Collecting genetic information in primary care: evaluating a new family history tool

Qureshi, Nadeem; Bethea, Jane; Modell, Bernadette; Brennan, Paul; Papageorgiou, Alexia; Raeburn, Sandy; Hapgood, Rhydian; Modell, Michael

doi:10.1093/fampra/cmi073

Cited by 70 publications

(99 citation statements)

References 19 publications

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“…2,25 Pedigrees have the advantage of standardized nomenclature and structure, but their use might not be feasible for many primary care prac-tices, 26 and some clinicians might not feel capable of creating or accurately interpreting a pedigree. 27,28 As one approach, genetic counselors often start the history collection over the telephone, before the initial appointment, so that they and the families can begin the research needed for a complete pedigree.…”

Section: Current Practicesmentioning

confidence: 99%

Family History in Pediatric Primary Care

Trotter

Martin

2007

Pediatrics

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The family history is a critical element in pediatric medicine and represents the gateway to the molecular age of medicine for both pediatric clinicians and their patients. The pediatric clinician has several opportunities to obtain a family history and multiple clinical and educational uses for that information. Available methods include paper and digital forms, classical pedigrees, online programs, and focused family history at the time of a new diagnosis or problem. Numerous barriers impede the application of family history information to primary pediatric practice. The most common barrier is the limited amount of time the typical primary care encounter allows for its collection. The family history can be used in many facets of pediatric practice: (1) as a diagnostic tool and guide to testing and evaluation; (2) to identify patterns of inheritance; and (3) as a patient-education tool. The most exciting future use of family history is as a tool for public health and preventive medicine. More accurately identifying children at risk for common chronic conditions such as diabetes, asthma, and cardiovascular disease could change the primary care clinician's approach to pediatric medicine.www.pediatrics.org/cgi

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Section: Current Practicesmentioning

confidence: 99%

Family History in Pediatric Primary Care

Trotter

Martin

2007

Pediatrics

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“…More than 75 different FHH tools have been created for public use (Wang et al 2011), but few have been evaluated for use in clinical (Wang et al 2011;Reid et al 2009) or population-based settings (Petruccio et al 2008). Most FHH tools are based on a biomedical paradigm, focusing only on the collection of information about disease diagnoses of relatives (Qureshi et al 2005;Feero et al 2008). The U.S.…”

Section: Introductionmentioning

confidence: 99%

“You don’t have to keep everything on paper”: African American women’s use of family health history tools

et al. 2013

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Little is known about African American women's collection of family health history (FHH) information and use of FHH tools. Most FHH research has investigated tools that use a biomedical paradigm, but other kinds of tools, such as those that include information about family social context, have been developed for use in diverse populations. Using mixed methods, we interviewed 32 African American women about behavioral steps to collecting FHH, family communication about health, and reactions to a biomedical FHH tool. Participants chose one of two FHH tools to take home. A follow-up call three weeks later assessed tool use. Many participants expressed support for writing down FHH information, but at baseline few had done so; most participants who had collected FHH information had done so verbally. Participants reacted positively to the biomedical FHH tool used during the interview, with many saying it allowed them to see patterns in their FHH. At follow-up, 67 % reported using their FHH tool, primarily to promote discussion among family members; only 32 % used the tool to write down FHH information. Although participants thought collecting FHH information was important and had positive reactions to both tools, the majority did not use the tools to write down information and instead collected FHH informally. These findings underline the importance of separating the components of FHH collection behaviors to analyze the steps used in FHH creation. Practitioners should consider additional methods of encouraging patients to create written FHHs in order to share the information with health care providers.

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“…61 Subsequently, a host of governmental, not-for-profit and commercial entities have promulgated free, web-based family history tools ( Table 1). Only a few of these instruments are being examined prospectively for accuracy [66][67][68] or utility. 60 The My Family Health Portrait tool, developed through the US Centers for Disease Control and Prevention, performed as well as a detailed history obtained by a genetic counselor for four common diseases and less well for two others.…”

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confidence: 99%

The family history: the first genetic test, and still useful after all those years?

Pyeritz

2012

Genetics in Medicine

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Collecting genetic information in primary care: evaluating a new family history tool

Cited by 70 publications

References 19 publications

Family History in Pediatric Primary Care

Family History in Pediatric Primary Care

“You don’t have to keep everything on paper”: African American women’s use of family health history tools

The family history: the first genetic test, and still useful after all those years?

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