Joann Bodurtha|Donna K. McClish|Maria Gyure|Rosalie Corona|Alexander Krist|Vivian M. Rodríguez|Alisa M. Maibauer|Joseph F. Borzelleca|Deborah J. Bowen|John Quillin
The KinFact Intervention – A Randomized Controlled Trial to Increase Family Communication About Cancer History
Johns Hopkins University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Boston University|Virginia Commonwealth University
background knowing family history important understanding cancer risk yet communication within families suboptimal providing strategies enhance communication may useful methods four hundred ninety women recruited urban safetynet hospitalbased primary care womens health clinics participants randomized receive kinfact intervention control handout lowering risks breastcolon cancer screening recommendations cancer family history reviewed participants 20minute kinfact intervention based communication behavior theory included reviewing individualized breastcolon cancer risks interactive presentation cancer communication study outcomes included whether participants reported collecting family history shared cancer risk information relatives frequency communication relatives data collected baseline 1 6 14 months results overall intervention participants significantly likely gather family cancer information followup odds ratio 273 95 confidence interval ci 201 371 share familial cancer information relatives 185 95 ci 137 248 communication frequency 1not 4a lot significantly increased followup 167 vs 154 differences modified age race education family history however effects modified pregnancy status genetic literacy intervention effects information gathering frequency observed nonpregnant women pregnant women additionally intervention effects observed information gathering women high genetic literacy women low genetic literacy conclusions kinfact intervention successfully promoted family communication cancer risk educating women enhance communication skills surrounding family history may allow partner effectively families ultimately providers discussing risks prevention