Surveying Parents About Genome Screening of Newborns (BabySeq)
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Purpose
A 10 minute baseline survey will be administered to parents of healthy newborn infants while in the hospital after delivery at Brigham and Women's Hospital, to be followed by a 25 minute survey 3 months later. We will measure parents' attitudes and preferences related to genome screening of newborns. The specific aims of this study are:
To investigate whether parents' opinions regarding genome screening of newborns change between the first 48 hours post-partum and 3 months post-partum.
a. We hypothesize that there will not be significant differences between interest in genome screening results in the 48 hours post-partum compared to 3 months post-partum.
To determine whether seeing hypothetical genome screening results affects parents' decisions regarding whether they would want genome screening for their newborn.
- We expect many parents to state initially (in the 48 hours post-partum) that they would elect to have genome screening for their newborn if it were available. In the follow-up survey, half of study participants will receive hypothetical scenarios in which they will need to struggle with the probabilistic and ambiguous nature of the information that could be derived from genome sequencing. We will examine whether this alters their preferences. We will also explore whether parents who receive hypothetical genome screening results scenarios are more likely to alter their preferences than parents who do not receive hypothetical scenarios.
| Condition | Intervention |
|---|---|
|
Parents of Healthy Newborns |
Other: Genetics education at baseline Other: Hypothetical genomic scenarios at follow-up |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Surveying Parents About Genome Screening of Newborns |
- Interest in genome screening for newborn if this service were available through a research study [ Time Frame: Change between baseline and 3-month follow-up ] [ Designated as safety issue: No ]This is a question created by the investigators. It uses a 5-point Likert scale to measure parents' self-reported interest in genome screening for their newborn.
- Rate of refusal of newborn screening [ Time Frame: baseline ] [ Designated as safety issue: Yes ]Newborn screening refusals are very rare. When they occur, they are tracked by nurses on the postpartum inpatient unit. At the start of all shifts for study recruitment, the research assistant will ask the nurse-in-charge if any patients refused newborn screening since the previous study recruitment shift.
- Parental Stress [ Time Frame: 3-month follow-up ] [ Designated as safety issue: No ]Parenting Stress Index- short form
- Postpartum bonding [ Time Frame: 3 month follow-up ] [ Designated as safety issue: Yes ]Postpartum Bonding Questionnaire
| Estimated Enrollment: | 1000 |
| Study Start Date: | June 2012 |
| Estimated Study Completion Date: | July 2013 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Baseline1-demographics
Baseline survey- demographics only
|
|
|
Baseline1 w/genetics
Genetics education, baseline interest in genome screening - 1
|
Other: Genetics education at baseline |
|
Baseline2-demographics
Baseline survey- demographics only
|
Other: Hypothetical genomic scenarios at follow-up |
|
Baseline2 w/genetics
Genetics education, baseline interest in genome screening - 2
|
Other: Genetics education at baseline Other: Hypothetical genomic scenarios at follow-up |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Parent of a healthy newborn in the BWH Department of Obstetrics
- English-speaking
Exclusion Criteria:
- Impaired decision-making capacity
- Newborn with life-threatening health concerns in the 48 hours post-partum
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Robert C. Green, MD, MPH, Lecturer on Medicine & Associate Director for Research, Partners Center for Personalized Genetic Medicine, Brigham and Women's Hospital |
| ClinicalTrials.gov Identifier: | NCT01736501 History of Changes |
| Other Study ID Numbers: | 2012-P-001197 |
| Study First Received: | November 1, 2012 |
| Last Updated: | November 26, 2012 |
| Health Authority: | United States: Food and Drug Administration |
ClinicalTrials.gov processed this record on May 21, 2013