Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr)

Family Healthware™ Impact Trial (FHITr) Group

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. Methods: A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6. month follow-up, adjusting for age, site and practice clustering. Results: A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p's. <. .01), indicating that intervention had effects of different magnitude between those already communicating at baseline and those who were not.Among participants who were not communicating at baseline, intervention participants had higher odds of communicating with family members about family history risk (OR. =. 1.24, p. =. 0.042) and actively collecting family history information at follow-up (OR. =. 2.67, p. =. 0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Conclusion: Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers.

Original languageEnglish (US)
Pages (from-to)28-34
Number of pages7
JournalPreventive Medicine
Volume77
DOIs
StatePublished - Aug 1 2015

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Family Health
Health Personnel
Communication
Medical History Taking
Random Allocation
Cluster Analysis
Primary Health Care

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

@article{5bb9fd76449c4a6eb5911f249f7cc712,
title = "Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr)",
abstract = "Objective: This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. Methods: A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6. month follow-up, adjusting for age, site and practice clustering. Results: A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p's. <. .01), indicating that intervention had effects of different magnitude between those already communicating at baseline and those who were not.Among participants who were not communicating at baseline, intervention participants had higher odds of communicating with family members about family history risk (OR. =. 1.24, p. =. 0.042) and actively collecting family history information at follow-up (OR. =. 2.67, p. =. 0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Conclusion: Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers.",
author = "{Family Healthware™ Impact Trial (FHITr) Group} and Catharine Wang and Ananda Sen and Melissa Plegue and Mack Ruffin and O'Neill, {Suzanne M.} and Rubinstein, {Wendy S.} and Acheson, {Louise S.} and Yoon, {Paula W.} and Rodolfo Valdez and {Irizarry-De La Cruz}, Margie and Khoury, {Muin J.} and Cynthia Jorgensen and Scheuner, {Maren T.} and Rubinstein, {Wendy S.} and O'Neill, {Suzanne M.} and Nan Rothrock and Beaumont, {Jennifer L.} and Shaheen Khan and Dawood Ali and Donald Nease and Zyzanski, {Stephen J.} and Wiesner, {Georgia L.} and James Werner and Pace, {Wilson D.} and Galliher, {James M.} and Elias Brandt and Robert Gramling and Starzyk, {Erin J.}",
year = "2015",
month = "8",
day = "1",
doi = "10.1016/j.ypmed.2015.04.007",
language = "English (US)",
volume = "77",
pages = "28--34",
journal = "Preventive Medicine",
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}

Impact of family history assessment on communication with family members and health care providers : A report from the Family Healthware™ Impact Trial (FHITr). / Family Healthware™ Impact Trial (FHITr) Group.

In: Preventive Medicine, Vol. 77, 01.08.2015, p. 28-34.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Impact of family history assessment on communication with family members and health care providers

T2 - A report from the Family Healthware™ Impact Trial (FHITr)

AU - Family Healthware™ Impact Trial (FHITr) Group

AU - Wang, Catharine

AU - Sen, Ananda

AU - Plegue, Melissa

AU - Ruffin, Mack

AU - O'Neill, Suzanne M.

AU - Rubinstein, Wendy S.

AU - Acheson, Louise S.

AU - Yoon, Paula W.

AU - Valdez, Rodolfo

AU - Irizarry-De La Cruz, Margie

AU - Khoury, Muin J.

AU - Jorgensen, Cynthia

AU - Scheuner, Maren T.

AU - Rubinstein, Wendy S.

AU - O'Neill, Suzanne M.

AU - Rothrock, Nan

AU - Beaumont, Jennifer L.

AU - Khan, Shaheen

AU - Ali, Dawood

AU - Nease, Donald

AU - Zyzanski, Stephen J.

AU - Wiesner, Georgia L.

AU - Werner, James

AU - Pace, Wilson D.

AU - Galliher, James M.

AU - Brandt, Elias

AU - Gramling, Robert

AU - Starzyk, Erin J.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Objective: This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. Methods: A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6. month follow-up, adjusting for age, site and practice clustering. Results: A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p's. <. .01), indicating that intervention had effects of different magnitude between those already communicating at baseline and those who were not.Among participants who were not communicating at baseline, intervention participants had higher odds of communicating with family members about family history risk (OR. =. 1.24, p. =. 0.042) and actively collecting family history information at follow-up (OR. =. 2.67, p. =. 0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Conclusion: Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers.

AB - Objective: This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. Methods: A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6. month follow-up, adjusting for age, site and practice clustering. Results: A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p's. <. .01), indicating that intervention had effects of different magnitude between those already communicating at baseline and those who were not.Among participants who were not communicating at baseline, intervention participants had higher odds of communicating with family members about family history risk (OR. =. 1.24, p. =. 0.042) and actively collecting family history information at follow-up (OR. =. 2.67, p. =. 0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Conclusion: Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers.

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