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| Name | Class |
|---|---|
| The Family Planning Association of Hong Kong | OTHER |
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The objectives are to:
This study is to recruit 50 couples for Expanded carrier screening at Prepregnancy Checkup Clinic at the Family Planning Association.
Saliva swabs are collected from couples for Hereditary Disease DNA screening test by DrGene.
Blood samples are taken by venipuncture of women for Fragile X carrier screening by Prenatal Diagnostic Laboratory, Tsan Yuk Hospital.
A pre-test self-administered Questionnaire 1 will be administered to couples to assess their knowledge, views and preferences in receiving expanded carrier screening. This include collection of basic demographic information, answers to questions on basic principles of expanded carrier testing, reasons of having or declining the test, choice of having concurrent or sequential screening, factors affecting their choices, anxiety level of the patient is assessed by state-trait anxiety inventory. Their willingness to pay for the test is also assessed.
The test results will be available to couples in 6 week's time. A post-test self-administered questionnaire 2 will be administered to couples on receiving the test results at the clinic. These include assessment of anxiety level, any decision regret, outcome of test and resulting action.
The couples with a screen positive result will be referred to Queen Mary Hospital for a joint counselling by clinical geneticist and gynaecologist. This counselling/consultation shall be audiotaped or videotaped. The interviews will be transcribed verbatim. The data will be explored for themes and issues identified.
Statistics Questionnaire survey data shall be entered into SPSS. Descriptive statistics will be used to compare responses and choices of participants.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DNA screening before Pregnancy | Genetic | Saliva/swab shall be collected from couple for Hereditary Disease DNA screening test. Blood sample shall be taken by venipuncture of women for Fragile X carrier screening A pre-test questionnaire will be conducted to assess subject's knowledge, views and preferences in receiving expanded carrier screening, choice of having concurrent or sequential screening, factors affecting their choices, anxiety level, and their willingness to pay for the test. A post-test self-administered questionnaire shall be filled in by the patient on receiving the test results. Couples who receive a screen positive result shall be subsequently referred to Queen Mary Hospital for joint counselling by clinical geneticist and gynaecologist. This consultation shall be audiotaped or videotaped. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient acceptance and literacy of expanded carrier screening | Factors affecting the choice of expanded carrier screening in the prepregnancy and subfertility patients Identify counselling issues when expanded carrier screening is offered in the local setting | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Patient acceptance and literacy of expanded carrier screening | cost, false positives, workload generated from offering expanded carrier screening | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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Both female and male Chinese participants are being studied
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| Name | Affiliation | Role |
|---|---|---|
| Grace CY Wong, MD | The Family Planning Association of Hong Kong | Principal Investigator |
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Saliva/swab shall be collected from patient/couple for Hereditary Disease DNA screening test by DrGene.
Blood sample shall be taken by venipuncture of women for Fragile X carrier screening by Prenatal Diagnostic Laboratory, Tsan Yuk Hospital