Family Health History in Diverse Care Settings (FHH)
Completed · Not applicable
Conditions studied: Diabetes, Heart Disease, Cancer
In brief
The outcome of this research will be a demonstration that family health history (FHH) risk data can be used efficiently to deliver more effective healthcare in geographically and ethnically diverse clinical care environments. Although FHH is a standard component of the medical interview its widespread adoption is hindered by three major barriers: (1) a dearth of standard collection methods; (2) the absence of health care provider access to complete FHH information; and (3) the need for clinical guidance for the interpretation and use of FHH. In addition, the time constraints of the busy provider and poor integration of FHH with paper medical records or electronic medical records (EMR) impede its widespread use. The investigators hypothesize that patient-driven and electronic collection of FHH for risk stratification will promote more informed decision-making by patients and providers, and improves adherence to risk-stratified preventive care guidelines. The study team will use an implementation sciences approach to integrate an innovative FHH system that collects FHH from patients. Intermountain Healthcare will provide the information technology expertise with EMR design to develop an innovative solution to a storage model standard for FHH data as well as a centralized standards-compliant open clinical decision support (OpenCDS) rule development architecture to analyze FHH and to generate evidence-based, individualized, disease risk, preventive care recommendations for both patients and providers.
Key facts
- Study ID
- NCT01956773
- Run by
- Duke University
- People needed
- 2620
- Starts
- 2014-04-11
- Expected to finish
- 2017-10-31
- Last updated by the study team
- 2023-08-02
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Adults 18 years of age
- Scheduled for a well visit appointment in selected clinics
- English and Spanish speaking
- Able to provide informed consent
You may not qualify if…
- None
Where it is running
- David Grant Medical Center — Fairfield, California, United States
- Essentia Institute of Rural Health — Duluth, Minnesota, United States
- Duke University Medical Center — Durham, North Carolina, United States
- University of North Texas Health Science Center — Fort Worth, Texas, United States
- Medical College of Wisconsin — Milwaukee, Wisconsin, United States
Full record on ClinicalTrials.gov
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