RecruitingNot ApplicableNCT05562778

Chatbot to Maximize Hereditary Cancer Genetic Risk Assessment

Evaluation of a Chatbot to Maximize Hereditary Cancer Genetic Risk Assessment in an Underserved Gynecology Population

Sponsor

Weill Medical College of Cornell University

Enrollment

150 participants

Start Date

Jan 15, 2023

Study Type

INTERVENTIONAL

Conditions

Hereditary Cancer Syndrome Gynecologic Cancer

Summary

In this study, the investigators aim to compare a mobile health platform, known as a 'chatbot,' that leverages artificial intelligence and natural language processing to scale communication, to 'usual care' that patients would receive. This comparison will enable the investigators to determine if the chatbot system can improve rates of recommendation for genetic testing among patients at elevated risk of harboring a familial cancer syndrome in an all-Medicaid gynecology clinic. Furthermore, the investigators aim to evaluate facilitators of inequity in regard to patient access to and utilization of genetic testing services.

Eligibility

Min Age: 18 Years

Inclusion Criteria4

years of age or older.
Scheduled for a New Patient appointment in the gynecology clinic. Speaks and reads in English.
Access to a telephone with texting capacity.
Has not had prior genetic testing for hereditary cancer syndromes.

Exclusion Criteria4

Under 18 years of age
Has had previous genetic testing for hereditary cancer syndromes
Does not read/speak in English
Does not have access to a phone with texting capabilities

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Interventions

OTHERChatbot

A chatbot is a software program designed to simulate human conversation, typically via text. Chatbots utilize natural language processing to gather patient data, anticipate questions, and predict responses. In this study, the Chatbot will simulate a text-like conversation with patients via a smartphone and use this platform to deal with the time-consuming nature of family history collection. The chatbots can then triage the collected family history against medical guidelines to determine which patients warrant genetic testing. For those patients meeting criteria for genetic testing, the chatbot can offer pre-test education and assist physicians with ordering genetic testing for interested patients meeting high-risk criteria.