research purposes
Tijdsspanne: 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
Tijdsspanne: 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)
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Acceptability of retention of genetic data for non-clinical purposes
Tijdsspanne: 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
Tijdsspanne: 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)
|
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Knowledge and understanding of aneuploidy screening and results
Tijdsspanne: This outcome will be assessed immediately after exposure to education (day 0)
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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
Tijdsspanne: 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)
|
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Acceptability of retention, use, and broad sharing of fetal genetic data for non-clinical research purposes
Tijdsspanne: 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
Tijdsspanne: 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)
|
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Maternal knowledge of different commercial cfDNA providers
Tijdsspanne: 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)
|
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Maternal knowledge pertaining to Down Syndrome and the genetics of trisomies.
Tijdsspanne: 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)
|
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Maternal perceptions of the de-identifiability of genetic data
Tijdsspanne: This outcome will be assessed immediately after exposure to education (day 0)
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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)
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Onderzoekers
- Hoofdonderzoeker: Christian Parobek, Department of OB/GYN, Women and Infants Hospital
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
21 juli 2020
Primaire voltooiing (Werkelijk)
16 oktober 2020
Studie voltooiing (Werkelijk)
16 oktober 2020
Studieregistratiedata
Eerst ingediend
18 mei 2020
Eerst ingediend dat voldeed aan de QC-criteria
3 juni 2020
Eerst geplaatst (Werkelijk)
9 juni 2020
Updates van studierecords
Laatste update geplaatst (Werkelijk)
4 november 2020
Laatste update ingediend die voldeed aan QC-criteria
3 november 2020
Laatst geverifieerd
1 november 2020
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 1500909-1
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
JA
Beschrijving IPD-plan
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.
IPD-tijdsbestek voor delen
De-identified study data will be available after publication and for a time period of 6 years after enrollment of the final volunteer.
IPD-toegangscriteria voor delen
De-identified study data will be shared with researchers upon request.
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
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