caa a22 4500 605544298 CHVBK 20210128100930.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10897-015-9836-6 doi (NATIONALLICENCE)springer-10.1007/s10897-015-9836-6 Randomized Trial of Telegenetics vs. In-Person Cancer Genetic Counseling: Cost, Patient Satisfaction and Attendance [Elektronische Daten] [Adam Buchanan, Santanu Datta, Celette Skinner, Gail Hollowell, Henry Beresford, Thomas Freeland, Benjamin Rogers, John Boling, P. Marcom, Martha Adams] 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. National Society of Genetic Counselors, Inc., 2015 Genetic counseling nationallicence Telemedicine nationallicence Cancer genes nationallicence Cost analysis nationallicence Patient satisfaction nationallicence Buchanan Adam Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA aut Datta Santanu Department of Medicine, Duke University Medical Center, Durham, NC, USA aut Skinner Celette Department of Clinical Sciences and Harold C Simmons Cancer Center, University of Texas - Southwestern, Dallas, TX, USA aut Hollowell Gail Department of Biology, North Carolina Central University, Durham, NC, USA aut Beresford Henry School of Nursing, Duke University Medical Center, Durham, NC, USA aut Freeland Thomas Office of Information Technology, Duke University, Durham, NC, USA aut Rogers Benjamin Department of Medicine, Medical University of South Carolina, Charleston, SC, USA aut Boling John School of Nursing, Duke University Medical Center, Durham, NC, USA aut Marcom P. Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA aut Adams Martha Department of Medicine, Duke University Medical Center, Durham, NC, USA aut Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/6(2015-12-01), 961-970 1059-7700 24:6<961 2015 24 10897 https://doi.org/10.1007/s10897-015-9836-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10897-015-9836-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Buchanan Adam Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA aut NATIONALLICENCE 700 1- Datta Santanu Department of Medicine, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Skinner Celette Department of Clinical Sciences and Harold C Simmons Cancer Center, University of Texas - Southwestern, Dallas, TX, USA aut NATIONALLICENCE 700 1- Hollowell Gail Department of Biology, North Carolina Central University, Durham, NC, USA aut NATIONALLICENCE 700 1- Beresford Henry School of Nursing, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Freeland Thomas Office of Information Technology, Duke University, Durham, NC, USA aut NATIONALLICENCE 700 1- Rogers Benjamin Department of Medicine, Medical University of South Carolina, Charleston, SC, USA aut NATIONALLICENCE 700 1- Boling John School of Nursing, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Marcom P. Genomic Medicine Institute, Geisinger Health System, M.C. 26-20, 100 N. Academy Ave., 17822, Danville, PA, USA aut NATIONALLICENCE 700 1- Adams Martha Department of Medicine, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 773 0- Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/6(2015-12-01), 961-970 1059-7700 24:6<961 2015 24 10897