The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness
Purpose Appalachians exhibit high rates of chronic disease-related behaviors which might improve with heightened health consciousness. Knowing one's family history can be an important health maintenance tool. Appalachians' health attitudes are shaped in large, closely knit extended fami...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Marshall University
2015-01-01
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| Series: | Marshall Journal of Medicine |
| Subjects: | |
| Online Access: | https://mds.marshall.edu/cgi/viewcontent.cgi?article=1004&context=mjm |
| _version_ | 1818039582421155840 |
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| author | Dilip Nair Indira Bhavsar Nafeeza Hussain |
| author_facet | Dilip Nair Indira Bhavsar Nafeeza Hussain |
| author_sort | Dilip Nair |
| collection | DOAJ |
| description | Purpose
Appalachians exhibit high rates of chronic disease-related behaviors which might improve with heightened health consciousness. Knowing one's family history can be an important health maintenance tool. Appalachians' health attitudes are shaped in large, closely knit extended families in which matriarchs play central roles. We sought assistance from West Virginian grandmothers in a family medicine practice in engaging their extended families with their genogram to assess the impact on family members' level of health consciousness.
Methods
The family physician identified West Virginian grandmothers in his practice. We sent each of them invitations to participate, along with their extended family, in constructing a genogram,. However, none of the thirty-four women contacted agreed to participate. We explored the reasons for their non-participation. We mailed a follow-up survey to all the potential participants. We made follow-up phone calls after sending a reminder letter. Twenty-seven women responded. We collated and arranged in order of frequency their reasons for non-participation.
Results
The most frequently cited reason for non-participation was that the respondent perceived her extended family to be too busy or to live too far from one another to participate. Her own sense of not feeling up to what was being asked of her was the second most frequently expressed reason, almost as often as the first.
Conclusions
The hypothesis that family physicians might improve health consciousness of Appalachian extended families by engaging them with their genogram remains untested. Testing it will require being mindful of several methodological lessons regarding recruitment of subjects, use of written materials and inclusion criteria. The researcher will be wise to adopt a collaborative, collegial approach such as employed in participatory research. |
| first_indexed | 2024-12-10T08:00:55Z |
| format | Article |
| id | doaj.art-6eec94deb9f34b9d8241b2bcf7134d15 |
| institution | Directory Open Access Journal |
| issn | 2379-9536 |
| language | English |
| last_indexed | 2024-12-10T08:00:55Z |
| publishDate | 2015-01-01 |
| publisher | Marshall University |
| record_format | Article |
| series | Marshall Journal of Medicine |
| spelling | doaj.art-6eec94deb9f34b9d8241b2bcf7134d152022-12-22T01:56:48ZengMarshall UniversityMarshall Journal of Medicine2379-95362015-01-0111101111http://dx.doi.org/10.18590/mjm.2015.vol1.iss1.5The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousnessDilip Nair0Indira Bhavsar1Nafeeza Hussain2Marshall University Joan C Edwards School of MedicineMarshall University Joan C Edwards School of MedicineMarshall University Joan C Edwards School of MedicinePurpose Appalachians exhibit high rates of chronic disease-related behaviors which might improve with heightened health consciousness. Knowing one's family history can be an important health maintenance tool. Appalachians' health attitudes are shaped in large, closely knit extended families in which matriarchs play central roles. We sought assistance from West Virginian grandmothers in a family medicine practice in engaging their extended families with their genogram to assess the impact on family members' level of health consciousness. Methods The family physician identified West Virginian grandmothers in his practice. We sent each of them invitations to participate, along with their extended family, in constructing a genogram,. However, none of the thirty-four women contacted agreed to participate. We explored the reasons for their non-participation. We mailed a follow-up survey to all the potential participants. We made follow-up phone calls after sending a reminder letter. Twenty-seven women responded. We collated and arranged in order of frequency their reasons for non-participation. Results The most frequently cited reason for non-participation was that the respondent perceived her extended family to be too busy or to live too far from one another to participate. Her own sense of not feeling up to what was being asked of her was the second most frequently expressed reason, almost as often as the first. Conclusions The hypothesis that family physicians might improve health consciousness of Appalachian extended families by engaging them with their genogram remains untested. Testing it will require being mindful of several methodological lessons regarding recruitment of subjects, use of written materials and inclusion criteria. The researcher will be wise to adopt a collaborative, collegial approach such as employed in participatory research.https://mds.marshall.edu/cgi/viewcontent.cgi?article=1004&context=mjmgenogramAppalachianhealth consciousness |
| spellingShingle | Dilip Nair Indira Bhavsar Nafeeza Hussain The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness Marshall Journal of Medicine genogram Appalachian health consciousness |
| title | The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness |
| title_full | The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness |
| title_fullStr | The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness |
| title_full_unstemmed | The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness |
| title_short | The challenges of exploring the impact of genogram construction on an Appalachian family's health consciousness |
| title_sort | challenges of exploring the impact of genogram construction on an appalachian family s health consciousness |
| topic | genogram Appalachian health consciousness |
| url | https://mds.marshall.edu/cgi/viewcontent.cgi?article=1004&context=mjm |
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