Family health history discussion in patient-provider encounters

Ascertaining the family health history (FHH) may provide insight into genetic and environmental susceptibilities specific to a variety of chronic diseases, including type II diabetes mellitus. However, discussion of FHH during patient-provider encounters has been limited and uncharacterized. A longitudinal, observational study was conducted in order to compare the content of FHH topics in a convenience sample of 37 patients, 13 new and 24 established. Each patient had an average of three follow-up encounters involving 6 staff physicians at the Audie L. Murphy Memorial Veterans Hospital (VHA) in San Antonio, TX from 2003 to 2005. A total of 131 encounters were analyzed in this study. The average age of the selected population was 68 years and included 35 males and two females. Transcriptions of encounters were obtained, coded and analyzed, in NVIVO 8. Of the 131 total encounters transcribed among the 37 patients, only 24 encounters (18.3%) included discussion of FHH. Additionally, the relationship between FHH discussion and discussion of self-care management (SCM) topics were assessed. In this study, providers were more likely to initiate discussion on family health history among new patients in the first encounter (ORnew = 8.55, 95% CI: 1.49–52.90). The discussion of FHH occurred sporadically in established patients throughout the longitudinal study with no apparent pattern. Provider-initiated FHH discussion most frequently had satisfactory level(s) of discussion while patient-initiated FHH discussion most frequently had minimal level(s) of discussion. FHH discussion most oftentimes involved topics of cancer and cardiovascular disease among primary-degree familial relationships. Overall, family health histories are largely, an underutilized tool in personalized preventive care.^

The Children’s Bureau’s Role in Promoting Parent Engagement and Family Support: A Brief History and Current Efforts

Over the years, federal child welfare policy has supported parent engagement and family support strategies through various Children’s Bureau funded state formula grant programs, research and demonstration discretionary grants, and technical assistance. This article highlights programs funded by two federal laws, Promoting Safe and Stable Families and the Child Abuse Prevention and Treatment Act, and Children’s Bureau’s efforts to test innovations and disseminate knowledge about promising and evidence-based practices regarding parent engagement and family support. The article begins with a brief legislative history and then describes several grant programs that are supported by the legislation. The article concludes with lessons learned and a discussion of the new opportunities for system changes through the Title IV-E Waiver Demonstration projects.

History of the Cotton family : manuscript, [ca. 1728]-1755

History of the Cotton family with biographical information on Cotton, his mother, father, siblings, and some distant relations, including information on the Rosseter family, his mother's family line; often with transcripts of family letters. Also contains further genealogical information added by a later hand.

Slear genealogy : a history of the Slear Family /

"2nd ed." on cover.

A brief history of the Deavor family in America,

Blank pages at end for "Family record".

Our Campbell ancestors, 1742-1937. Traditions and history of the family of five Campbell brothers and sisters; John, James Douglas, Hester, Mary and Samuel: including what is known of them in New Jersey; York county, Pennsylvania; Union county, South Carolina and in Ohio. A genealogy of the known descendants of John Campbell through his son James, and Samuel Campbell through his son Ralph, also brief ancestral notes on families connected by marriage with the foregoing; viz; Parnell, Clark, Spray, Wilson, Haskett, Mendenhall and Underhill,

Bibliographical foot-notes.

The Boone family : a genealogical history of the descendants of George and Mary Boone, who came to America in 1717 : containing many unpublished bits of early Kentucky history : also a biographical sketch of Daniel Boone, the pioneer, by one of his descendants /

Includes indexes.

Eclipse & OK̓elly : being a complete history so far as is known of that celebrated English thoroughbred Eclipse (1764-1789) of his breeder the Duke of Cumberland & of his subsequent owners William Wildman, Dennis OK̓elly & Andrew OK̓elly now for the first time set forth from the original authorities & family memoranda /

Mode of access: Internet.

Annals of an era; Percy MacKaye and the MacKaye family, 1826-1932; a record of biography and history, in commentaries and bibliography.

"The MacKaye collection, a supplemental bibliography, 1761-1931, of material preserved at the Dartmouth College Library ... compiled chiefly from original sources in the archives of Steele MacKaye and Percy MacKaye, by Marion Morse MacKaye": p. [299]-534.

A genealogical history of the Robie family in England and America

Mode of access: Internet.

The Strongs of Strongsville : descendants of John Stoughton Strong and Eliphalet Strong, supplementary to the History of the Strong family, by Benjamin W. Dwight /

Mode of access: Internet.

Colonel William Rose of Tennessee, his ancestors and descendants, 1034-1938. Also the history of other families, not of the Rose name, who have married into the family: Cockrill, Abernathy, Washburn, Sloan, Norwood, Patton, Teasdale, McLaurine.

Mode of access: Internet.

The natural history of man; comprising inquiries into the modifying influence of physical and moral agencies on the different tribes of the human family.

Atlas, second edition: 6 maps. London: H. Baillière, 1855.

Annals of our ancestors : one hundred and fifty years of history in the Watkins family /

"Privately printed."