Evidence map›Paper›PMID 20216073›Full record

Trial reportGenetics in medicine : official journal of the American College of Medical Genetics2010

Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the family healthware impact trial.

Louise S Acheson, Catharine Wang, Stephen J Zyzanski, Audrey Lynn, Mack T Ruffin, Robert Gramling, Wendy S Rubinstein, Suzanne M O'Neill, Donald E Nease, Family Healthware Impact Trial (FHITr) Group

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Genetics in medicine : official journal of the American College of Medical Genetics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
12.4field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

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  19. Access to Personal Health Records and Screening for Breast and Cervical Cancer Among Women with a Family History of Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Louise S AchesonDepartment of Family Medicine, Case Western Reserve University, Cleveland, Ohio, USA. louise.acheson@case.edu
Catharine Wang
Stephen J Zyzanski
Audrey Lynn
Mack T Ruffin
Robert Gramling
Wendy S Rubinstein
Suzanne M O'Neill
Donald E Nease
Family Healthware Impact Trial (FHITr) Group
University of Michigan · USBoston University · USCase Western Reserve University · USNorthShore University HealthSystem · USNorthwestern University · USUniversity Hospitals Cleveland Medical Center · USUniversity Hospitals Seidman Cancer Center · USUniversity of Rochester · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Communication of Genetic and Environmental Risks in Colorectal Cancer PreventionK07CA131103 · NCI · FOX CHASE CANCER CENTER · PI WANG, CATHARINE · 2008 to 2012
$674k
THE 'GREAT'SYSTEM TO IDENTIFY FAMILIAL CANCER RISKK07CA086958 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI ACHESON, LOUISE SEYMOUR · 2000 to 2005
$656k
ATSDR CDC HHS ENH-U50/CCU300860 TS-1216NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR002548NCI NIH HHS K07 CA086958NCI NIH HHS K07 CA131103NCI NIH HHS NCI K07 CA86958PHS HHS U36/CCU319276 MM0630PHS HHS UMU36/CCU319276 MM-0789
6 · The paper itself

Abstract

purposeTo determine whether family medical history as a risk factor for six common diseases is related to patients' perceptions of risk, worry, and control over getting these diseases.

methodsWe used data from the cluster-randomized, controlled Family Healthware Impact Trial (FHITr). At baseline, healthy primary care patients reported their perceptions about coronary heart disease, stroke, diabetes, and breast, ovarian, and colon cancers. Immediately afterward, intervention group participants used Family Healthware to record family medical history; this web-based tool stratified familial disease risks. Multivariate and multilevel regression analyses measured the association between familial risk and patient perceptions for each disease, controlling for personal health and demographics.

resultsFor the 2330 participants who used Family Healthware immediately after providing baseline data, perceived risk and worry for each disease were strongly associated with family history risk, adjusting for personal risk factors. The magnitude of the effect of family history on perceived risk ranged from 0.35 standard deviation for ovarian cancer to 1.12 standard deviations for colon cancer. Family history was not related to perceived control over developing diseases. Risk perceptions seemed optimistically biased, with 48-79% of participants with increased familial risk for diseases reporting that they were at average risk or below.

conclusionsParticipants' ratings of their risk for developing common diseases, before feedback on familial risk, parallels but is often lower than their calculated risk based on family history. Having a family history of a disease increases its salience and does not change one's perceived ability to prevent the disease.

Indexed as

Attitude to HealthFamily HealthAdultAgedBreast NeoplasmsChronic DiseaseColonic NeoplasmsCoronary DiseaseDiabetes MellitusFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedMultivariate AnalysisOvarian Neoplasms

Identifiers

PMID20216073
PMCPMC4037165
OpenAlexW2144546053

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.