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EHR Intervention to Increase HBOC Genetic Testing

Recruiting

Electronic Health Record-based Implementation Strategies and Decision Support for Hereditary Breast and Ovarian Cancer (HBOC) Genetic Testing Among Heterogeneous Women (ELISABETH) Pragmatic Trial

Who can join

Ages 21 to 75 · Women

Full eligibility criteria
Inclusion Criteria:

* Women, age 21-75 years
* Completed Six-Point Scale (SPS) family history screener with a score of 6 or higher.
* Seen in NewYork Presbyterian primary care clinic selected for pilot testing
* No personal history of breast or ovarian cancer
* No prior germline HBOC genetic testing
* English or Spanish-speaking
* Access to a smartphone, tablet, or computer
* Able to provide written, verbal, or online informed consent

Exclusion criteria:

\- Patients who previously participated in the development studies for RealRisks and BNAV.

About the study

The purpose of this research study is to test how well a new approach - using tools built into the electronic health record (EHR)- can help increase genetic testing for hereditary breast and ovarian cancer (HBOC) in women who have a family history that puts them at higher risk. The study will also look at what helps or gets in the way of using these tools in everyday clinical care. As part of this study, the investigators are also evaluating a website called RealRisks, which is designed to support patients in understanding their risk and making informed decisions about genetic testing. By studying how patients and primary care providers use this tool, the investigators hope to improve the way decision support tools are used to guide conversations and decisions about HBOC testing.

What is being tested

Sponsor: Columbia University · Participants: 55 · Started: Sep 1, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07876349

Locations in the U.S.

New YorkColumbia University Irving Medical Center, New York

Conditions

From ClinicalTrials.gov, data retrieved Nov 15, 2026. Each study sets its own eligibility; the study team decides who can join.