Improving Access to Germline Genetic Testing Through Community Health Coaching for African American Men With Advanced Prostate Cancer

What this Trial Is About

Researchers are evaluating barriers to genetic testing among African American men with prostate cancer and whether educational sessions led by community-based health coaches can improve knowledge, attitudes, and awareness about genetic testing. This study aims to better understand how to increase access to germline genetic testing in this underrepresented group. The research includes pilot phases and ongoing parts focusing on education and acceptance of genetic testing. Participants receive tailored, culturally relevant education through sessions with health coaches that last about 15 to 60 minutes, sometimes augmented by an AI chatbot called ProGene. Alongside education, participants may undergo genetic testing and complete surveys regarding their knowledge and attitudes. The study has multiple parts, including initial pilots and two ongoing parts, with some participants also undergoing interviews to assess the interventions acceptability and barriers. During the study, participants will complete surveys at baseline and follow-up to assess changes in knowledge, attitudes, and decisional conflict about genetic testing. Researchers will collect data on consent rates, barriers, facilitators, and completion of germline testing. The study includes assessments over periods up to 120 days, with patient and provider interviews conducted at the end of the study to gather comprehensive feedback on the educational intervention and genetic testing process.

Community-Based Health Coach for Access to Germline Genetic Testing Among African American Men With Prostate Cancer