Duke University, Trinity Arts and Sciences, Durham, North Carolina, United States of America.
Duke University, Initiative for Society and Society, Durham, North Carolina, United States of America.
PLoS One. 2019 Oct 25;14(10):e0224283. doi: 10.1371/journal.pone.0224283. eCollection 2019.
Family health history (FHH) is a key predictor of health risk and is universally important in preventive care. However, patients may not be aware of the importance of FHH, and thus, may fail to accurately or completely share FHH with health providers, thereby limiting its utility. In this study, we conducted an online survey of 294 young adults and employees based at a US university setting regarding their knowledge, sharing behaviors, and perceived importance of FHH, and use of electronic clinical tools to document and update FHH. We also evaluated two educational interventions (written and video) to promote knowledge about FHH and its importance to health. We found that 93% of respondents were highly aware of their FHH, though only 39% reported collecting it and 4% using an online FHH tool. Seventy-three percent of respondents, particularly women, had shared FHH with their doctor when prompted, and fewer had shared it with family members. Participants in the video group were significantly more likely to understand the benefits of FHH than those in the written group (p = 0.02). In summary, educational resources, either video or written, will be helpful to promote FHH collection, sharing, and use of online FHH tools.
家族健康史(FHH)是健康风险的重要预测因素,在预防保健中普遍重要。然而,患者可能没有意识到 FHH 的重要性,因此可能无法准确或完全地向医疗服务提供者分享 FHH,从而限制了其用途。在这项研究中,我们对美国一所大学的 294 名年轻成年人和员工进行了一项在线调查,调查他们对 FHH 的了解程度、分享行为以及对 FHH 的认知重要性,以及使用电子临床工具记录和更新 FHH 的情况。我们还评估了两种教育干预措施(书面和视频),以促进对 FHH 及其对健康重要性的了解。我们发现,93%的受访者高度了解自己的 FHH,但只有 39%的人报告收集了 FHH,4%的人使用了在线 FHH 工具。73%的受访者,特别是女性,在被提示时会向医生分享 FHH,而向家庭成员分享的则较少。与书面组相比,观看视频组的参与者更有可能理解 FHH 的好处(p = 0.02)。总之,无论是视频还是书面形式的教育资源,都将有助于促进 FHH 的收集、分享和在线 FHH 工具的使用。