Randomized Trial of Telegenetics vs. In-Person Cancer Genetic Counseling: Cost, Patient Satisfaction and Attendance
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| 024 | 7 | 0 | |a 10.1007/s10897-015-9836-6 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s10897-015-9836-6 | ||
| 245 | 0 | 0 | |a Randomized Trial of Telegenetics vs. In-Person Cancer Genetic Counseling: Cost, Patient Satisfaction and Attendance |h [Elektronische Daten] |c [Adam Buchanan, Santanu Datta, Celette Skinner, Gail Hollowell, Henry Beresford, Thomas Freeland, Benjamin Rogers, John Boling, P. Marcom, Martha Adams] |
| 520 | 3 | |a Telegenetics—genetic counseling via live videoconferencing—can improve access to cancer genetic counseling (CGC) in underserved areas, but studies on cancer telegenetics have not applied randomized methodology or assessed cost. We report cost, patient satisfaction and CGC attendance from a randomized trial comparing telegenetics with in-person CGC among individuals referred to CGC in four rural oncology clinics. Participants (n = 162) were randomized to receive CGC at their local oncology clinic in-person or via telegenetics. Cost analyses included telegenetics system; mileage; and personnel costs for genetic counselor, IT specialist, and clinic personnel. CGC attendance was tracked via study database. Patient satisfaction was assessed 1week post-CGC via telephone survey using validated scales. Total costs were $106 per telegenetics patient and $244 per in-person patient. Patient satisfaction did not differ by group on either satisfaction scale. In-person patients were significantly more likely to attend CGC than telegenetics patients (89 vs. 79%, p = 0.03), with bivariate analyses showing an association between lesser computer comfort and lower attendance rate (Chi-square = 5.49, p = 0.02). Our randomized trial of telegenetics vs. in-person counseling found that telegenetics cost less than in-person counseling, with high satisfaction among those who attended. This study provides support for future randomized trials comparing multiple service delivery models on longer-term psychosocial and behavioral outcomes. | |
| 540 | |a National Society of Genetic Counselors, Inc., 2015 | ||
| 690 | 7 | |a Genetic counseling |2 nationallicence | |
| 690 | 7 | |a Telemedicine |2 nationallicence | |
| 690 | 7 | |a Cancer genes |2 nationallicence | |
| 690 | 7 | |a Cost analysis |2 nationallicence | |
| 690 | 7 | |a Patient satisfaction |2 nationallicence | |
| 700 | 1 | |a Buchanan |D Adam |u Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA |4 aut | |
| 700 | 1 | |a Datta |D Santanu |u Department of Medicine, Duke University Medical Center, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Skinner |D Celette |u Department of Clinical Sciences and Harold C Simmons Cancer Center, University of Texas - Southwestern, Dallas, TX, USA |4 aut | |
| 700 | 1 | |a Hollowell |D Gail |u Department of Biology, North Carolina Central University, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Beresford |D Henry |u School of Nursing, Duke University Medical Center, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Freeland |D Thomas |u Office of Information Technology, Duke University, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Rogers |D Benjamin |u Department of Medicine, Medical University of South Carolina, Charleston, SC, USA |4 aut | |
| 700 | 1 | |a Boling |D John |u School of Nursing, Duke University Medical Center, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Marcom |D P. |u Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA |4 aut | |
| 700 | 1 | |a Adams |D Martha |u Department of Medicine, Duke University Medical Center, Durham, NC, USA |4 aut | |
| 773 | 0 | |t Journal of Genetic Counseling |d Springer US; http://www.springer-ny.com |g 24/6(2015-12-01), 961-970 |x 1059-7700 |q 24:6<961 |1 2015 |2 24 |o 10897 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s10897-015-9836-6 |q text/html |z Onlinezugriff via DOI |
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| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s10897-015-9836-6 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Buchanan |D Adam |u Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Datta |D Santanu |u Department of Medicine, Duke University Medical Center, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Skinner |D Celette |u Department of Clinical Sciences and Harold C Simmons Cancer Center, University of Texas - Southwestern, Dallas, TX, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hollowell |D Gail |u Department of Biology, North Carolina Central University, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Beresford |D Henry |u School of Nursing, Duke University Medical Center, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Freeland |D Thomas |u Office of Information Technology, Duke University, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Rogers |D Benjamin |u Department of Medicine, Medical University of South Carolina, Charleston, SC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Boling |D John |u School of Nursing, Duke University Medical Center, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Marcom |D P. |u Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Adams |D Martha |u Department of Medicine, Duke University Medical Center, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Journal of Genetic Counseling |d Springer US; http://www.springer-ny.com |g 24/6(2015-12-01), 961-970 |x 1059-7700 |q 24:6<961 |1 2015 |2 24 |o 10897 | ||