Official Title: Improving the Long-Term Outcomes of BRCA1BRCA2 Mutation Testing
Status: COMPLETED
Status Verified Date: 2017-02
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: RATIONALE Genetic counseling and using an interactive computer program may help women at risk for breast cancer make medical decisions about treatment
PURPOSE This randomized clinical trial is studying standard genetic counseling to see how well it works when given together with or without a medical decision-making computer program in women at risk for BRCA1 or BRCA2 mutations
Detailed Description: OBJECTIVES
Evaluate the impact of BRCA1BRCA2 testing among members of hereditary breast-ovarian cancer families Evaluate the long-term impact of genetic counseling and testing on psychosocial and behavioral outcomes Evaluate the relative impact of standard genetic counseling SGC versus SGC plus the interactive decision-aid IDA on medical decision-making Evaluate the relative impact of SGC vs SGC IDA on psychological well-being Explore the mechanisms by which the SGC IDA intervention impacts on psychosocial and behavioral outcomes
OUTLINE This is a multicenter study
Eligible women are asked to participate in a baseline telephone interview over 30 minutes and then invited to a genetic counseling session over 15-2 hours that includes information about BRCA12 testing Patients are then offered BRCA12 testing and the test results ie mutation carrier vs noncarrier are presented at a subsequent in-person individual genetic counseling session over 15-2 hours Patients who tested positive for BRCA1 or 2 mutation are randomized to 1 of 2 counseling arms All other patients proceed to follow up
Arm I standard genetic counseling No further counselor-initiated contact is scheduled Arm II individualized decision aid Patients are asked to view an interactive computer program that is designed to help the patients make medical decisions based on their breast cancer risk
Outcome assessments including quality of life assessment are conducted at 2 6 and 12 months
PROJECTED ACCRUAL A total of 950 patients will be accrued for this study