{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T22:06:07Z","timestamp":1789596367381,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T00:00:00Z","timestamp":1420588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Data has demonstrated that family history questionnaires (FHQs) are an invaluable tool for assessing familial cancer risk and triaging patients for genetic counseling services. Despite their benefits, return rates of mailed FHQs from newly referred patients remain low, suggesting potential barriers to their use. To investigate this, a total of 461 participants, 239 who completed a FHQ (responders) and 222 who did not (non\u2010responders), were surveyed at a subsequent appointment regarding potential barriers and motivators to using the FHQ. With respective rates of 51 and 56 %, there was no significant difference in the proportion of responders and non\u2010responders who reported difficulty in completing the FHQ; however, for both groups factors related to family dynamics (large family size, lack of contact with relatives, and lack of knowledge of family history) were reported as major variables confounding completion of the FHQ. Responders were also significantly more likely to have a personal diagnosis of cancer (<jats:italic>p<\/jats:italic>\u2009=\u20090.02) and to report that their physician had discussed the reason for the appointment with them (<jats:italic>p<\/jats:italic>\u2009=\u20090.01). Overall, 19 % of non\u2010responders returned their FHQ after being mailed an appointment letter and 67 % attended their scheduled genetic counseling appointment. These findings demonstrate that difficulty completing the FHQ is not inherent to its design but due to difficulty accessing one's family history, and that mailed appointment letters are a highly successful way to increase attendance rates in the non\u2010responder population. Furthermore, these results demonstrate the important role that referring physicians play in the utilization of genetic counseling services.<\/jats:p>","DOI":"10.1007\/s10897-014-9813-5","type":"journal-article","created":{"date-parts":[[2015,1,6]],"date-time":"2015-01-06T01:07:10Z","timestamp":1420506430000},"page":"822-832","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["All in the Family: Barriers and Motivators to the Use of Cancer Family History Questionnaires and the Impact on Attendance Rates"],"prefix":"10.1002","volume":"24","author":[{"given":"Susan Randall","family":"Armel","sequence":"first","affiliation":[{"name":"The Familial Breast and Ovarian Cancer Clinic Princess Margaret Cancer Centre 610 University Ave., Room M\u2010704 Toronto ON M5G 2M9 Canada"},{"name":"Department of Gynecologic Oncology Princess Margaret Cancer Centre Toronto ON Canada"},{"name":"Department of Molecular Genetics University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanna","family":"McCuaig","sequence":"additional","affiliation":[{"name":"The Familial Breast and Ovarian Cancer Clinic Princess Margaret Cancer Centre 610 University Ave., Room M\u2010704 Toronto ON M5G 2M9 Canada"},{"name":"Department of Gynecologic Oncology Princess Margaret Cancer Centre Toronto ON Canada"},{"name":"Department of Molecular Genetics University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Gojska","sequence":"additional","affiliation":[{"name":"The Familial Breast and Ovarian Cancer Clinic Princess Margaret Cancer Centre 610 University Ave., Room M\u2010704 Toronto ON M5G 2M9 Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rochelle","family":"Demsky","sequence":"additional","affiliation":[{"name":"The Familial Breast and Ovarian Cancer Clinic Princess Margaret Cancer Centre 610 University Ave., Room M\u2010704 Toronto ON M5G 2M9 Canada"},{"name":"Department of Gynecologic Oncology Princess Margaret Cancer Centre Toronto ON Canada"},{"name":"Department of Molecular Genetics University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjula","family":"Maganti","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Princess Margaret Cancer Centre Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Murphy","sequence":"additional","affiliation":[{"name":"The Familial Breast and Ovarian Cancer Clinic Princess Margaret Cancer Centre 610 University Ave., Room M\u2010704 Toronto ON M5G 2M9 Canada"},{"name":"Department of Gynecologic Oncology Princess Margaret Cancer Centre Toronto ON Canada"},{"name":"Department of Obstetrics and Gynecology University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry","family":"Rosen","sequence":"additional","affiliation":[{"name":"The Familial Breast and Ovarian Cancer Clinic Princess Margaret Cancer Centre 610 University Ave., Room M\u2010704 Toronto ON M5G 2M9 Canada"},{"name":"Department of Gynecologic Oncology Princess Margaret Cancer Centre Toronto ON Canada"},{"name":"Department of Obstetrics and Gynecology University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,1,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200008000-00021"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/298745"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-011-9399-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-009-9228-x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-011-9359-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.09.027"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0004.1999.550605.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2001.01866.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdp.2005.06.009"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/109065704323016003"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.314.7076.281"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10689-011-9482-6"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7212.757"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.37.6.470"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-2797(03)00073-5"},{"issue":"1","key":"e_1_2_6_17_1","first-page":"33","article-title":"Colorado family physicians' knowledge of hereditary breast cancer and related practice","volume":"16","author":"Mouchawar J.","year":"2001","journal-title":"Journal of Cancer Education : The Official Journal of the American Association for Cancer Education"},{"issue":"5","key":"e_1_2_6_18_1","first-page":"105","article-title":"P091 non\u2010acceptance of an appointment at the familial cancer clinic: a preliminary telephone survey","volume":"16","author":"Poplawski N.","year":"2009","journal-title":"Current Oncology"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3181a7e8e0"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-006-9051-6"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-011-9351-3"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10689-008-9228-2"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3187"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26166"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.03.025"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/gtmb.2010.0158"},{"issue":"4","key":"e_1_2_6_27_1","first-page":"295","article-title":"Physician use of genetic testing for cancer susceptibility: results of a national survey","volume":"12","author":"Wideroff L.","year":"2003","journal-title":"Cancer Epidemiology, Biomarkers & Prevention : A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s10897-014-9813-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T14:00:08Z","timestamp":1694786408000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s10897-014-9813-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,7]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1007\/s10897-014-9813-5"],"URL":"https:\/\/doi.org\/10.1007\/s10897-014-9813-5","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,7]]}}}