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Family Healthware Impact Trail
Study Description and Methods
In a randomized controlled trial of AAFP National Research Network physicians, we aimed to find out whether patients who are given health messages based on their risk factors will be motivated to make behavior changes and use preventative health services.
Specific Aims and Objectives
Our specific aims were:
- To work with the Centers for Disease Control (CDC) and two other teams of funded investigators to refine protocols and coordinate data collection for a clinical study of a CDC health risk assessment tool as a means to increase preventive behaviors of adults with increased risk of chronic diseases.\
- To investigate the effects of the health risk assessment tool, self-administered by patients before their visits with family physicians, on patients' risk perception and preventive health behaviors.
Timeline
This study was conducted from October 1, 2003 through September 30, 2007.
Status
This study is closed. Please see below for Key Findings and Publications!
Contact Information
For additional information about this study, please contact:
Wilson D Pace, MD, FAAFP
Network Director
AAFP National Research Network
1-800-274-2237 x3120
wpace@aafp.org
Wilson D Pace, MD, FAAFP
Network Director
AAFP National Research Network
1-800-274-2237 x3120
wpace@aafp.org
Key Findings and Publications
Our initial findings suggest a substantial burden of family-history based risk in the adult primary care population, particularly for coronary heart disease and stroke. Implementing an online risk assessment tool as a standard part of practice may easily and economically identify subpopulations that would benefit most from targeted prevention strategies.
Access the complete manuscripts:
Access the complete manuscripts:
Family history assessment: Impact on disease risk perceptions.Wang C, Sen A, Ruffin MT, Gramling R, Nease DE, Acheson LS, O'Neill SM, Rubinstein WS, for the Family HealthwareTM Impact Trial (FHITr) Group. American Journal of Preventive Medicine. 2012; 43(4): 392-398. (7-page PDF file; About PDFs)
Health Benefits Among Individuals at Increased Familial Risk for Type 2 Diabetes: Implications for Prevention: Implications for Prevention. A report from the Family HealthwareTM Impact Trial (FHITr). Dorman JS, Valdez, Liu T, Wang C, Rubinstein WS, O’Neill SM, Acheson LS, Riffin MT, Khoury MJ. Diabetes Res Clin Pract. 2012; 96(2): 156-162.Epub2012 Jan 17. (7-page PDF file; About PDFs)
Recruitment Efforts -- Ruffin MT, Nease DE. Using Patient Monetary Incentives and Electronically Derived Patient Lists to Recruit Patients to a Clinical Trial. A report from the Family HealthwareTM Impact Trial (FHITr) J AM Board Fam Med. 2011; 24(5): 569-574. PMID: 21900440 (7-page PDF file; About PDFs)
Clinical Utility of Family History Screening -- Rubinstein WS, O’Neill SM, Acheson LS, Ruffin MT, Wang C, & Beaumont J for the Family HealthwareTM Impact Trial (FHITr) Group. Clinical Utility of family history for cancer screening and referral in primary care. A report from the Family HealthwareTM Impact Trial (FHITr) Genet Med. 2011; 13(11): 956-965.PMID: 22075527 (10-page PDF file; About PDFs)
Health Behavior Prevention Message -- Ruffin MT, Nease DE, Pace WD, Sen A, Wang C, Acheson LS, Rubinstein W, O’Neill SM, & Gramling R, for the Family HealthwareTM Impact Trial (FHITr) Group. Effect of preventive messages tailored to family history on health behaviors: the Family HealthwareTM Impact Trial. Ann Fam Med. 2011; 9, 3-11. PMID: 21242555 (9-page PDF file; About PDFs)
Women's Disease Perceptions for Caner -- Rubinstein WS, O’Neill SM, Rothrock N, Starzjk EJ, Beaumont JL, Acheson LS, Wang C, Gramling R, Galliher JM & Ruffin MT. Components of family history associated with women’s disease perceptions for cancer: A report from the Family HealthwareTM Impact Trial (FHITr). Genet Med. 2011; 13(1): 52-62. PMID: 21150785 (11-page PDF file; About PDFs)
Perceptions about Risk and Prevention of Chronic Diseases -- Acheson LS, Wang C, Zyzanski SJ, Lynn A, Ruffin MT, Gramling R, Rubinstein WS, O'Neill SM, Nease DE Jr. Family Healthware Impact Trial (FHITr) Group. Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the Family HealthwareTM Impact Trial. Genet Med. 2010; 12(4):212-8. PMID: 20216073
Health Benefits Among Individuals at Increased Familial Risk for Type 2 Diabetes: Implications for Prevention: Implications for Prevention. A report from the Family HealthwareTM Impact Trial (FHITr). Dorman JS, Valdez, Liu T, Wang C, Rubinstein WS, O’Neill SM, Acheson LS, Riffin MT, Khoury MJ. Diabetes Res Clin Pract. 2012; 96(2): 156-162.Epub2012 Jan 17. (7-page PDF file; About PDFs)
Recruitment Efforts -- Ruffin MT, Nease DE. Using Patient Monetary Incentives and Electronically Derived Patient Lists to Recruit Patients to a Clinical Trial. A report from the Family HealthwareTM Impact Trial (FHITr) J AM Board Fam Med. 2011; 24(5): 569-574. PMID: 21900440 (7-page PDF file; About PDFs)
Clinical Utility of Family History Screening -- Rubinstein WS, O’Neill SM, Acheson LS, Ruffin MT, Wang C, & Beaumont J for the Family HealthwareTM Impact Trial (FHITr) Group. Clinical Utility of family history for cancer screening and referral in primary care. A report from the Family HealthwareTM Impact Trial (FHITr) Genet Med. 2011; 13(11): 956-965.PMID: 22075527 (10-page PDF file; About PDFs)
Health Behavior Prevention Message -- Ruffin MT, Nease DE, Pace WD, Sen A, Wang C, Acheson LS, Rubinstein W, O’Neill SM, & Gramling R, for the Family HealthwareTM Impact Trial (FHITr) Group. Effect of preventive messages tailored to family history on health behaviors: the Family HealthwareTM Impact Trial. Ann Fam Med. 2011; 9, 3-11. PMID: 21242555 (9-page PDF file; About PDFs)
Women's Disease Perceptions for Caner -- Rubinstein WS, O’Neill SM, Rothrock N, Starzjk EJ, Beaumont JL, Acheson LS, Wang C, Gramling R, Galliher JM & Ruffin MT. Components of family history associated with women’s disease perceptions for cancer: A report from the Family HealthwareTM Impact Trial (FHITr). Genet Med. 2011; 13(1): 52-62. PMID: 21150785 (11-page PDF file; About PDFs)
Perceptions about Risk and Prevention of Chronic Diseases -- Acheson LS, Wang C, Zyzanski SJ, Lynn A, Ruffin MT, Gramling R, Rubinstein WS, O'Neill SM, Nease DE Jr. Family Healthware Impact Trial (FHITr) Group. Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the Family HealthwareTM Impact Trial. Genet Med. 2010; 12(4):212-8. PMID: 20216073
This was funded by grants from the Centers for Disease Control and Prevention and the Association for Prevention Teaching and Research (ENH-#U50/CCU300860 TS-1216) and the American Association of Medical Colleges (UM#U36/CCU319276 MM-0789 and CWR# U36/CCU319276 MM0630).
