ClinicalTrials.gg
Active, not recruitingNCT06771453GEMUpdated Sep 18, 2025

GEM: Impact of a Video Education Tool on Decisional Conflict Among Prenatal Patients

An interventional study of Video Educational Tool Regarding Prenatal Genetics in Aneuploidy, Genetic Counseling and Informed Consent, sponsored by Women and Infants Hospital of Rhode Island. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-18.

Sponsored by Women and Infants Hospital of Rhode Island · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year 1 month ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this randomized clinical trial is to assess the impact of a video educational tool on patient decisional conflict at the time when making a decision about prenatal genetic testing. The control group will receive standard prenatal care.

The secondary aims include assessing the impact of the video educational tool versus standard care on pregnant participants': perception of likelihood of having a baby affected by a genetic problem, intended plan for genetic testing, patient-provider communication, retention of prenatal genetics knowledge, and perception of genetic data privacy.

Participants will be asked to:

  1. Watch video education (if randomized to this group) and complete a baseline survey at their dating ultrasound regarding knowledge of prenatal genetics, prior experiences, and demographics
  2. Complete a follow up survey after seeing their prenatal care provider regarding: decisional conflict scale with respect to prenatal genetic testing decision (primary outcome), perception of likelihood of having a baby affected by a genetic problem (secondary outcome) and the type of genetic testing chosen (secondary outcome).
  3. Complete a second follow up survey six to ten weeks from the second survey to assess: Provider patient communication, retention of genetics knowledge, patient recollection of testing performed, and self-reported out of pocket cost related to genetic testing.
02

Conditions studied

  • Aneuploidy
  • Genetic Counseling
  • Informed Consent
  • Decisional Conflict

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03

In context

Aneuploidy

73 studies on the registry are indexed under Aneuploidy; 10 are open to participants now.

This study's planned enrollment of 140 is below the median of 200 across 34 interventional studies indexed under Aneuploidy.

Browse Aneuploidy studies →

Lead sponsor

Women and Infants Hospital of Rhode Island is the lead sponsor of 93 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient ≥ 18 years of age
  • Preferred language English or Spanish
  • Singleton pregnancy
  • No documentation of genetic screening results or counseling during this pregnancy
  • Gestational age \<24 weeks

Exclusion criteria

Exclusion Criteria:

  • Diagnosed with a fetal anomaly
  • Diagnosed with known abnormal nuchal translucency test
  • Diagnosed with fetal loss
  • Use of a donor oocyte (egg) this pregnancy
  • Prior involvement in other research study regarding prenatal genetic testing in the past two years
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Investigator)
Enrollment
140 participants (estimated)

Study arms

  • No intervention
    Usual Prenatal Care

    The patient will receive routine prenatal care with no video education.

  • Experimental
    Video Educational Tool Arm

    The patient receives routine prenatal care plus video education on prenatal genetics.

    Other: Video Educational Tool Regarding Prenatal Genetics

Interventions

  • OtherVideo Educational Tool Regarding Prenatal Genetics

    Video education about prenatal genetics will include content regarding aneuploidy screening and diagnostic testing options, how to make a values-based choice, and specifics of risks/benefits/limitations of each type of testing option.

06

What researchers measure

Primary outcomes

  1. Score on Decisional Conflict Scale (low health literacy version of the tool)

    The investigators will assess the decisional conflict scale score around the time when patients make a decision about prenatal genetic screening options. The resulting score ranges from 0 to 100, with 0 indicating no decisional conflict (best outcome) and 100 indicating extremely high decisional conflict (worst outcome).

    Time frame: After enrollment and up to 14 days after their first obstetric appointment in that pregnancy

Secondary outcomes

  1. Perception of likelihood of having a baby affected by a genetic problem

    The investigators will use a Likert scale to assess patient's perception of likelihood of having a baby affected by a genetic problem (score ranges from 1 \[not likely at all\] to 4 \[very likely\]).

    Time frame: After enrollment and up to 14 days after their first obstetric appointment in that pregnancy

  2. Percent of patients opting to pursue genetic testing

    The investigators will assess the percent of participants who decide to pursue screening or diagnostic genetic testing options

    Time frame: After enrollment and up to 14 days after their first obstetric appointment in that pregnancy

  3. Patient-provider communication

    The investigators will use a modified doctor-patient communication questionnaire to assess how patients perceived communication and comprehension of counseling with their prenatal care provider (score 0 to 8, with higher score reflecting better communication).

    Time frame: Six to ten weeks from follow up survey #1

  4. Retention of Prenatal Genetics Knowledge

    The investigators will assess prenatal genetics knowledge remote from the intervention to assess retention of its content (score 0 to 12 with a higher score reflecting more knowledge). The questionnaire was created by the investigators. It is six questions that query the participants on key content highlighted in the educational intervention; the content covered is also considered standard of care to receive in counseling in routine prenatal care (for those who were not randomized to the intervention).

    Time frame: Six to ten weeks from follow up survey #1

  5. Perception of genetic data privacy

    The investigators will assess on a Likert scale how important privacy of participants' own genetic data and that of their baby were in making a decision about prenatal genetic testing (score 0 to 8 with higher score reflecting more importance)

    Time frame: Six to ten weeks from follow up survey #1

07

Study locations

1 site
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06771453
Lead sponsor
Women and Infants Hospital of Rhode Island
Responsible party
Sponsor
First posted
Jan 13, 2025
Start date
Jan 16, 2025
Primary completion
Oct 2025 (estimated)
Completion
Feb 2026 (estimated)
Last update
Sep 18, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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