Public Health Genomics
Research Article
Family History Taking in Pediatric Practice: A Qualitative Interview StudyTessier L.a · Brehaut J.C.b · Potter B.K.c · Chakraborty P.a,d · Carroll J.C.e · Wilson B.J.f · on behalf of the CIHR Emerging Team in Genomics in ScreeningaNewborn Screening Ontario, Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada
bClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada cSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada dDepartment of Pediatrics, University of Ottawa, Ottawa, ON, Canada eDepartment of Family and Community Medicine, Sinai Health System, University of Toronto, Toronto, ON, Canada fDivision of Community Health and Humanities, Memorial University, St. John’s, NL, Canada |
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Received: December 10, 2018
Accepted: September 26, 2019
Published online: October 29, 2019
Issue release date: December 2019
Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 2
ISSN: 1662-4246 (Print)
eISSN: 1662-8063 (Online)
For additional information: https://www.karger.com/PHG
Abstract
Background: Family history (FH) is a risk factor for many conditions in pediatric practice. There is no standard of care regarding FH taking, and only a few published studies about current practice. Objectives: To explore in depth pediatricians’ perceptions, attitudes, beliefs, and practices regarding FH taking. Methods: The Theoretical Domains Framework (TDF) was used to develop a comprehensive interview scheme. Semi-structured interviews were conducted with community pediatricians. Interviews were audio-recorded, transcribed, and analyzed using a thematic approach and the constant comparison method. Results: Eleven pediatricians were interviewed. FH was found to be a firmly embedded, complex, and important aspect of pediatric practice. Participants described FH as part of regular holistic care. FH and social history were linked and often appeared to be part of the same concept to participants. FH was used for a range of purposes. In addition to risk assessment, FH information helped clarify diagnosis and select medication, tailor overall patient management based on family circumstance, and provide psychosocial support for parents. Participants expressed confidence in their FH skills and reported tailoring their approach with experience. Most were not concerned about formal evidence for FH and would not change their practice except for “good reason.” Conclusions: The use of the TDF helped ensure a comprehensive approach to FH taking in pediatric practice. The findings suggest that FH taking in this setting is a complex activity, embedded in routine care. Efforts to make FH taking more systematic may founder if they fail to take into account pediatricians’ attitudes, perspectives, and practices.
© 2019 S. Karger AG, Basel
Related Articles:
References
- Wilson BJ, Qureshi N, Santaguida P, Little J, Carroll JC, Allanson J, et al. NIH conference annals of internal medicine systematic review: family history in risk assessment for common diseases. Ann Intern Med. 2009;151(12):878–95.
- Wilson BJ, Carroll JC, Allanson J, Little J, Etchegary H, Avard D, et al. Family history tools in primary care: does one size fit all? Public Health Genomics. 2012;15(3-4):181–8.
- Trotter TL, Martin HM. Family history in pediatric primary care. Pediatrics. 2007 Sep;120 Suppl 2:S60–5.
- Green RF. Summary of workgroup meeting on use of family history information in pediatric primary care and public health. Pediatrics. 2007 Sep;120 Suppl 2:S87–100.
- Geller AC, Brooks DR, Colditz GA, Koh HK, Frazier AL. Sun protection practices among offspring of women with personal or family history of skin cancer. Pediatrics. 2006 Apr;117(4):e688–94.
- Wadowski SJ, Karp RJ, Murray-Bachmann R, Senft C. Family history of coronary artery disease and cholesterol: screening children in a disadvantaged inner-city population. Pediatrics. 1994 Jan;93(1):109–13.
- Neuhausen SL, Steele L, Ryan S, Mousavi M, Pinto M, Osann KE, et al. Co-occurrence of celiac disease and other autoimmune diseases in celiacs and their first-degree relatives. J Autoimmun. 2008 Sep;31(2):160–5.
- Sipetić S, Vlajinac H, Kocev N, Marinković J, Radmanović S, Denić L. Family history and risk of type 1 diabetes mellitus. Acta Diabetol. 2002 Sep;39(3):111–5.
-
Jaakkola JJ, Nafstad P, Magnus P. Environmental tobacco smoke, parental atopy, and childhood asthma. Environ Health Perspect. 2001;109:579–82.
- Dong GH, Ma YN, Ding HL, Jin J, Cao Y, Zhao YD, et al. Pets keeping in home, parental atopy, asthma, and asthma-related symptoms in 12,910 elementary school children from northeast China. Indoor Air. 2009 Apr;19(2):166–73.
- Schanberg LE, Anthony KK, Gil KM, Lefebvre JC, Kredich DW, Macharoni LM. Family pain history predicts child health status in children with chronic rheumatic disease. Pediatrics. 2001 Sep;108(3):E47.
- Dolan SM, Moore C. Linking family history in obstetric and pediatric care: assessing risk for genetic disease and birth defects. Pediatrics. 2007 Sep;120 Suppl 2:S66–70.
- Valdez R, Greenlund KJ, Khoury MJ, Yoon PW. Is family history a useful tool for detecting children at risk for diabetes and cardiovascular diseases? A public health perspective. Pediatrics. 2007 Sep;120 Suppl 2:S78–86.
- Romitti PA. Utility of family history reports of major birth defects as a public health strategy. Pediatrics. 2007 Sep;120 Suppl 2:S71–7.
- Tarini BA, McInerney JD. Family history in primary care pediatrics. Pediatrics. 2013 Dec;132(suppl 3):S203–10.
- Nicholson S, Dickman K, Maradiegue A. Reducing premature osteoarthritis in the adolescent through appropriate screening. J Pediatr Nurs. 2009 Feb;24(1):69–74.
-
Manners P, Lesslie J, Speldewinde D, Tunbridge D: Classification of juvenile idiopathic arthritis: should family history be included in the criteria? J Rheumatol. 2003;30(8):1857–63.
- Atladóttir HO, Pedersen MG, Thorsen P, Mortensen PB, Deleuran B, Eaton WW, et al. Association of family history of autoimmune diseases and autism spectrum disorders. Pediatrics. 2009 Aug;124(2):687–94.
- Ruud E, Holmstrøm H, Brosstad F, Wesenberg F. Diagnostic value of family histories of thrombosis to identify children with thrombophilia. Pediatr Hematol Oncol. 2005 Sep;22(6):453–62.
- Grodzinsky E, Fälth-Magnusson K, Högberg L, Jansson G, Laurin P, Stenhammar L. IgA endomysium antibodies—an early predictor for celiac disease in children without villous atrophy. Acta Paediatr. 2008 Jul;97(7):972–6.
- Rinke ML, Mikat-Stevens N, Saul R, Driscoll A, Healy J, Tarini BA. Genetic services and attitudes in primary care pediatrics. Am J Med Genet A. 2014 Feb;164A(2):449–55.
- Tarini BA, Gornick MC, Zikmund-Fisher BJ, Saal HM, Edmondson L, Uhlmann WR. Family History Collection Practices: National Survey of Pediatric Primary Care Providers. Clin Pediatr (Phila). 2018 May;57(5):537–46.
- Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A; “Psychological Theory” Group. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005 Feb;14(1):26–33.
- Cane J, O’Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012 Apr;7(1):37.
-
Strauss AL. Qualitative analysis for social scientists. Cambridge: Cambridge University Press; 1987. https://doi.org/10.1017/CBO9780511557842.
External Resources
- Saul RA, Trotter T, Sease K, Tarini B. Survey of family history taking and genetic testing in pediatric practice. J Community Genet. 2017 Apr;8(2):109–15.
- Rich EC, Burke W, Heaton CJ, Haga S, Pinsky L, Short MP, et al. Reconsidering the family history in primary care. J Gen Intern Med. 2004 Mar;19(3):273–80.
- Acheson LS, Wiesner GL, Zyzanski SJ, Goodwin MA, Stange KC. Family history-taking in community family practice: implications for genetic screening. Genet Med. 2000 May-Jun;2(3):180–5.
- Kahn JS, Weseley AJ. When the third degree is necessary: do pediatricians obtain enough information to detect patients at risk for HCM? Pediatr Cardiol. 2008 May;29(3):589–96.
-
Qureshi N, Wilson B, Santaguida P, Little J, Carroll J, Allanson J, et al. Family history and improving health. Evidence Reports/Technology Assessments, No. 186. Rockville: Agency for Healthcare Research and Quality; 2009.
- Orlando LA, Hauser ER, Christianson C, Powell KP, Buchanan AH, Chesnut B, et al. Protocol for implementation of family health history collection and decision support into primary care using a computerized family health history system. BMC Health Serv Res. 2011 Oct;11(1):264.
- Kanetzke EE, Lynch J, Prows CA, Siegel RM, Myers MF. Perceived utility of parent-generated family health history as a health promotion tool in pediatric practice. Clin Pediatr (Phila). 2011 Aug;50(8):720–8.
Article / Publication Details
Received: December 10, 2018
Accepted: September 26, 2019
Published online: October 29, 2019
Issue release date: December 2019
Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 2
ISSN: 1662-4246 (Print)
eISSN: 1662-8063 (Online)
For additional information: https://www.karger.com/PHG
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Get Permission
PubMed ID
