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Providing patient education: impact on quantity and quality of family health history collection.

Publication ,  Journal Article
Beadles, CA; Ryanne Wu, R; Himmel, T; Buchanan, AH; Powell, KP; Hauser, E; Henrich, VC; Ginsburg, GS; Orlando, LA
Published in: Fam Cancer
June 2014

BACKGROUND: Family health history (FHH) is an underutilized tool in primary care to identify and risk-stratify individuals with increased cancer risk. OBJECTIVE: Evaluate the influence of patient education on quantity and quality of FHH entered into a primary care-based software program, and impact on the program's cancer risk management recommendations. DESIGN: Two primary care practices within a larger type II hybrid implementation-effectiveness controlled clinical trial. PARTICIPANTS: English speaking non-adopted patients with a well visit appointment December 2012-March 2013. INTERVENTIONS: One to two weeks prior to their well visit appointment, participants entered their FHH into the program. PARTICIPANTS were then provided educational materials describing key FHH components. They were instructed to use the interval to collect additional FHH information. Patients then returned for their scheduled appointment, and updated their FHH with any new information. MAIN MEASURES: Percentage per pedigree of relatives meeting individual quality criteria. Changes made after patient education and changes to recommendations for surveillance, chemoprevention or genetic counseling referral. KEY RESULTS: Post patient education, pedigrees exhibited a greater percentage (per pedigree) of: deceased relatives with age at death (84 vs. 81 % p = 0.02), deceased relatives with cause of death (91 vs. 87 % p = 0.02), relatives with a named health condition (45 vs. 42 % p = 0.002), and a greater percentage of relatives with high quality records (91 vs. 89 % p = 0.02). Of 43 participants with pedigree changes that could trigger changes in risk stratified prevention recommendations, 12 participants (28 %) received such changes. CONCLUSIONS: Patient education improves FHH collection and subsequent risk stratification utilized in providing actionable evidence-based care recommendations for cancer risk management.

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Published In

Fam Cancer

DOI

EISSN

1573-7292

Publication Date

June 2014

Volume

13

Issue

2

Start / End Page

325 / 332

Location

Netherlands

Related Subject Headings

  • Risk Assessment
  • Primary Health Care
  • Pedigree
  • Patient Education as Topic
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Medical History Taking
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Beadles, C. A., Ryanne Wu, R., Himmel, T., Buchanan, A. H., Powell, K. P., Hauser, E., … Orlando, L. A. (2014). Providing patient education: impact on quantity and quality of family health history collection. Fam Cancer, 13(2), 325–332. https://doi.org/10.1007/s10689-014-9701-z
Beadles, Chris A., R. Ryanne Wu, Tiffany Himmel, Adam H. Buchanan, Karen P. Powell, Elizabeth Hauser, Vincent C. Henrich, Geoffrey S. Ginsburg, and Lori A. Orlando. “Providing patient education: impact on quantity and quality of family health history collection.Fam Cancer 13, no. 2 (June 2014): 325–32. https://doi.org/10.1007/s10689-014-9701-z.
Beadles CA, Ryanne Wu R, Himmel T, Buchanan AH, Powell KP, Hauser E, et al. Providing patient education: impact on quantity and quality of family health history collection. Fam Cancer. 2014 Jun;13(2):325–32.
Beadles, Chris A., et al. “Providing patient education: impact on quantity and quality of family health history collection.Fam Cancer, vol. 13, no. 2, June 2014, pp. 325–32. Pubmed, doi:10.1007/s10689-014-9701-z.
Beadles CA, Ryanne Wu R, Himmel T, Buchanan AH, Powell KP, Hauser E, Henrich VC, Ginsburg GS, Orlando LA. Providing patient education: impact on quantity and quality of family health history collection. Fam Cancer. 2014 Jun;13(2):325–332.
Journal cover image

Published In

Fam Cancer

DOI

EISSN

1573-7292

Publication Date

June 2014

Volume

13

Issue

2

Start / End Page

325 / 332

Location

Netherlands

Related Subject Headings

  • Risk Assessment
  • Primary Health Care
  • Pedigree
  • Patient Education as Topic
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Medical History Taking
  • Male
  • Humans