Decision Support for BRCA Testing in Ethnically Diverse Women

Completed · Not applicable

Conditions studied: Breast Cancer, BRCA1 Mutation, BRCA2 Mutation, Ovarian Cancer

In brief

The objective of this study is to expand genetic testing for hereditary breast and ovarian cancer syndrome to a broader population of high-risk women by prompting appropriate referrals from the primary care setting with the use of an electronic health record-embedded breast cancer risk navigation (BNAV) tool. To address patient-related barriers to genetic testing, the investigators developed a web-based decision aid, RealRisks, which is designed to improve genetic testing knowledge, accuracy of breast cancer risk perceptions, and self-efficacy to engage in a collaborative dialogue about genetic testing. The study design is a randomized controlled trial of patient educational materials and provider electronic health record (EHR) notice alone (control arm) or in combination with RealRisks and BNAV (intervention arm). The investigators hypothesize that combining the patient-centered RealRisks with the provider-centered BNAV will increase appropriate uptake of genetic counseling. The investigators also hypothesize that genetic counseling decisions will be more informed, and result in less decision conflict and improved shared decision making.

Key facts

Study ID
NCT03470402
Run by
Columbia University
People needed
276
Starts
2017-12-13
Expected to finish
2020-08-17
Last updated by the study team
2021-04-19

Who can join

Age: 21 and older, up to 75. Sex: female. Healthy volunteers: accepted.

Where it is running

Full record on ClinicalTrials.gov

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