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Updated: Jan 10, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Clinical trial design essentials for genetic counselors.
Cynthia A James1, Jessica R Overbey2,3, Louise Bier4
1Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Clinical trials are essential for genetic counseling to establish cause-and-effect, moving beyond observational studies. Conducting these trials strengthens the evidence base, informs policy, and improves patient care through rigorous evaluation of interventions.
Area of Science:
- Genetic Counseling
- Clinical Trials
- Evidence-Based Practice
Background:
- Genetic counseling research often faces limitations with observational studies.
- Establishing causality for interventions and service delivery models is crucial.
- Clinical experience alone cannot rule out bias or confounding factors.
Purpose of the Study:
- To introduce and guide the design and conduct of clinical trials in genetic counseling.
- To highlight the importance of rigorous evidence in genetic counseling practice and policy.
- To empower genetic counselors to contribute to high-quality research.
Main Methods:
- This paper serves as an introductory guide, not a report of a specific trial.
- It outlines the principles of designing and conducting randomized controlled trials (RCTs).
- Focuses on minimizing bias and confounding through robust trial methodologies.
Main Results:
- Not applicable as this is a methodological introduction.
- Emphasizes that clinical trials provide the highest level of evidence.
- RCTs are designed to establish cause-and-effect relationships.
Conclusions:
- Clinical trials are vital for advancing the evidence base in genetic counseling.
- High-quality evidence from trials informs practice, policy, and decision-making.
- Genetic counselors engaging in trials can significantly impact the profession and patient outcomes.
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