Background
Collecting family health history (FHH) information to share with healthcare providers
is an important aspect of health-risk assessment.
Purpose
To examine associations between the content of FHH-informed risk feedback and willingness
to share the information with a healthcare provider.
Methods
Data were collected between June 2008 and July 2009 from 475 Mexican-origin adults
residing in 161 households. Participants completed surveys 3 months after receiving
FHH-informed risk feedback. Households were randomly assigned to feedback conditions
in which household members received one or more of the following: an FHH pedigree,
personalized risk assessments (PRAs), and tailored behavioral recommendations. Logistic
regression models were fitted using generalized estimating equations, with exchangeable
covariances, to account for the clustering of responses within and the random assignment
of feedback condition to household. Analyses were completed in May 2010.
Results
Participants who received personalized risk assessments were more willing to share
their feedback with a provider than those who received a pedigree only (OR=2.25, p=0.02). The receipt of tailored behavioral recommendations did not significantly increase
willingness to share feedback with a provider (OR=0.79, p=0.48).
Conclusions
The provision of PRAs in FHH assessments appears to motivate participants to consider
sharing their FHH with a healthcare provider.
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