Evidence map›Paper›PMID 25901453›Full record

Trial reportPreventive medicine2015

Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr).

Catharine Wang, Ananda Sen, Melissa Plegue, Mack T Ruffin, Suzanne M O'Neill, Wendy S Rubinstein, Louise S Acheson, Family Healthware™ Impact Trial (FHITr) Group, Family Healthware Impact Trial FHITr Group

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Let's Move Together.Health education & behavior : the official publication of the Society for Public Health Education · 2017
    Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Designing and Evaluating a Digital Family Health History Tool for Spanish Speakers.International journal of environmental research and public health · 2019
    Article
  8. Developing Shared Appraisals of Diabetes Risk Through Family Health History Feedback: The Case of Mexican-Heritage Families.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
    Article
  9. Article
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

9 authors.

Catharine WangDepartment of Community Health Sciences, Boston University School of Public Health, Boston, USA. Electronic address: clwang@bu.edu.
Ananda SenDepartment of Biostatistics, University of Michigan, Ann Arbor, USA; Department of Family Medicine, University of Michigan, Ann Arbor, USA.
Melissa PlegueCenter for Statistical Consultation and Research, University of Michigan, Ann Arbor, USA; Department of Family Medicine, University of Michigan, Ann Arbor, USA.
Mack T RuffinDepartment of Family Medicine, University of Michigan, Ann Arbor, USA.
Suzanne M O'NeillDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Evanston, USA.
Wendy S RubinsteinNational Center for Biotechnology Information, National Institutes of Health, Bethesda, USA.
Louise S AchesonDepartments of Family Medicine & Community Health and Reproductive Biology, Case Western Reserve University and Case Comprehensive Cancer Center, University Hospitals Case Medical Center, Cleveland, USA.
Family Healthware™ Impact Trial (FHITr) Group
Family Healthware Impact Trial FHITr Group

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
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 TR000439NCI NIH HHS K07 CA086958NCI NIH HHS K07 CA131103
6 · The paper itself

Abstract

objectiveThis study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history.

methodsA total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6month follow-up, adjusting for age, site and practice clustering.

resultsA significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p's<.01), indicating that intervention had effects of different magnitude between those already communicating at baseline and those who were not. Among participants who were not communicating at baseline, intervention participants had higher odds of communicating with family members about family history risk (OR=1.24, p=0.042) and actively collecting family history information at follow-up (OR=2.67, p=0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases.

conclusionFamily Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers.

Indexed as

CommunicationFamilyFamily HealthHealth PersonnelSoftwareAdultAgedAttitude to HealthCenters for Disease Control and Prevention, U.S.Cluster AnalysisFemaleHealth BehaviorHumansInternetMaleMiddle AgedChronic diseaseDose effectsFamily communicationFamily history assessmentProvider communication

Identifiers

PMID25901453
PMCPMC4508012

What OpenQuestion holds

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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.