ArticlePreventing chronic disease2009
Developing Family Healthware, a family history screening tool to prevent common chronic diseases.
Article in Preventing chronic disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
78 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.
- Considering family trees as a useful tool in family medicine: a systematic review.Primary health care research & development · 2025Pooled it
- Family history tools for primary care: A systematic review.The European journal of general practice · 2022Pooled it
- Pooled it
- Basic vs More Complex Definitions of Family History in the Prediction of Coronary Heart Disease: The Multi-Ethnic Study of Atherosclerosis.Mayo Clinic proceedings · 2018Trial
- Let's Move Together.Health education & behavior : the official publication of the Society for Public Health Education · 2017Trial
- Assessing family history of chronic disease in primary care: Prevalence, documentation, and appropriate screening.Canadian family physician Medecin de famille canadien · 2017Trial
- What You Don't Know: Improving Family Health History Knowledge among Multigenerational Families of Mexican Origin.Public health genomics · 2016Trial
- Family Ties: The Role of Family Context in Family Health History Communication About Cancer.Journal of health communication · 2016Trial
- Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr).Preventive medicine · 2015Trial
- Comparing electronic health record portals to obtain patient-entered family health history in primary care.Journal of general internal medicine · 2013Trial
- Patient and primary care provider experience using a family health history collection, risk stratification, and clinical decision support tool: a type 2 hybrid controlled implementation-effectiveness trial.BMC family practice · 2013Trial
- Family history assessment: impact on disease risk perceptions.American journal of preventive medicine · 2012Trial
- Clinical utility of family history for cancer screening and referral in primary care: a report from the Family Healthware Impact Trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2011Trial
- Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the family healthware impact trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2010Trial
- Effect of preventive messages tailored to family history on health behaviors: the Family Healthware Impact Trial.Annals of family medicineTrial
- Association Between a First-Degree Family History and Self-Reported Personal History of Obesity, Diabetes, and Heart and Blood Conditions: Results From the All of Us Research Program.Journal of the American Heart Association · 2023Article
- The value of parental medical records for the prediction of diabetes and cardiovascular disease: a novel method for generating and incorporating family histories.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Family history recording in UK general practice: the lIFeLONG study.Family practice · 2022Article
- Increased family history documentation in internal medicine resident continuity clinic at a community hospital through resident-led structured genetic education program.Journal of community genetics · 2022Article
- Developing community-based health education strategies with family history: Assessing the association between community resident family history and interest in health education.Social science & medicine (1982) · 2021Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Family health history reflects the effects of genetic, environmental, and behavioral factors and is an important risk factor for a variety of disorders including coronary heart disease, cancer, and diabetes. In 2004, the Centers for Disease Control and Prevention developed Family Healthware, a new interactive, Web-based tool that assesses familial risk for 6 diseases (coronary heart disease, stroke, diabetes, and colorectal, breast, and ovarian cancer) and provides a "prevention plan" with personalized recommendations for lifestyle changes and screening. The tool collects data on health behaviors, screening tests, and disease history of a person's first- and second-degree relatives. Algorithms in the software analyze the family history data and assess familial risk based on the number of relatives affected, their age at disease onset, their sex, how closely related the relatives are to each other and to the user, and the combinations of diseases in the family. A second set of algorithms uses the data on familial risk level, health behaviors, and screening to generate personalized prevention messages. Qualitative and quantitative formative research on lay understanding of family history and genetics helped shape the tool's content, labels, and messages. Lab-based usability testing helped refine messages and tool navigation. The tool is being evaluated by 3 academic centers by using a network of primary care practices to determine whether personalized prevention messages tailored to familial risk will motivate people at risk to change their lifestyles or screening behaviors.
Indexed as
Identifiers
19080039PMC2644613W2106258355What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.