Unequal cancer genetic counseling conversations in real-world clinics

Disparities in cancer genetic counseling encounters in the naturalistic clinical setting

NIH-funded research Virginia Commonwealth University · NIH-11142494

This research looks at whether cancer genetic counseling conversations differ for patients from different backgrounds and how those differences influence care and patient experiences.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionVirginia Commonwealth University NIH-funded
Lab location1 site (Richmond, United States)
Project IDNIH-11142494 on NIH RePORTER

What this research studies

Researchers will record and analyze real genetic counseling visits at clinics that serve diverse patients to see how conversations actually unfold. They will measure counselors’ spontaneously activated attitudes as well as their deliberately reported beliefs and link those to communication quality and clinical discussions about cancer risk and testing. The team will compare encounters across different patient groups to identify patterns tied to social background. They will also follow patient-centered outcomes to see whether differences in counseling are associated with worse experiences or recommendations for some patients.

Who could benefit from this research

Good fit: Adults and family members referred for or receiving cancer genetic counseling at participating clinics, especially people from underserved or vulnerable communities, are the ideal candidates.

Not a fit: People who are not receiving genetic counseling, not interested in genetic testing, or receiving care outside the participating clinics are unlikely to benefit directly from this project.

Why it matters

Potential benefit: If successful, this work could help make genetic counseling more equitable and improve cancer prevention and testing for underserved patients.

How similar studies have performed: Previous research has linked provider attitudes and communication to healthcare disparities, but applying these approaches to natural, recorded genetic counseling encounters and distinguishing spontaneous versus reported beliefs is relatively new.

Where this research is happening

Richmond, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Cancer ControlCancer Control ScienceCancers
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.