Factors affecting frequency of communication about family health history with family members and doctors in a medically underserved population

Kaphingst, Kimberly A.; Goodman, Melody S.; Pandya, Chintan; Garg, Priyanka Rani; Stafford, Jewel D.; Lachance, Christina

doi:10.1016/j.pec.2011.11.013

Cited by 43 publications

(38 citation statements)

References 47 publications

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“…Additional empirical analyses are needed to better understand family communication processes. 60,61 The fact that KinFact was implemented in a primary care setting is important because few effective methods for family history collection in this setting have been identified. 3 Moreover, in a clinical setting that was majority African American, KinFact improved family history outcomes for women regardless of race.…”

Section: Discussionmentioning

confidence: 99%

The KinFact Intervention – A Randomized Controlled Trial to Increase Family Communication About Cancer History

Bodurtha

McClish

Gyure

et al. 2014

Journal of Women's Health

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Background: Knowing family history is important for understanding cancer risk, yet communication within families is suboptimal. Providing strategies to enhance communication may be useful. Methods: Four hundred ninety women were recruited from urban, safety-net, hospital-based primary care women's health clinics. Participants were randomized to receive the KinFact intervention or the control handout on lowering risks for breast/colon cancer and screening recommendations. Cancer family history was reviewed with all participants. The 20-minute KinFact intervention, based in communication and behavior theory, included reviewing individualized breast/colon cancer risks and an interactive presentation about cancer and communication. Study outcomes included whether participants reported collecting family history, shared cancer risk information with relatives, and the frequency of communication with relatives. Data were collected at baseline, 1, 6, and 14 months. Results: Overall, intervention participants were significantly more likely to gather family cancer information at follow-up (odds ratio [OR]: 2.73; 95% confidence interval [CI]: 2.01, 3.71) and to share familial cancer information with relatives (OR: 1.85; 95% CI: 1.37, 2.48). Communication frequency (1 = not at all; 4 = a lot) was significantly increased at follow-up (1.67 vs. 1.54). Differences were not modified by age, race, education, or family history. However, effects were modified by pregnancy status and genetic literacy. Intervention effects for information gathering and frequency were observed for nonpregnant women but not for pregnant women. Additionally, intervention effects were observed for information gathering in women with high genetic literacy, but not in women with low genetic literacy. Conclusions: The KinFact intervention successfully promoted family communication about cancer risk. Educating women to enhance their communication skills surrounding family history may allow them to partner more effectively with their families and ultimately their providers in discussing risks and prevention.

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Section: Discussionmentioning

confidence: 99%

The KinFact Intervention – A Randomized Controlled Trial to Increase Family Communication About Cancer History

Bodurtha

McClish

Gyure

et al. 2014

Journal of Women's Health

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“…More specifically, we evaluated whether (1) behaviors of the past generations (participants' parents sharing FHH with them in the past), (2) the extent to which social support is exchanged, and (3) individual perceptions about health and health history information are associated with the number of family members with whom older individuals shared FHH within family. Sociodemographic characteristics shown to be associated with health communication in previous studies (i.e., gender, race, marital status educational attainment, personal disease history) (Qureshi et al 2009;Berkman et al 2004;Kaphingst et al 2012) were also considered in the analyses.…”

Section: Sharing Family Health History (Fhh) Informationmentioning

confidence: 99%

Family health information sharing among older adults: reaching more family members

Ashida

Schafer

2014

J Community Genet

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Although family health history (FHH) information has tremendous potential in the prevention of common complex diseases such as heart disease and cancer, lack of knowledge about one's own FHH among the public hinders its utility. Older individuals often desire to contribute to the well-being of younger generations and also play critical roles in disseminating this information. This study evaluated psychosocial factors associated with the extent of FHH communication within families. Older adults (N = 110) were interviewed at three senior centers in an urban community. Multivariate Poisson regression analysis showed that respondents who received FHH from a parent reported 41 % more family members with whom they shared FHH (b=0.34, p < 0.001) controlling for the family network size. Furthermore, one unit increase in the number of family members with whom respondents exchange reciprocal emotional support (b=0.04, p<0.01), perceived familiarity with own FHH (b=0.14, p=0.01), and self-efficacy to share FHH (b= 0.18, p=0.02) were associated with 4, 15, and 20 % increases in the number of family members with whom respondents shared FHH, respectively. Future efforts may inform older adults about their important role in modeling FHH communication behavior to encourage information sharing in future generations while providing information about how to collect and disseminate FHH to increase their familiarity and ability to share FHH within the family.

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“…Factors that may affect the collection of FHH information include gender, as well as personal history of chronic disease (Yoon et al 2004). A survey of community health center patients found that people reporting a family history of cancer were more likely to report talking frequently with family members about FHH information (Kaphingst et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…We examined how African American women viewed FHH collection, how they perceived and used FHH tools, and whether reactions to and use of tools differed between those with and without a personal history of cancer. This study population was chosen because previous research indicated that women and people with a family history of cancer may be more likely to collect or discuss FHH information (Yoon et al 2004;Kaphingst et al 2012).…”

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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Factors affecting frequency of communication about family health history with family members and doctors in a medically underserved population

Cited by 43 publications

References 47 publications

The KinFact Intervention – A Randomized Controlled Trial to Increase Family Communication About Cancer History

The KinFact Intervention – A Randomized Controlled Trial to Increase Family Communication About Cancer History

Family health information sharing among older adults: reaching more family members

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

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