Trial reportAnnals of family medicine
Effect of preventive messages tailored to family history on health behaviors: the Family Healthware Impact Trial.
Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 6 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
80 citing papers in PubMed, 6 syntheses or guidelines pooled it, 140 citations in OpenAlex.
- Pooled it
- mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020Pooled it
- Pooled it
- Internet-based interventions for the secondary prevention of coronary heart disease.The Cochrane database of systematic reviews · 2015Pooled it
- Cancer risk assessment tools in primary care: a systematic review of randomized controlled trials.Annals of family medicine · 2015Pooled it
- Systematic review and evaluation of web-accessible tools for management of diabetes and related cardiovascular risk factors by patients and healthcare providers.Journal of the American Medical Informatics Association : JAMIAPooled it
- Exploring a novel method for optimising the implementation of a colorectal cancer risk prediction tool into primary care: a qualitative study.Implementation science : IS · 2022Trial
- Trial
- User Perceptions and Reactions to an Online Cancer Risk Assessment Tool: a Process Evaluation of Cancer Risk Check.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017Trial
- 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
- A Cluster Randomized Trial of a Personalized Multi-Condition Risk Assessment in Primary Care.American journal of preventive medicine · 2017Trial
- Protocol for the "Implementation, adoption, and utility of family history in diverse care settings" study.Implementation science : IS · 2015Trial
- 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
- A randomized, controlled trial to increase discussion of breast cancer in primary care.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Trial
- Comparing electronic health record portals to obtain patient-entered family health history in primary care.Journal of general internal medicine · 2013Trial
- Using web-based familial risk information for diabetes prevention: a randomized controlled trial.BMC public health · 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
- Inherited risk of coronary artery disease: redefining care with imaging and genetics.Nature reviews. Cardiology · 2026Review
20 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
10 authors at 7 institutions in 1 country.
Funding
Abstract
purposeWe wanted to determine the impact of automated family history assessment and tailored messages for coronary heart disease, stroke, diabetes, colorectal, breast, and ovarian cancer on preventive behaviors compared with a standard preventive message.
methodsThe study was a cluster-randomized clinical trial that included 41 primary care practices, the majority in the Midwest, using Family Healthware, a self-administered, Web-based tool that assesses familial risk for the diseases and provides personalized risk-tailored messages. Patients in the control group received an age- and sex-specific health message related to lifestyle and screening. Smoking cessation, fruit and vegetable intake, physical activity, aspirin use, blood pressure, and cholesterol and blood glucose screening were assessed at baseline and 6 months after the intervention.
resultsOf 4,248 participants, 3,344 (78%) completed the study. Participants were white (91%), female (70%), and insured (97%), and had a mean age of 50.6 years (range 35-65 years). Intervention participants were more likely to increase daily fruit and vegetable consumption from 5 or fewer servings a day to 5 or more servings a day (OR = 1.29; 95% confidence interval [CI], 1.05-1.58) and to increase physical activity (OR = 1.47; 95% CI, 1.08-1.98) to 5 to 6 times a week for 30 minutes or more a week. The absolute differences in proportion were 3% and 4%, respectively. Intervention participants were less likely to move from not having cholesterol screening in the last 5 years to having their cholesterol measured within 5 years (OR = 0.34; 95% CI, 0.17-0.67), with an absolute difference of 15%.
conclusionsMessages tailored to an individual's familial risk for 6 common diseases modestly increased self-reported physical activity and fruit and vegetable intake but reduced the likelihood of receiving cholesterol screening.
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Identifiers
What 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.