Family Health History Tools as Communication Resources: Perspectives from Caucasian, Hispanic, and Pacific Islander Families

Canary, Heather E.; Elrick, Ashley; Pokharel, Manusheela; Clayton, Margaret F.; Champine, Marjan; Sukovic, Masha; Hong, Soo Jung; Kaphingst, Kimberly A.

doi:10.1080/15267431.2019.1580195

Cited by 7 publications

(7 citation statements)

References 35 publications

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“…The present analysis utilizes data from a larger qualitative study examining family communication about health (Canary et al 2019;Pokharel et al 2020). This analysis will focus specifically on data regarding perceptions of different types of genetic testing, which have not previously been reported.…”

Section: Methodsmentioning

confidence: 99%

“Being proactive, not reactive”: exploring perceptions of genetic testing among White, Latinx, and Pacific Islander Populations

et al. 2021

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Genetic testing is becoming an integral part of healthcare, but evidence suggests that both race and ethnicity influence access to and utilization of genetic testing. Given this barrier, data are needed on the perceptions of genetic testing in racial and ethnic minority groups. The purpose of this study was to explore the perceptions of three types of genetic testing (genetic testing for adult-onset conditions, prenatal screening, and newborn screening) in a sample of US participants who identified as White, Pacific Islander, and Latinx (10 dyads from each group for 60 participants total). Data were collected through semi-structured dyadic interviews and assessed using thematic analysis. The major themes were knowledge as empowering, knowledge as stressful, and predictive nature of prenatal testing and newborn screening. Some differences were seen in themes by race and ethnicity. A sense of collective and familial health appeared to be a more important theme for Pacific Islander and Latinx participants compared to White participants. Adult-onset genetic testing was viewed variously across all groups with some noting how it may increase anxiety, particularly if the disease screened for was unable to be prevented with action. All three groups reported on the positives of prenatal testing and newborn screening yet often were confused on the differences between them. This study presents novel perceptions of genetic testing in participants from diverse communities across three types of genetic testing. Genetic healthcare providers should incorporate participants' perceptions, values, and beliefs into their counseling delivery as a way to engage with diverse communities.

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Section: Methodsmentioning

confidence: 99%

“Being proactive, not reactive”: exploring perceptions of genetic testing among White, Latinx, and Pacific Islander Populations

et al. 2021

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“… 18–21 There are multiple meanings of ‘family’ and varying beliefs about what ‘health’ (and illness) means. 19 20 Furthermore there are different reasons for collecting family health history information, for example, to establish genetic risk to identify which patients need referral for specialist genetics assessments 21 ; to establish the prevalence of complex chronic diseases 3 ; or to establish family systems genogram 21 or potentially for all of the aforementioned reasons. However, if this is not established prior to the enquiry being made, the healthcare interaction may result in misaligned communication because there has been an assumed shared understanding of what is meant by ‘family health history’.…”

Section: Discussionmentioning

confidence: 99%

“…17 Sharing of family history information with family members and health-professionals is influenced by the sociocultural norms of the family it pertains to and the purpose for which the information is being sought. [18][19][20][21] There are multiple meanings of 'family' and varying beliefs about what 'health' (and illness) means. 19 20 Furthermore there are different reasons for collecting family health history information, for example, to establish genetic risk to identify which patients need referral for specialist genetics assessments 21 ; to establish the prevalence of complex chronic diseases 3 ; or to establish family systems genogram 21 or potentially for all of the aforementioned reasons.…”

Section: Discussionmentioning

confidence: 99%

How is family health history discussed in routine primary healthcare? A qualitative study of archived family doctor consultations

et al. 2021

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ObjectivesFamily health history underpins genetic medicine. Our study aimed to explore language and patterns of communication relating to family health history observed in interactions between general practitioners (GPs) and their patients within routine primary care consultations.DesignSecondary analysis of patient and GP routine consultation data (n=252).ParticipantsConsultations that included ‘family health history’ were eligible for inclusion (n=58).Primary outcomesA qualitative inductive analysis of the interactions from consultation transcripts.Results46/58 conversations about family health history were initiated by the GP. Most discussions around family history lasted for between approximately 1 to 2 min. Patients were invited to share family health history through one of two ways: non-specific enquiry (eg, by asking the patient about ‘anything that runs in the family’); or specific enquiry where they were asked if they had a ‘strong family history’ in relation to a particular condition, for example, breast cancer. Patients often responded to either approach with a simple no, but fuller negative responses also occurred regularly and typically included an account of some kind (eg, explaining family relationships/dynamics which impeded or prevented the accessibility of information).ConclusionsFamily health history is regarded as a genetic test and is embedded in the sociocultural norms of the patient from whom information is being sought. Our findings highlight that it is more complex than asking simply if ‘anything’ runs in the family. As the collection of family health history is expected to be more routine, it will be important to also consider it from sociocultural perspectives in order to help mitigate any inequities in how family history is collected, and therefore used (or not) in a person’s healthcare. Orientating an enquiry away from ‘anything’ and asking more specific details about particular conditions may help facilitate the dialogue.

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“…Minority groups, including Pacific Islanders and Latinos, experience disparities in health outcomes; however, these populations are understudied (Canary et al, ; Catz et al, ; Domingo, Chen, & Braun, ; Goergen et al, ; Subica, Agarwal, Sullivan, & Link, ). Health communication scholars can bring diverse family experiences to light (Turner, ).…”

Section: Introductionmentioning

confidence: 99%

Health communication roles in Latino, Pacific Islander, and Caucasian Families: A qualitative investigation

Pokharel

Elrick

Canary

et al. 2019

Journal of Genetic Counseling

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Family communication about health is critical for the dissemination of information that may improve health management of all family members. Communication about health issues, attitudes, and behaviors in families is associated with life expectancy as well as quality of life for family members. This study addresses family communication about health by examining individual roles for family health communication and factors related to these roles, among families of three different racial/ethnic groups: Caucasians, Latinos, and Pacific Islanders. Data were collected from 60 participants recruited as 30 family dyads, 10 from each group, through qualitative semistructured interviews. Interviews were conducted with each participant separately and then together in a dyadic interview. Two coders independently coded interview transcripts using NVivo 11. Results identified the family health communication roles of collector, disseminator, health educator, and researcher. We also identified several factors related to these roles using the lens of family systems theory—the presence of chronic conditions in the family, previous experience, medical education, and family hierarchy. Findings demonstrate many similarities and relatively few differences in the family health communication roles and the related factors among the families of different race/ethnicity. Conclusions highlight implications for future research and intervention development.

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Family Health History Tools as Communication Resources: Perspectives from Caucasian, Hispanic, and Pacific Islander Families

Cited by 7 publications

References 35 publications

“Being proactive, not reactive”: exploring perceptions of genetic testing among White, Latinx, and Pacific Islander Populations

“Being proactive, not reactive”: exploring perceptions of genetic testing among White, Latinx, and Pacific Islander Populations

How is family health history discussed in routine primary healthcare? A qualitative study of archived family doctor consultations

Health communication roles in Latino, Pacific Islander, and Caucasian Families: A qualitative investigation

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