Evaluation of family health history collection methods impact on data and risk assessment outcomes

Information technology applications for patient-collection of family health history (FHH) increase identification of elevated-risk individuals compared to usual care. It is unknown if the method of collection impacts data collected or if simply going directly to the patient is what makes the differe...

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Main Authors: R. Ryanne Wu, Rehena Sultana, Yasmin Bylstra, Saumya Jamuar, Sonia Davila, Weng Khong Lim, Geoffrey S. Ginsburg, Lori A. Orlando, Khung Keong Yeo, Stuart A. Cook, Patrick Tan
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335520300322
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author R. Ryanne Wu
Rehena Sultana
Yasmin Bylstra
Saumya Jamuar
Sonia Davila
Weng Khong Lim
Geoffrey S. Ginsburg
Lori A. Orlando
Khung Keong Yeo
Stuart A. Cook
Patrick Tan
author_facet R. Ryanne Wu
Rehena Sultana
Yasmin Bylstra
Saumya Jamuar
Sonia Davila
Weng Khong Lim
Geoffrey S. Ginsburg
Lori A. Orlando
Khung Keong Yeo
Stuart A. Cook
Patrick Tan
author_sort R. Ryanne Wu
collection DOAJ
description Information technology applications for patient-collection of family health history (FHH) increase identification of elevated-risk individuals compared to usual care. It is unknown if the method of collection impacts data collected or if simply going directly to the patient is what makes the difference. The objective of this study was to examine differences in data detail and risk identification rates between FHH collection directly from individuals using paper-based forms and an interactive web-based platform. This is a non-randomized epidemiologic study in Singaporean population from 2016 to 2018. Intervention was paper-based versus web-based interactive platform for FHH collection. Participant demographics, FHH detail, and risk assessment results were analyzed. 882 participants enrolled in the study, 481 in the paper-based group and 401 in the web-based group with mean (SD) age of 45.4 (12.98) years and 47.5% male. Web-based FHH collection participants had an increased number of conditions per relative (p-value <0.001), greater frequency of reporting age of onset (p-value <0.001), and greater odds of receiving ≥1 risk recommendation both overall (OR: 3.99 (2.41, 6.59)) and within subcategories of genetic counselling for hereditary cancer syndromes (p-value = 0.041) and screening and prevention for breast (p-value = 0.002) and colon cancer (p-value = 0.005). This has significant implications for clinical care and research efforts where FHH is being assessed. Using interactive information technology platforms to collect FHH can improve the completeness of the data collected and result in increased rates of risk identification. Methods of data collection to maximize benefit should be taken into account in future studies and clinical care.
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spelling doaj.art-6072f03b04f2468faffe6be7da0487fc2022-12-21T20:02:06ZengElsevierPreventive Medicine Reports2211-33552020-06-0118Evaluation of family health history collection methods impact on data and risk assessment outcomesR. Ryanne Wu0Rehena Sultana1Yasmin Bylstra2Saumya Jamuar3Sonia Davila4Weng Khong Lim5Geoffrey S. Ginsburg6Lori A. Orlando7Khung Keong Yeo8Stuart A. Cook9Patrick Tan10Center for Applied Genomics and Precision Medicine, Department of Medicine, Duke University School of Medicine, Durham, USA; Durham Veteran Health Affairs Medical Center, Durham, USA; Corresponding author at: Duke University, 304 Research Drive, Box 90141, Durham, NC 27708, United States.Centre for Quantitative Medicine, Duke-National University of Singapore Medical School, SingaporeSingHealth Duke-NUS Institute of Precision Medicine, Duke-National University of Singapore Medical School, SingaporeSingHealth Duke-NUS Institute of Precision Medicine, Duke-National University of Singapore Medical School, Singapore; Department of Paediatrics, KK Women’s and Children’s Hospital, Singapore; Paediatric Academic Clinical Programme, Duke-NUS Medical School, SingaporeSingHealth Duke-NUS Institute of Precision Medicine, Duke-National University of Singapore Medical School, Singapore; Programme in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, SingaporeSingHealth Duke-NUS Institute of Precision Medicine, Duke-National University of Singapore Medical School, Singapore; Programme in Cancer and Stem Biology, Duke-National University of Singapore Medical School, SingaporeCenter for Applied Genomics and Precision Medicine, Department of Medicine, Duke University School of Medicine, Durham, USACenter for Applied Genomics and Precision Medicine, Department of Medicine, Duke University School of Medicine, Durham, USAProgramme in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore; Department of Cardiology, National Heart Centre Singapore, SingaporeSingHealth Duke-NUS Institute of Precision Medicine, Duke-National University of Singapore Medical School, Singapore; Programme in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore; Department of Cardiology, National Heart Centre Singapore, SingaporeSingHealth Duke-NUS Institute of Precision Medicine, Duke-National University of Singapore Medical School, Singapore; Programme in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore; Programme in Cancer and Stem Biology, Duke-National University of Singapore Medical School, Singapore; Biomedical Research Council, Agency for Science, Technology and Research, SingaporeInformation technology applications for patient-collection of family health history (FHH) increase identification of elevated-risk individuals compared to usual care. It is unknown if the method of collection impacts data collected or if simply going directly to the patient is what makes the difference. The objective of this study was to examine differences in data detail and risk identification rates between FHH collection directly from individuals using paper-based forms and an interactive web-based platform. This is a non-randomized epidemiologic study in Singaporean population from 2016 to 2018. Intervention was paper-based versus web-based interactive platform for FHH collection. Participant demographics, FHH detail, and risk assessment results were analyzed. 882 participants enrolled in the study, 481 in the paper-based group and 401 in the web-based group with mean (SD) age of 45.4 (12.98) years and 47.5% male. Web-based FHH collection participants had an increased number of conditions per relative (p-value <0.001), greater frequency of reporting age of onset (p-value <0.001), and greater odds of receiving ≥1 risk recommendation both overall (OR: 3.99 (2.41, 6.59)) and within subcategories of genetic counselling for hereditary cancer syndromes (p-value = 0.041) and screening and prevention for breast (p-value = 0.002) and colon cancer (p-value = 0.005). This has significant implications for clinical care and research efforts where FHH is being assessed. Using interactive information technology platforms to collect FHH can improve the completeness of the data collected and result in increased rates of risk identification. Methods of data collection to maximize benefit should be taken into account in future studies and clinical care.http://www.sciencedirect.com/science/article/pii/S2211335520300322Data accuracyHealth risk assessmentPreventive health servicesFamily health history
spellingShingle R. Ryanne Wu
Rehena Sultana
Yasmin Bylstra
Saumya Jamuar
Sonia Davila
Weng Khong Lim
Geoffrey S. Ginsburg
Lori A. Orlando
Khung Keong Yeo
Stuart A. Cook
Patrick Tan
Evaluation of family health history collection methods impact on data and risk assessment outcomes
Preventive Medicine Reports
Data accuracy
Health risk assessment
Preventive health services
Family health history
title Evaluation of family health history collection methods impact on data and risk assessment outcomes
title_full Evaluation of family health history collection methods impact on data and risk assessment outcomes
title_fullStr Evaluation of family health history collection methods impact on data and risk assessment outcomes
title_full_unstemmed Evaluation of family health history collection methods impact on data and risk assessment outcomes
title_short Evaluation of family health history collection methods impact on data and risk assessment outcomes
title_sort evaluation of family health history collection methods impact on data and risk assessment outcomes
topic Data accuracy
Health risk assessment
Preventive health services
Family health history
url http://www.sciencedirect.com/science/article/pii/S2211335520300322
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