Access to Genetic Testing in Underserved Patients With Cancer
This study compares the experiences of people who receive information about genetic testing from a computer-generated character to patients who receive information from a human genetics healthcare provider. Patients with cancer are increasingly recommended for genetic testing as standard of care. Multiple factors contribute to low usage of genetic testing but for many patients the lack of access to genetic counseling and testing is an important and flexible factor. Lack of access is especially relevant to…
Conditions studied
Breast Carcinoma, Male Breast Carcinoma, Malignant Solid Neoplasm, Metastatic Prostate Carcinoma, Ovarian Carcinoma, Pancreatic Exocrine Neoplasm, Stage IVB Prostate Cancer American Joint Committee on Cancer v8, Triple-Negative Breast Carcinoma
About this study
This study compares the experiences of people who receive information about genetic testing from a computer-generated character to patients who receive information from a human genetics healthcare provider. Patients with cancer are increasingly recommended for genetic testing as standard of care. Multiple factors contribute to low usage of genetic testing but for many patients the lack of access to genetic counseling and testing is an important and flexible factor. Lack of access is especially relevant to racial/ethnic minority patients and those living in non-metropolitan rural settings who are frequently cared for at safety-net hospitals with limited genetics services. Alternative delivery models are necessary to improve rates of access to genetic testing in patients with cancer. Health information technology is under used by genetics providers. A patient-facing relational agent (PERLA) will provide pre-test genetics education in both English and Spanish across two clinical settings to facilitate more timely access to genetic testing. Using the PERLA intervention may help researchers learn different ways to provide education about genetic testing to patients with cancer compared to usual care.
Interventions
- Other: Best Practice — Receive provider-based genetic counseling
- Other: Educational Intervention — Receive genetics education
- Other: Electronic Health Record Review — Ancillary studies
- Other: Genetic Counseling — Receive provider-based genetic counseling
- Other: Interview — Ancillary studies
- Other: Survey Administration — Ancillary studies
Primary outcomes
- Proportion of participants who receive genetic testing (Up to 3 months)
Eligibility information
Study locations
- USC / Norris Comprehensive Cancer Center, Los Angeles, California 90033 United States
- University of Rochester, Rochester, New York 14642 United States
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-11-01.