“What about FH of my child?” parents’ opinion on family history collection in preventive primary pediatric care
Abstract
Objective: Family history (FH) in Preventive Primary Pediatric Care is to identify children at risk for complex diseases and provide personal preventive strategies. This study was to assess parents’ opinion on FH collection. Methods: Semi-structured interviews were conducted. Among issues addressed were: former experiences with FH, knowledge about FH, family definition and sharing information about FH. Results: The importance of FH for participants depended on their knowledge, perceived family health status and former experiences. After insight into FH, parents shift to believing it to be important, but certain barriers exist in reporting FH. Conclusion: Parents suggest that the importance of FH should be more emphasized and more trusting relationship with Preventive Primary Pediatric Care should be invested in.
Papers of special note have been highlighted as: • of interest; •• of considerable interest
References
- 1 . The family history – more important than ever. N. Engl. J. Med. 351(22), 2333–2336 (2004).Crossref, Medline, CAS, Google Scholar
- 2 . Newborn screening: how are we travelling, and where should we be going? J. Inherit. Metab. Dis. 34(3), 569–574 (2011).Crossref, Medline, Google Scholar
- 3 Reconsidering the family history in primary care. J. Gen. Intern. Med. 19(3), 273–280 (2004).Crossref, Medline, Google Scholar
- 4 . Family history in pediatric primary care. Pediatrics 120(Suppl.), S60–S65 (2007).•• Provides insights into the potential use of family history (FH) in primary pediatric care.Crossref, Medline, Google Scholar
- 5 . Summary of workgroup meeting on use of family history information in pediatric primary care and public health. Pediatrics 120(Suppl.), S87–S100 (2007).•• Focuses on the concrete advice on the directions for the use of FH in preventive primary pediatric care.Crossref, Medline, Google Scholar
- 6 . Family history in public health practice: a genomic tool for disease prevention and health promotion. Ann. Rev. Public Health 31, 69–87 (2010).•• Forms nice arguments for the use of FH as a prevention and prediction tool.Crossref, Medline, Google Scholar
- 7 . Perceived utility of parent-generated family health history as a health promotion tool in pediatric practice. Clin. Pediatr. 50(8), 720–728 (2011).Crossref, Medline, Google Scholar
- 8 . Is family history a useful tool for detecting children at risk for diabetes and cardiovascular diseases? A public health perspective. Pediatrics 120(Suppl.), S78–S86 (2007).Crossref, Medline, Google Scholar
- 9 Policy statement – The future of pediatrics: mental health competencies for pediatric primary care. Pediatrics 124(1), 410–421 (2009).Crossref, Medline, Google Scholar
- 10 . Genome-based health literacy: a new challenge for public health genomics. Public Health Gen. 14(4–5), 201–210 (2011).Crossref, Medline, CAS, Google Scholar
- 11 . Family history of mental conditions in the preventive paediatric primary care: is it really used? Case of The Netherlands. Acta Paediatr. 103(3), 309–313 (2014).• Gives overview of the current use of FH in The Netherlands.Crossref, Google Scholar
- 12 . Genetic services and attitudes in primary care pediatrics. Am. J. Med. Genet. A 164(2), 449–455 (2014).Crossref, Google Scholar
- 13 . The importance of family health history your patients’ and your own. Crit. Care Nurse 31(1), 10–15 (2011).Crossref, Google Scholar
- 14 . ‘Coming down the line’ – patients’ understanding of their family history of common chronic disease. Ann. Fam. Med. 3(5), 405–414 (2005).Crossref, Medline, Google Scholar
- 15 . Lay understanding of familial risk of common chronic diseases: a systematic review and synthesis of qualitative research. Ann. Fam. Med. 2(6), 583–594 (2004).Crossref, Medline, Google Scholar
- 16 Bias in the reporting of family history: implications for clinical care. J. Genet. Couns. 21(4), 547–556 (2012).Crossref, Medline, Google Scholar
- 17 . Validation of my family health portrait for six common heritable conditions. Genet. Med. 12(6), 370–375 (2010).Crossref, Medline, Google Scholar
- 18 . Literature review: use of family history for primary paediatric care as the next step towards use of genomics in healthcare. Curr. Pediatr. Rev. 9(4), 1573–3963 (2013).•• This review analyzes the available tools for pediatric care.Crossref, Google Scholar
- 19 . Perceptions of family history across common diseases: a qualitative study in primary care. Fam. Pract. 23(4), 472–480 (2006).Crossref, Medline, Google Scholar
- 20 . Communication strategies for enhancing understanding of the behavioral implications of genetic and biomarker tests for disease risk: the role of coherence. J. Behav. Med. 35(3), 286–298 (2012).Crossref, Medline, Google Scholar
- 21 . Delivery of genomic medicine for common chronic adult diseases: a systematic review. JAMA 299(11), 1320–1334 (2008).Crossref, Medline, CAS, Google Scholar
- 22 Comparison of risk perceptions and beliefs across common chronic diseases. Prev. Med. 48(2), 197–202 (2009).Crossref, Medline, Google Scholar
- 23 Using family history information to promote healthy lifestyles and prevent diseases; a discussion of the evidence. BMC Public Health 10(1), 248 (2010).Crossref, Medline, Google Scholar
- 24 . Perceived familiarity with and importance of family health history among a medically underserved population. J. Community Genet. 3(4), 285–295 (2012).Crossref, Medline, Google Scholar
- 25 . Development and early usage patterns of a consumer-facing family health history tool. AMIA Ann. Symp. Proc. 2011 578–587 (2011).Medline, Google Scholar
- 26 . Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. (3th). SAGE Publications, Los Angeles, CA, USA (2008).Crossref, Google Scholar
- 27 . QUAGOL: a guide for qualitative data analysis. Int. J. Nurs. Stud. 49(3), 360–371 (2012).Crossref, Medline, Google Scholar
- 28 . Data-based considerations for electronic family health history applications. Comput. Inform. Nurs. 30(1), 37–45 (2012).Crossref, Medline, Google Scholar
- 29 Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the family healthware impact trial. Genet. Med. 12(4), 212–218 (2010).Crossref, Medline, Google Scholar
- 30 From nature versus nurture, via nature and nurture, to gene X environment interaction in mental disorders. Eur. Child Adolesc. Psychiatry 19(3), 199–210 (2010).Crossref, Medline, Google Scholar
- 31 . Transgenerational epigenetic inheritance: how important is it? Nat. Rev. Genet. 14(3), 228–235 (2013).Crossref, Medline, CAS, Google Scholar
- 32 . Risky Relations, Family, Kinship and the New Genetics. (First Edition). Berg, Oxford, UK (2006).Google Scholar
- 33 . Willingness of Mexican–American adults to share family health history with healthcare providers. Am. J. Preven. Med. 40(6), 633–636 (2011).Crossref, Medline, Google Scholar
- 34 . Turning primary care providers’ attention to child behavior: a review of the literature. J. Pediatr. Health Care 15(3), 115–122 (2001).Crossref, Medline, CAS, Google Scholar
- 35 . Prospective health care: the second transformation of medicine. Genome Biol. 7(2), 104 (2006).Crossref, Medline, Google Scholar

