Randomized Trial of Telegenetics vs. In-Person Cancer Genetic Counseling: Cost, Patient Satisfaction and Attendance.

Published

Journal Article

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 1 week 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.

Full Text

Duke Authors

Cited Authors

  • Buchanan, AH; Datta, SK; Skinner, CS; Hollowell, GP; Beresford, HF; Freeland, T; Rogers, B; Boling, J; Marcom, PK; Adams, MB

Published Date

  • December 2015

Published In

Volume / Issue

  • 24 / 6

Start / End Page

  • 961 - 970

PubMed ID

  • 25833335

Pubmed Central ID

  • 25833335

Electronic International Standard Serial Number (EISSN)

  • 1573-3599

International Standard Serial Number (ISSN)

  • 1059-7700

Digital Object Identifier (DOI)

  • 10.1007/s10897-015-9836-6

Language

  • eng