RecruitingNot ApplicableNCT06431425

The Electronic Cardiovascular Genetics (eCG) Clinic for Presymptomatic Genetic Counselling

The Electronic Cardiovascular Genetics (eCG) Clinic for Presymptomatic Genetic Counselling: Evaluation of Uptake, Psychological Impact and Satisfaction Among Users


Sponsor

UMC Utrecht

Enrollment

170 participants

Start Date

Nov 15, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Inherited cardiovascular conditions generally inherit following an autosomal dominant pattern. When a mutation is detected in the proband, relatives can have predictive DNA testing, and - when they are carrier - be monitored and timely treated if needed. Currently, less than half of relatives attends genetic counselling. With the eCG Family Clinic, an easily accessible virtual clinic which better suits the needs and preferences of relatives will be offered. At the eCG Family Clinic, relatives will receive tailored information to support informed decision-making, a DNA-test at home if desired, and can be referred for local cardiac monitoring if relatives appear to be a carrier. Implementation of the eCG Family Clinic in clinical practice is compared to current practice in this clinical trial.


Eligibility

Min Age: 18 YearsMax Age: 90 Years

Inclusion Criteria11

  • Probands:
  • > 18 y/o
  • Diagnosed with inherited hypertrophic cardiomyopathy (HCM) or dialted cardiomyopathy (DCM))
  • Class 4 or 5 variant identified.
  • Access to a working laptop or computer device.
  • At risk relatives:
  • > 18 y/o
  • First degree family member, or second degree in case of a deceased first degree relative
  • Access to a working laptop or computer device.
  • Healthcare professionals:
  • \- Genetic counsellors of the genetics department directly involved in the care given to the family.

Exclusion Criteria1

  • \- Insufficient control of the Dutch language or digital skills.

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Interventions

BEHAVIORALeCG Family Clinic

The DNA-poli is an online tool which is designed as an addition to the current genetic counseling method to make the process more efficient and to increase the uptake without compromising counseling quality. Probands can invite their at-risk family members by entering their email addresses. The family members are invited to the DNA-poli via which they can get all the information needed to make a well-considered decision about genetic testing. The information is provided in different formats, for example via a virtual assistant and via videos, which they can evaluate at their own pace, and which can be reread or rewatched. Afterwards they can request an appointment with a health care professional and make a definite decision about genetic testing.


Locations(1)

University Medical Centre Utrecht

Utrecht, Utrecht, Netherlands

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NCT06431425