This study will investigate reproductive genetic carrier screening (RGCS) in 10,000 couples across Australia. Carrier screening for approximately 1300 genes associated with severe, childhood-onset, X-linked and autosomal recessive conditions will be performed on each member of the couple. A combined result will be issued indicating whether the couple has a 'low' or 'increased' risk of having a child with a genetic condition. It is anticipated that 1-2% of couples will be at an increased risk of having an affected child. The study will evaluate all aspects of the RGCS program to assess the feasibility and acceptability of a publicly-funded population-wide RGCS program, including: * education of recruiting healthcare providers * education of participating couples * implementation and uptake of RGCS * frequency of increased-risk couples and their reproductive decisions * psychosocial impacts * ethical issues * health economic implications * health implementation research
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Screening Uptake (Quantitative)
Timeframe: At offer of screening
Frequency of Increased-Risk Couples
Timeframe: At reporting of results (~Weeks 5-6 since enrolment)
Reproductive Choices made by Increased-Risk Couples
Timeframe: Reproductive choices made by couples will be tracked from the date an increased-risk result is received until study closure on 31 December 2022. A subset of couples will be interviewed ~19 months after receiving an increased-risk result.
Cohort Characteristics of those who decline and those who accept RGCS
Timeframe: Couples who decline screening;at offer or at enrolment (Day 0); optional. Couples who accept screening; at enrolment (Day 0); compulsory.
Predictors of Uptake - Decliners
Timeframe: Couples who decline screening; at offer or enrolment (Day 0); optional
Predictors of Uptake - Decliners
Timeframe: At decision not to provide samples for screening, anticipated to be within ten days of enrolment (Days 2-10); optional
Predictors of Uptake - Acceptors
Timeframe: Couples who accept screening; at offer or enrolment (Day 0); compulsory.
Predictors of Uptake - Acceptors
Timeframe: At provision of samples for screening, anticipated to be within ten days of enrolment (Days 2-10); optional