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Hereditary Cancer SyndromesGeneticsBehavioralBehavioral

What this study is

This study aims to improve cancer prevention and surveillance adherence in patients with Hereditary Cancer Syndromes (HCS), particularly those living in rural areas. The study will evaluate whether enrolling HCS patients in a longitudinal clinical program with individualized care plans and regular follow-up improves adherence to guideline-recommended cancer screening and risk-reduction strategies. Secondary aims include assessing the program's impact on patient distress and perceived care coordination. The study will enroll 200 adults with known pathogenic germline mutations who were previously seen at the UVM Medical Center genetics clinic. Participants will complete surveys at baseline, 12, and 24 months to assess adherence, distress, and care coordination. Findings from this study will inform future efforts to reduce gaps in hereditary cancer care delivery, especially for rural populations.

What's being tested

  • Longitudinal Cancer Genetics Follow-Up Program

    Intervention · BEHAVIORAL

    Participants will be enrolled in a structured, two-year longitudinal follow-up program designed for individuals with known hereditary cancer syndromes (HCS). The program includes baseline, 12-month, and 24-month clinic visits with a cancer genetics physician and, as needed, a genetic counselor. During each visit, participants will receive a personalized care plan outlining guideline-based cancer prevention and surveillance recommendations. Participants will also complete adherence surveys with their provider, and independently complete the MICRA and Care Coordination Index (CCI) surveys to assess distress and care coordination. Visits may be conducted in person or via televideo, based on clinical need and participant preference.

Study details

Sponsor
University of Vermont Medical Center
Conditions
Hereditary Cancer Syndromes · BRCA1 Hereditary Breast and Ovarian Cancer Syndrome · Lynch Syndrome
Enrolling
200 people
Starts
2023-12-29
Est. completion
2027-12-01
Design
Open-label, single group
Record
View on ClinicalTrials.gov ↗