Trial Summary
What is the purpose of this trial?A complete family history (FH) may identify persons at high risk for certain conditions. They can be offered genetic testing and life-saving screening and treatment. In practice, complete FH is rarely collected or entered into the electronic medical record (EMR). The Family History Screening Questionnaire is a survey patients complete to tell whether they are at increased risk of specific cancers, heart disease or diabetes. We will test a new way to record FH that includes an app to improve use of FH by family physicians and patients. The strategy includes education for patients and physicians about the importance of FH; patient completion of the FH questionnaire prior to appointments; and prompts in the EMR. We expect this to help family physicians and patients interpret FH and make the best decisions. We will assess the proportion of patients with new EMR FH information. We will explore if the strategy increases appropriate referrals for screening and genetic consultation for those at increased FH risk. We will also obtain patients' and physicians' feedback on this strategy. This new approach may improve FH information exchange between patients and physicians, encourage shared decision-making and reduce cancer deaths and chronic disease burden.
Eligibility Criteria
This trial is for individuals aged 30-69 who are patients of staff physicians with an email registered in the OCEAN system. It's not suitable for pregnant individuals or those under the care of resident physicians.Inclusion Criteria
I am between 30 and 69 years old.
Exclusion Criteria
Must be patients of staff physicians (i.e. no resident patients)
Must have email address registered in the OCEAN system
Pregnancy
Participant Groups
The trial is testing a new app-based approach to recording family health history (FHAMe Intervention) to improve its use by family doctors and patients, aiming to enhance decision-making and increase appropriate referrals for high-risk conditions.
2Treatment groups
Experimental Treatment
Active Control
Group I: InterventionExperimental Treatment1 Intervention
In addition to usual care, patients will be asked to answer questions about any family history through the use of a questionnaire.
Group II: Usual CareActive Control1 Intervention
Patients receive usual care, which consists of health care providers inquiring about and dealing with family history as they would in usual practice.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Mount Sinai HospitalToronto, Canada
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Who Is Running the Clinical Trial?
University of TorontoLead Sponsor