Using family history information to promote healthy lifestyles and prevent diseases; a discussion of the evidence

Claassen, Liesbeth; Henneman, Lidewij; Janssens, A. Cecile J.W.; Wijdenes-Pijl, Miranda; Qureshi, Nadeem; Walter, Fiona M; Yoon, Paula W.; Timmermans, Daniëlle R.M.

doi:10.1186/1471-2458-10-248

Cited by 94 publications

(73 citation statements)

References 64 publications

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“…Primary-care clinicians are often the first health-care providers to ascertain family health histories and refer patients for cancer screening. 34 Barriers to collecting the FMH include lack of time, 18,34 limited tools for use in primary care, 34 concerns about validity of self-reported FMH, 35 and lack of clear guidelines to assist in collecting, interpreting, and using FMH for disease risk management. 36 Some investigators have indicated that the accuracy of self-reports of FMH of cancer may be improved if tools rather than interviews are used, 34 and if information is collected outside of clinical visits, where it could be checked with relatives.…”

Section: Discussionmentioning

confidence: 99%

“…17 In addition, few studies have addressed how FMH can be used to motivate individuals to adopt and maintain healthy lifestyles to reduce disease risk. 18 The aim of this study was to examine health behaviors (maintenance of healthy weight, prudent alcohol use, regular physical activity, fruit and vegetable consumption, and no smoking) of Californians who report having one or more family members with a history of cancer (primarily in first-degree relatives) as compared with health behaviors of individuals who report no FMH of cancer in a first-degree relative, with emphasis on family history of breast or ovarian cancers, CRCs, and FMH of early-onset cancer in a firstdegree relative. CRC and breast cancer screening test use is also compared among these individuals.…”

Section: Introductionmentioning

confidence: 99%

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Health behaviors and cancer screening among Californians with a family history of cancer

Townsend

Steele

Richardson

et al. 2013

Genetics in Medicine

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Purpose: The purpose of this study was to compare health behaviors and cancer screening among Californians with and without a family history of cancer. Methods:We analyzed data from the 2005 California Health Interview Survey to ascertain cancer screening test use and to estimate the prevalence of health behaviors that may reduce the risk of cancer. We used logistic regression to control for demographic factors and health-care access.results: Women with a family history of breast or ovarian cancer were more likely to be up to date with mammography as compared with women with no family history of cancer (odds ratio = 1.69, 95% confidence interval (1.39, 2.04)); their health behaviors were similar to other women. Men and women with a family history of colorectal cancer were more likely to be up to date with colorectal cancer screening as compared with individuals with no family history of cancer (odds ratio = 2.77, 95% confidence interval (2.20, 3.49)) but were less likely to have a body mass index <25 kg/m 2 (odds ratio = 0.80, 95% confidence interval (0.67, 0.94)).conclusion: Innovative methods are needed to encourage those with a moderate-to-strong familial risk for breast cancer and colorectal cancer to increase their physical activity levels, strive to maintain a healthy weight, quit smoking, and reduce alcohol use. 2013:15(3):212-221 Genet Med

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health behaviors and cancer screening among Californians with a family history of cancer

Townsend

Steele

Richardson

et al. 2013

Genetics in Medicine

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“…FHH information takes into account inherited, environmental, and behavioral factors that influence the development of common chronic diseases and can be a powerful risk assessment tool to determine preventive actions (Claassen et al 2010;Valdez et al 2011). For most common chronic conditions such as coronary artery disease and various types of cancers, even a moderate familial risk (one first-degree relative or two seconddegree relatives from the same lineage with late-onset condition) is associated with a twofold increase of individual risk compared to the general population risk (Scheuner et al 1997).…”

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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“…Lack of impact on behavior change may be attributed to several factors. Previous studies have shown that risk counseling can impact behavior change (Claassen et al 2010;Diabetes Prevention Program Research et al 2009;Edwards et al 2000;Heideman et al 2011;Knowler et al 2002;Kreuter and Strecher 1996;Tuomilehto et al 2001). But as with all behavior change, frequent and repetitive interventions are more likely to succeed (Knowler et al 2002;Soler et al 2010;Tuomilehto et al 2001).…”

Section: Discussionmentioning

confidence: 99%

Impact of Genetic Testing and Family Health History Based Risk Counseling on Behavior Change and Cognitive Precursors for Type 2 Diabetes

Myers

Hauser

et al. 2016

Journal of Genetic Counseling

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Family health history (FHH) in the context of risk assessment has been shown to positively impact risk perception and behavior change. The added value of genetic risk testing is less certain. The aim of this study was to determine the impact of Type 2 Diabetes (T2D) FHH and genetic risk counseling on behavior and its cognitive precursors. Subjects were non-diabetic patients randomized to counseling that included FHH +/− T2D genetic testing. Measurements included weight, BMI, fasting glucose at baseline and 12 months and behavioral and cognitive precursor (T2D risk perception and control over disease development) surveys at baseline, 3, and 12 months. 391 subjects enrolled of which 312 completed the study. Behavioral and clinical outcomes did not differ across FHH or genetic risk but cognitive precursors did. Higher FHH risk was associated with a stronger perceived T2D risk (p Kendall < 0.001) and with a perception of Bserious^risk (p Kendall < 0.001). Genetic risk did not influence risk perception, but was correlated with an increase in perception of Bserious^risk for moderate (p Kendall = 0.04) and average FHH risk subjects (p Kendall = 0.01), though not for the high FHH risk group. Perceived control over T2D risk was high and not affected by FHH or genetic risk. FHH appears to have a strong impact on cognitive precursors of behavior change, suggesting it could be leveraged to enhance risk counseling, particularly when lifestyle change is desirable. Genetic risk was able to alter perceptions about the seriousness of T2D risk in those with moderate and average FHH risk, suggesting that FHH could be used to selectively identify individuals who may benefit from genetic risk testing.

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Using family history information to promote healthy lifestyles and prevent diseases; a discussion of the evidence

Cited by 94 publications

References 64 publications

Health behaviors and cancer screening among Californians with a family history of cancer

Health behaviors and cancer screening among Californians with a family history of cancer

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

Impact of Genetic Testing and Family Health History Based Risk Counseling on Behavior Change and Cognitive Precursors for Type 2 Diabetes

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