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Effect of Video Education on Patients' Knowledge and Attitudes of Privacy in Prenatal Genetics

3. november 2020 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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

Intervensjonell

Registrering (Faktiske)

162

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • Rhode Island
      • Providence, Rhode Island, Forente stater, 02905
        • Women and Infants Hospital

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Hunn

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Annen: Control
The control arm will receive standard education about cell-free DNA screening that would typically be presented during a prenatal visit.
Atferdsmessig: Standard (control) education.
See arm description.
Eksperimentell: Experimental
The experimental arm will receive additional education about federal legislation that protects the privacy of genetic information (Genetic Information Nondiscrimination Act, GINA).
Atferdsmessig: Enhanced (experimental) education
See arm description.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Knowledge about broad sharing of genetic data for non-clinical research purposes
Tidsramme: 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
Tidsramme: 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)

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Acceptability of retention of genetic data for non-clinical purposes
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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.
Tidsramme: 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
Tidsramme: 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)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Women and Infants Hospital of Rhode Island

Etterforskere

  • Hovedetterforsker: Christian Parobek, Department of OB/GYN, Women and Infants Hospital

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

21. juli 2020

Primær fullføring (Faktiske)

16. oktober 2020

Studiet fullført (Faktiske)

16. oktober 2020

Datoer for studieregistrering

Først innsendt

18. mai 2020

Først innsendt som oppfylte QC-kriteriene

3. juni 2020

Først lagt ut (Faktiske)

9. juni 2020

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

4. november 2020

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. november 2020

Sist bekreftet

1. november 2020

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 1500909-1

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

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-delingstidsramme

De-identified study data will be available after publication and for a time period of 6 years after enrollment of the final volunteer.

Tilgangskriterier for IPD-deling

De-identified study data will be shared with researchers upon request.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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