title: Perceived utility of parent-generated family health history as a health promotion tool in pediatric practice.
abstract: OBJECTIVE
  The purpose of this study was to describe how pediatric providers collect and use family health history (FHH) and their perceptions about My Family Health Portrait (MFHP) as a pediatric health promotion and disease prevention tool. STUDY DESIGNL: A random sample of 148 pediatric providers was invited to participate in a semistructured qualitative interview. Transcripts were reviewed by 2 coders, and interrater reliability was determined.
  
  
  RESULTS
  In all, 21 providers were interviewed. All participants collected FHH at new visits and when patients presented with a symptom or complaint. Most providers believed that collecting FHH of chronic disease benefits the pediatric population. Time was the most commonly cited barrier to FHH collection; collecting FHH prior to the office visit was the most frequently cited facilitator. Providers believed that the use of MFHP would improve FHH collection and allow targeted education and preventive recommendations. Respondents also identified logistical and other issues that must be resolved to integrate MFHP into clinical practice.
  
  
  CONCLUSIONS
  This research suggests that pediatric primary care presents many opportunities to collect and discuss FHH and that providers are optimistic about the clinical use of a parent-generated FHH collection tool. Future research should assess parent perspectives about the use of MFHP.
authors.affiliation: Saint Louis University, St Louis, MO, USA.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Kanetzke
authors.forename: John
authors.initials: J
authors.lastname: Lynch
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Prows
authors.forename: Robert M
authors.initials: RM
authors.lastname: Siegel
authors.forename: Melanie F
authors.initials: MF
authors.lastname: Myers
mesh_terms: D003625:Data Collection / Q000379:methods; D005190:Family; D006293:Health Promotion; D006801:Humans; D008487:Medical History Taking / Q000379:methods*; D010290:Parents; D010372:Pediatrics / Q000458:organization & administration*; D011315:Preventive Medicine; D036301:Qualitative Research