Comparison of risk perceptions and beliefs across common chronic diseases

Wang, Catharine; O'Neill, Suzanne M.; Rothrock, Nan; Gramling, Robert; Sen, Ananda; Acheson, Louise S.; Rubinstein, Wendy S.; Nease, Donald E.; Ruffin, Mack T.

doi:10.1016/j.ypmed.2008.11.008

Cited by 117 publications

(101 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The respondents with a higher perceived risk of heart disease, but not cancer, were more likely to rate severity as useful compared to the respondents with a lower perceived risk of heart disease. These findings differ from prior work in which perceptions of severity were uniform across conditions [29]. Perceptions of severity as important in genomic testing decisions appear to be more important for people with better perceived health.…”

Section: Discussioncontrasting

confidence: 99%

Public Perceptions of Disease Severity but Not Actionability Correlate with Interest in Receiving Genomic Results: Nonalignment with Current Trends in Practice

Graves

Sinicrope²,

McCormick³

et al. 2015

Public Health Genomics

View full text Add to dashboard Cite

Purpose: Frameworks highlighting disease actionability and severity are evolving to address the need to organize results from genome-wide analyses. This approach represents a paradigm shift from consultations focused on one or more genes to multiple genes for multiple disorders. Empirical input from the general population is lacking, yet seems essential for understanding how to maximize patient autonomy and satisfaction in the decision-making process. Methods: We conducted a cross-sectional online survey with a representative sample of 900 US adults and assessed the participants' perceptions and attitudes toward disease actionability and severity, ranking hypothetical scenarios for these properties, and explored correlations with interest in learning test results. Results: Most respondents (>85%) rated actionability and severity as useful concepts; 46.6% indicated actionability alone would be adequate for decision making. Over half of them (53.8%) reported being very/extremely confident in their ability to score for actionability and severity. The participants' scoring of medical scenarios varied significantly between individuals. Scores for severity but not actionability were correlated with interest in learning genetic results. Subsets of the respondents projected wanting all results (30%) or no results (16%). The use of expert-created lists was acceptable to 43%. Conclusions: The respondents from the general population were confident in making their own decisions. The responses suggested different priorities than current expert-driven approaches. The emphasis on binning genes may be missing a complementary, simplifying approach of grouping patients based upon their all/none interest in genomic results. This study illuminates important differences between the general public and genetic experts.

show abstract

Section: Discussioncontrasting

confidence: 99%

Public Perceptions of Disease Severity but Not Actionability Correlate with Interest in Receiving Genomic Results: Nonalignment with Current Trends in Practice

Graves

Sinicrope²,

McCormick³

et al. 2015

Public Health Genomics

View full text Add to dashboard Cite

show abstract

“…Most participants agreed that there is a lot they could do to prevent the diseases, although cancers were seen as less preventable than heart disease, irrespective of family history. 20 …”

Section: Resultsmentioning

confidence: 99%

“…Control group participants were excluded from the current analysis, because they did not record their family histories until the end of follow-up, using Family Healthware™ 6 months after the baseline questionnaire. The details of the study methods, 19 baseline data collection, 19,20 and Family Healthware™ 17 have been described previously. The protocol was approved by Institutional Review Boards at the CDC and each participating institution.…”

Section: Methodsmentioning

confidence: 99%

Family history and perceptions about risk and prevention for chronic diseases in primary care: A report from the Family Healthware™ Impact Trial

Acheson

Wang

Zyzanski

et al. 2010

Genetics in Medicine

Self Cite

View full text Add to dashboard Cite

Purpose To determine whether family medical history as a risk factor for six common diseases is related to patients' perceptions of risk, worry, and control over getting these diseases. Methods We used data from the cluster-randomized, controlled Family Healthware™ Impact Trial (FHITr). At baseline, healthy primary care patients reported their perceptions about coronary heart disease, stroke, diabetes, and breast, ovarian, and colon cancers. Immediately afterward, intervention group participants used Family Healthware™ to record family medical history; this web-based tool stratified familial disease risks. Multivariate and multilevel regression analyses measured the association between familial risk and patient perceptions for each disease, controlling for personal health and demographics. Results For the 2330 participants who used Family Healthware™ immediately after providing baseline data, perceived risk and worry for each disease were strongly associated with family history risk, adjusting for personal risk factors. The magnitude of the effect of family history on perceived risk ranged from 0.35 standard deviation for ovarian cancer to 1.12 standard deviations for colon cancer. Family history was not related to perceived control over developing diseases. Risk perceptions seemed optimistically biased, with 48–79% of participants with increased familial risk for diseases reporting that they were at average risk or below. Conclusions Participants' ratings of their risk for developing common diseases, before feedback on familial risk, parallels but is often lower than their calculated risk based on family history. Having a family history of a disease increases its salience and does not change one's perceived ability to prevent the disease.

show abstract

“…Furthermore, older adults tend to avoid making decisions or seek less information than younger adults when making a decision (Mather, 2006). Engaging in behaviors that promote or protect health, however, requires an awareness of the risks for disease-related disability (Kleindorfer et al, 2009; Slovic, Finucane, Peters, & MacGregor, 2004; Wang et al, 2009). Realistic consideration of the chances of frailty or dependence is often unpleasant for older adults (Pinquart & Sörensen, 2002; Sörensen & Pinquart, 2000b) who tend to use more affective information to estimate the risks and benefits in decisions (Finucane, 2008).…”

Section: Barriers and Facilitators To Preparation For Future Carementioning

confidence: 99%

Planning and Decision Making for Care Transitions

Sörensen¹,

Mak²,

Pinquart³

2011

annu rev gerontol geriatr

View full text Add to dashboard Cite

The need to plan for future health care and residential adjustments increases with age, growing frailty, and restrictions in coverage of long-term care and will continue to grow with population aging. Older adults’ lack of financial preparation for health care costs, insufficient knowledge about available options, and inadequate communication about care-related values has become an increasing public health challenge. This chapter describes a model of Preparation for Future Care (PFC), which encompasses different levels and domains of planning. Research about the extent to which planning is helpful in navigating care transitions is reviewed, and barriers and facilitators of planning including individual, familial, cultural, and national long-term care policy factors are discussed. Planning in the context of dementia and practical approaches that can be taken to enhance PFC is addressed, as well as recommendations for future research in the area of planning and decision making in the context of care transitions.

show abstract

Comparison of risk perceptions and beliefs across common chronic diseases

Cited by 117 publications

References 27 publications

Public Perceptions of Disease Severity but Not Actionability Correlate with Interest in Receiving Genomic Results: Nonalignment with Current Trends in Practice

Public Perceptions of Disease Severity but Not Actionability Correlate with Interest in Receiving Genomic Results: Nonalignment with Current Trends in Practice

Family history and perceptions about risk and prevention for chronic diseases in primary care: A report from the Family Healthware™ Impact Trial

Planning and Decision Making for Care Transitions

Contact Info

Product

Resources

About