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8 results on '"Shastri-Estrada, Serena"'

1. Genetics providers’ perspectives on the use of digital tools in clinical practice

Author

Bombard, Yvonne, Hayeems, Robin Z., Aronson, Melyssa, Bernier, Francois, Brudno, Michael, Carroll, June C., Chad, Lauren, Clausen, Marc, Cohn, Ronald, Costain, Gregory, Dhalla, Irfan, Faghfoury, Hanna, Friedman, Jan, Hewson, Stacy, Jamieson, Trevor, Jobling, Rebekah, Kodida, Rita, Laberge, Anne-Marie, Lerner-Ellis, Jordan, Liston, Eriskay, Luca, Stephanie, Mamdani, Muhammad, Marshall, Christian R., Osmond, Matthew, Pham, Quynh, Reble, Emma, Rudzicz, Frank, Seto, Emily, Shastri-Estrada, Serena, Shuman, Cheryl, Silver, Josh, Smith, Maureen, Thorpe, Kevin, Ungar, Wendy J., Lee, Whiwon, Hirjikaka, Daena, Grewal, Sonya, and Shaw, Angela

Published
2024
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2. Genetics Adviser: The development and usability testing of a new patient digital health application to support clinical genomic testing

Author

Clausen, Marc, Krishnapillai, Suvetha, Hirjikaka, Daena, Kodida, Rita, Shickh, Salma, Reble, Emma, Mighton, Chloe, Sam, Jordan, Adi-Wauran, Ella, Baxter, Nancy N., Feldman, Geoff, Glogowski, Emily, Lerner-Ellis, Jordan, Scheer, Adena, Shastri-Estrada, Serena, Shuman, Cheryl, Armel, Susan Randall, Aronson, Melyssa, Graham, Tracy, Panchal, Seema, Thorpe, Kevin E., Carroll, June C., Eisen, Andrea, Elser, Christine, Kim, Raymond H., Faghfoury, Hanna, Schrader, Kasmintan A., Seto, Emily, and Bombard, Yvonne

Published
2024
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4. P382: Professionals’ perspectives on the use of digital tools to support patient recontact in clinical genetics

Author

D'Amours, Guylaine, primary, Reble, Emma, additional, Aguda, Vernie, additional, Clausen, Marc, additional, Shickh, Salma, additional, Mighton, Chloe, additional, Carroll, June, additional, Lerner-Ellis, Jordan, additional, Nelson, Tanya, additional, Richer, Julie, additional, Schrader, Kasmintan, additional, Seto, Emily, additional, Shastri-Estrada, Serena, additional, Thorpe, Kevin, additional, and Bombard, Yvonne, additional

Published
2023
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5. Genetics Adviser: a protocol for a mixed-methods randomised controlled trial evaluating a digital platform for genetics service delivery

Author

Shickh, Salma, primary, Hirjikaka, Daena, additional, Clausen, Marc, additional, Kodida, Rita, additional, Mighton, Chloe, additional, Reble, Emma, additional, Sam, Jordan, additional, Panchal, Seema, additional, Aronson, Melyssa, additional, Graham, Tracy, additional, Armel, Susan Randall, additional, Glogowski, Emily, additional, Elser, Christine, additional, Eisen, Andrea, additional, Carroll, June C, additional, Shuman, Cheryl, additional, Seto, Emily, additional, Baxter, Nancy N, additional, Scheer, Adena, additional, Shastri-Estrada, Serena, additional, Feldman, Geoff, additional, Thorpe, Kevin E, additional, Schrader, Kasmintan A, additional, Lerner-Ellis, Jordan, additional, Kim, Raymond H, additional, Faghfoury, Hanna, additional, and Bombard, Yvonne, additional

Published
2022
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6. eP299: Genetics adviser: The development and usability testing of a new patient-centered digital health application to support clinical genomic testing

Author

Hirjikaka, Daena, primary, Kodida, Rita, additional, Clausen, Marc, additional, Shickh, Salma, additional, Reble, Emma, additional, Mighton, Chloe, additional, Sam, Jordan, additional, Krishnapillai, Suvetha, additional, Adi-Wauran, Ella, additional, Feldman, Geoff, additional, Glogowski, Emily, additional, Shastri-Estrada, Serena, additional, Scheer, Adena, additional, Seto, Emily, additional, Shuman, Cheryl, additional, Baxter, Nancy N., additional, Eisen, Andrea, additional, Elser, Christine, additional, Kim, Raymond, additional, Lerner-Ellis, Jordan, additional, Carroll, June, additional, Schrader, Kasmintan, additional, Faghfoury, Hanna, additional, and Bombard, Yvonne, additional

Published
2022
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7. Genetics providers’ perspectives on the use of digital tools in clinical practice

Author

Lee, Whiwon, Hirjikaka, Daena, Grewal, Sonya, Shaw, Angela, Luca, Stephanie, Clausen, Marc, Bombard, Yvonne, Hayeems, Robin Z., Bombard, Yvonne, Hayeems, Robin Z., Aronson, Melyssa, Bernier, Francois, Brudno, Michael, Carroll, June C., Chad, Lauren, Clausen, Marc, Cohn, Ronald, Costain, Gregory, Dhalla, Irfan, Faghfoury, Hanna, Friedman, Jan, Hewson, Stacy, Jamieson, Trevor, Jobling, Rebekah, Kodida, Rita, Laberge, Anne-Marie, Lerner-Ellis, Jordan, Liston, Eriskay, Luca, Stephanie, Mamdani, Muhammad, Marshall, Christian R., Osmond, Matthew, Pham, Quynh, Reble, Emma, Rudzicz, Frank, Seto, Emily, Shastri-Estrada, Serena, Shuman, Cheryl, Silver, Josh, Smith, Maureen, Thorpe, Kevin, and Ungar, Wendy J.

Abstract

Digital tools are increasingly incorporated into genetics practice to address challenges with the current model of care. Yet, genetics providers’ perspectives on digital tool use are not well characterized.

Published
2024
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8. Genetics Navigator: protocol for a mixed methods randomized controlled trial evaluating a digital platform to deliver genomic services in Canadian pediatric and adult populations.

Author

D'Amours G, Clausen M, Luca S, Reble E, Kodida R, Assamad D, Bernier F, Chad L, Costain G, Dhalla I, Faghfoury H, Friedman JM, Hewson S, Jamieson T, Silver J, Shuman C, Osmond M, Carroll JC, Jobling R, Laberge AM, Aronson M, Liston E, Lerner-Ellis J, Marshall C, Brudno M, Pham Q, Rudzicz F, Cohn R, Mamdani M, Smith M, Shastri-Estrada S, Seto E, Thorpe K, Ungar W, Hayeems RZ, and Bombard Y

Subjects
Humans, Adult, Child, Genetic Testing methods, Randomized Controlled Trials as Topic, Quality of Life, Ontario, Canada, Patient Navigation, Genetic Counseling methods
Abstract

Introduction: Genetic testing is used across medical disciplines leading to unprecedented demand for genetic services. This has resulted in excessive waitlists and unsustainable pressure on the standard model of genetic healthcare. Alternative models are needed; e-health tools represent scalable and evidence-based solution. We aim to evaluate the effectiveness of the Genetics Navigator, an interactive patient-centred digital platform that supports the collection of medical and family history, provision of pregenetic and postgenetic counselling and return of genetic testing results across paediatric and adult settings., Methods and Analysis: We will evaluate the effectiveness of the Genetics Navigator combined with usual care by a genetics clinician (physician or counsellor) to usual care alone in a randomised controlled trial. One hundred and thirty participants (adults patients or parents of paediatric patients) eligible for genetic testing through standard of care will be recruited across Ontario genetics clinics. Participants randomised into the intervention arm will use the Genetics Navigator for pretest and post-test genetic counselling and results disclosure in conjunction with their clinician. Participants randomised into the control arm will receive usual care, that is, clinician-delivered pretest and post-test genetic counselling, and results disclosure. The primary outcome is participant distress 2 weeks after test results disclosure. Secondary outcomes include knowledge, decisional conflict, anxiety, empowerment, quality of life, satisfaction, acceptability, digital health literacy and health resource use. Quantitative data will be analysed using statistical hypothesis tests and regression models. A subset of participants will be interviewed to explore user experience; data will be analysed using interpretive description. A cost-effectiveness analysis will examine the incremental cost of the Navigator compared with usual care per unit reduction in distress or unit improvement in quality of life from public payer and societal perspectives., Ethics and Dissemination: This study was approved by Clinical Trials Ontario. Results will be shared through stakeholder workshops, national and international conferences and peer-reviewed journals., Trial Registration Number: NCT06455384., Competing Interests: Competing interests: YB and MC are cofounders of Genetics Adviser., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2024
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