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dc.contributor.authorWilson, Carlene J
dc.contributor.authorde la Haye, Kayla
dc.contributor.authorCoveney, John David
dc.contributor.authorHughes, Donna L
dc.contributor.authorHutchinson, Amanda
dc.contributor.authorMiller, Caroline
dc.contributor.authorPrichard, Ivanka Joyce
dc.contributor.authorWard, Paul Russell
dc.contributor.authorKoehly, Laura M
dc.date.accessioned2017-11-01T04:58:06Z
dc.date.available2017-11-01T04:58:06Z
dc.date.issued2016
dc.identifier.citationWilson, C.J., de la Haye, K., Coveney, J.D., Hughes, D.L.A., Hutchinson, A., Miller, C., et al. (2016). Protocol for a randomized controlled trial testing the impact of feedback on familial risk of chronic diseases on family-level intentions to participate in preventive lifestyle behaviors. BMC Public Health, 16(1) pp. Art: 965.en
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/2328/37654
dc.descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.description.abstractBackground Common disease risk clusters in families due to shared genetics, exposure to environmental risk factors, and because many health behaviours are established and maintained in family environments. This randomised controlled trial will test whether the provision of a family health history (FHH) risk assessment tool increases intentions and engagement in health behaviors. Message distribution and collective behavior change within family networks will be mapped using social network analysis. The relative intervention impact will be compared between families from different ethnic backgrounds. Methods One hundred and fifty mothers (50 Anglo-Australian, 50 Italian-Australian, 50 Vietnamese-Australian) will be recruited, with four or more other family members across three generations, including a child (aged 10-18 years). Each family is randomly assigned to intervention or control. At baseline and 6-month follow-up, all participants complete surveys to assess dietary and physical activity intentions and behaviors, attitudes towards food, and perceived disease risk. Intervention families receive a visual pedigree detailing their FHH of diabetes, heart disease, breast and bowel cancer, a health education workbook to ascertain members- disease risk (i.e. average or above average risk), and screening and primary prevention recommendations. After completion of follow-up assessments, controls will receive their pedigree and workbook. The primary hypothesis is that attitudes and lifestyle behaviors will improve more within families exposed to FHH feedback, although the extent of this improvement may vary between families from different ethnic backgrounds. Additionally, the extent of improvement in the treatment group will be moderated by the level of family disease risk, with above-average risk leading to greater improvement. A secondary aim will explore different family members- roles in message distribution and collective responses to risk using social network approaches and to compare network functioning between families with different ethnic backgrounds. Discussion Results will guide future health promotion programs aimed at improving lifestyle factors. This research will assess whether FHH can motivate families to adopt family-level strategies to support health promoting behaviors. Secondary analyses aim to identify change agents within the family who are particularly effective in shifting normative behaviors.en
dc.language.isoen
dc.publisherBioMed Centralen
dc.relationhttp://purl.org/au-research/grants/ARC/LP100200549en
dc.rightsThe Author(s). 2016en
dc.subjectIntergeneration transmissionen
dc.subjectEating behavioren
dc.subjectHealth behavioren
dc.subjectFamily health historyen
dc.subjectRandomised clinical trialsen
dc.subjectCultureen
dc.titleProtocol for a randomized controlled trial testing the impact of feedback on familial risk of chronic diseases on family-level intentions to participate in preventive lifestyle behaviorsen
dc.typeArticleen
dc.relation.grantnumberARC/LP100200549
dc.identifier.doihttps://doi.org/10.1186/s12889-016-3623-7en
dc.rights.holderThe Author(s)en
local.contributor.authorOrcidLookupWard, Paul Russell: https://orcid.org/0000-0002-5559-9714en_US


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