Kelly Kimberly M, Shedlosky-Shoemaker Randi, Atkins Elvonna, Tworek Cindy, Porter Kyle
a School of Pharmacy, Robert C. Byrd Health Sciences Center , West Virginia University , Morgantown , West Virginia , USA.
J Health Commun. 2015 Apr;20(4):445-52. doi: 10.1080/10810730.2014.977470. Epub 2015 Mar 12.
Family history is important for assessing risk of cancer. This study aimed to improve cancer family history communication and collection by training and motivating lay individuals to construct pedigrees. The authors' ultimate goal is to improve identification of familial cancer. Participants (n = 200) completed preintervention, postintervention, and 1-week follow-up surveys to assess pedigree construction. The intervention reviewed basic construction and interpretation of a pedigree for familial cancer. As a result of intervention, individuals reported more positive attitudes about collecting family history, were more likely to intend to speak to family and physicians about cancer risk, better understood a sample pedigree, and constructed more detailed pedigrees of their family history. At follow-up, 25% of the sample had spoken with their families about cancer risk. For those individuals who had not spoken with family, higher postintervention pedigree knowledge was associated with greater intentions to speak with family in the future. The intervention improved the communication and collection of pedigrees and communication about cancer risk, which could be used to improve the identification of individuals with familial cancers and awareness of family cancer risk.
家族史对于评估癌症风险很重要。本研究旨在通过培训和激励非专业人员构建家系图来改善癌症家族史的沟通与收集。作者的最终目标是提高对家族性癌症的识别。参与者（n = 200）完成了干预前、干预后及1周随访调查，以评估家系图构建情况。干预内容包括回顾家族性癌症家系图的基本构建和解读方法。干预后，个体对收集家族史的态度更积极，更有可能打算与家人和医生谈论癌症风险，对示例家系图理解得更好，并且构建了更详细的家族史家系图。随访时，25%的样本已与家人谈论过癌症风险。对于那些尚未与家人谈论过的个体，干预后更高的家系图知识水平与未来与家人谈论的更强意愿相关。该干预改善了家系图的沟通与收集以及关于癌症风险的沟通，这可用于提高对家族性癌症个体的识别以及家族癌症风险意识。
