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WV GENOME Evaluation of the Surgeon General's Diabetes Risk Family Health History Tool in Rural Patients
The purpose of this study was to evaluate the Surgeon General's Diabetes Risk Assessment tool, in rural adults [without diabetes; non-acute visits] in Morgantown, West Virginia.
Methods
Trained Research Assistants (RA’s) electronically entered patient's family health history (FHH) into the My Family Health Portrait Tool (MFHPT) to determine diabetes risk and to initiate discussions between patients and their healthcare provider about their diabetes risk and the importance of FHH. Patient's knowledge and value of FHH was assessed before and after their healthcare visit.
Results
The target sample is 150 patients; results are provided on a subsample of 26 participants [mean age 47.7±16.9 years; 60% obese]. Forty percent of participants were identified as increased risk for diabetes. The majority (68%) rated their diabetes knowledge as poor/moderate, 64% use the internet for health information. Sixty-eight percent of patients shared their diabetes risk report with their provider during the visit (the majority were at increased risk), underscoring the value placed by patients on the FHH risk assessments. Provider discussion of FHH occurred more among older participants (p=0.04) and among those who use the internet to obtain health information (p=0.04). Fifty two percent of patients said they were motivated to change lifestyle behaviors after completing the MFHPT and discussing their risk assessment with their healthcare provider.
Conclusions
Preliminary results suggest rural patients value the use of FHH. Evaluation of diabetes risk may help promote discussion with healthcare providers to improve knowledge and motivate behavior change in this population.
Learning Areas:
Chronic disease management and preventionPublic health or related education
Social and behavioral sciences
Learning Objectives:
Describe the Surgeon General’s MFHPT Risk Assessment.
List the risk factors for diabetes.
Utilize the MFHPT Diabetes Risk Assessment to facilitate discussions with their provider on motivation for behavior change.
Keyword(s): Rural Health, Risk Factors/Assesment
Qualified on the content I am responsible for because: I am a health disparities researcher and have conducted epidemiological and intervention studies for the past 18 years.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.