Table 4.

Implications for Practice: Key Areas for Clinicians to Explore With Patients That Might Improve Risk Assessment Communication and Disease Management Strategies

ConstructsKey Areas
SalienceNumber of affected relatives
Affected relative’s age at diagnosis or death
Severity of illness: premature death or disability
Acknowledging familial risk
Influence of gender, class, ethnic group
Living through relative’s illness experience
Shared environment with affected relative
Counting and discounting familial events
Comparing similarities and differences with affected relatives
Patterns within family history, eg, ages, gender, etc
Personalizing processModels of health and illness
Models of disease causation
Models of inheritance
Notions of bad luck and fatalism
Personal sense of vulnerabilityBehavior change, eg, lifestyle risk factors
Undergoing disease screening
Acceptability of disease as illness or mode of death
Continued anxiety