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Telephone Versus Videoconference Communication for Remote Genetic Disclosure in the APOE4 Trial (CONNECT4APOE)

Primary Purpose

Alzheimer Disease, Genetic Predisposition to Disease

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Two-way videoconference remote genetic counseling
Telephone remote genetic counseling
Sponsored by
University of Pennsylvania
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Alzheimer Disease focused on measuring Telemedicine, Counseling, Genetic

Eligibility Criteria

60 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Eligible to participate in the Generation Study
  2. Ability to provide consent
  3. Ability to communicate and hear in English

Exclusion Criteria:

-

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Telephone

    Videoconference

    Arm Description

    Telephone telegenetics counseling: A trained Penn genetic counselor will conduct genotype disclosure visits with the participant via telephone. The participant will be in a private room at the study site. Telephone sessions will utilize a private phone line. The genetic counselor will use standardized disclosure checklist and visual aids for the disclosure session.

    Two-way videoconferencing telegenetics counseling: A trained Penn genetic counselor will conduct genotype disclosure visits with the participant via two-way videoconferencing. The participant will be in a private room at the study site. Videoconferencing sessions will utilize tablets or laptops with web cameras and secure/confidential software for teleconferencing. The genetic counselor will use standardized disclosure checklist and visual aids for the disclosure session.

    Outcomes

    Primary Outcome Measures

    Satisfaction with genetic counseling services as measured by the Satisfaction with Genetic Services Scale
    Satisfaction with genetic counseling services as measured by the Satisfaction with Remote Counseling Scale

    Secondary Outcome Measures

    Knowledge of Genetic Disease as measured by the Cancer Genetics Knowledge Scale
    Disease-specific distress as measured by the Impact of Events Scale
    Perceived risk of Alzheimers Disease as measured by questionnaire items measuring perceived risk in quantitative, qualitative, and relative terms
    Responses to Genetic Testing as measured by the Impact of Genetic Testing for Alzheimer's disease (IGT-AD) scale
    Depression as measured by the GDS Short Form
    Anxiety as measured by the Mini State Trait Anxiety Inventory (mSTAI):
    Knowledge of Genetic Disease as measured by the ClinSeq Knowledge Scale

    Full Information

    First Posted
    November 7, 2016
    Last Updated
    November 18, 2020
    Sponsor
    University of Pennsylvania
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02978729
    Brief Title
    Telephone Versus Videoconference Communication for Remote Genetic Disclosure in the APOE4 Trial
    Acronym
    CONNECT4APOE
    Official Title
    A Randomized Study of Telephone Versus Videoconference Communication for Remote Genetic Disclosure in the APOE4 Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2016 (undefined)
    Primary Completion Date
    July 11, 2019 (Actual)
    Study Completion Date
    July 11, 2019 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Pennsylvania

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to compare two methods for remote genetic counseling (telephone and two-way videoconferencing) for patients who are receiving disclosure of their APOE (apolipoprotein E) genotype. The target population will consist of males and females in the age range of 60-75 years who, as potential participants in a study (Generation Study), will need to receive genetic counseling and disclosure of APOE genotype. Subjects must be willing to receive genetic counseling and disclosure remotely. Subjects must be willing to be randomized to either telephone arm or videoconference arm.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Alzheimer Disease, Genetic Predisposition to Disease
    Keywords
    Telemedicine, Counseling, Genetic

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    613 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Telephone
    Arm Type
    Active Comparator
    Arm Description
    Telephone telegenetics counseling: A trained Penn genetic counselor will conduct genotype disclosure visits with the participant via telephone. The participant will be in a private room at the study site. Telephone sessions will utilize a private phone line. The genetic counselor will use standardized disclosure checklist and visual aids for the disclosure session.
    Arm Title
    Videoconference
    Arm Type
    Experimental
    Arm Description
    Two-way videoconferencing telegenetics counseling: A trained Penn genetic counselor will conduct genotype disclosure visits with the participant via two-way videoconferencing. The participant will be in a private room at the study site. Videoconferencing sessions will utilize tablets or laptops with web cameras and secure/confidential software for teleconferencing. The genetic counselor will use standardized disclosure checklist and visual aids for the disclosure session.
    Intervention Type
    Other
    Intervention Name(s)
    Two-way videoconference remote genetic counseling
    Intervention Type
    Other
    Intervention Name(s)
    Telephone remote genetic counseling
    Primary Outcome Measure Information:
    Title
    Satisfaction with genetic counseling services as measured by the Satisfaction with Genetic Services Scale
    Time Frame
    2-7 days
    Title
    Satisfaction with genetic counseling services as measured by the Satisfaction with Remote Counseling Scale
    Time Frame
    2-7 days
    Secondary Outcome Measure Information:
    Title
    Knowledge of Genetic Disease as measured by the Cancer Genetics Knowledge Scale
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months
    Title
    Disease-specific distress as measured by the Impact of Events Scale
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months
    Title
    Perceived risk of Alzheimers Disease as measured by questionnaire items measuring perceived risk in quantitative, qualitative, and relative terms
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months
    Title
    Responses to Genetic Testing as measured by the Impact of Genetic Testing for Alzheimer's disease (IGT-AD) scale
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months
    Title
    Depression as measured by the GDS Short Form
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months
    Title
    Anxiety as measured by the Mini State Trait Anxiety Inventory (mSTAI):
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months
    Title
    Knowledge of Genetic Disease as measured by the ClinSeq Knowledge Scale
    Time Frame
    2-7 days, 6 weeks, 6 months, 12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    60 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Eligible to participate in the Generation Study Ability to provide consent Ability to communicate and hear in English Exclusion Criteria: -
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Angela R Bradbury, MD
    Organizational Affiliation
    University of Pennsylvania
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Telephone Versus Videoconference Communication for Remote Genetic Disclosure in the APOE4 Trial

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