Table 4.

Supporting quotes

Theme	Interaction	ARCH original study
Non-specific enquiry	GP: Okay, and is there anything that runs in your family any medical problems at all? PT: In my family? GP: Yeah anything in your parents or brothers or sisters or grandparents? PT: No. PT: Er mum …yeah she got asthma or something like that GP: Yep PT: Yeah yeah GP: Okay but you’ve never had any problems like this fine and do you drink any alcohol or smoke PT: No no	TS-GP08-01
	GP: Well what about your family any um illness run in your family? PT: Um no GP: Um okay now what about bees	IS-GP05-05
	GP: … we’ll examine you today and make sure that’s okay. What about in your family any of those things run in your family at all? DA: Um nothing runs in the family… we, my aunt told me	TS-GP08-21
	GP: …anything that runs in your family? PT: Nope, my family’s GP: Yeah good PT: My husband’s well my ex husband’s would be a different story GP: But your fam- there’s no strong family history of any type of cancer or anything like that PT: Nope PT: Nothing GP: Fine	TS-GP08-23
Enquiry through context	GP: Any family history with bowel problems? PT: Um my aunty had bowel cancer but um that’s all GP: How old was she when she got it? PT: She was late sixties GP: Right PT: But nothing you know my parents both died of smoking related diseases GP: Mm mm PT: So but apart from that there was nothing	TS-GP03-07a
	GP: Does anyone else in your family have diabetes? PT: No GP: Okay PT: No it’s not in the family	DS-GP19-02a
	GP: Is um whether there’s any significant family history of heart disease, anything there in your family? PT: Not sure about heart, so leukaemia’s different isn't it? GP: Angina or heart, yeah PT: Yeah GP: Angina or heart attack, parents or grandparents PT: Yeah, my grandfather did have a heart attack	IS-GP02-02
	GP: ….it’s just a little, it’s a small spot that’s bleeding on your chest a bleeding spot on your chest, yep, there’s no family history of skin cancer that I should be aware of or any skin problems? PT: Not that I know of GP: No that’s fine, that’s okay	IS-GP06-08
Multiple conditions enquiry, and patient contextualising response	GP: ….and anything that runs in your family? Any strong history of heart disease or cancers or blood pressure problems, diabetes, anything? PT: No GP: …like that PT: Um no, nothing like that just my granddad PT: Yeah well my grandparents were pretty old when they died GP: Mmm PT: Um except for one, there was an accident so, yes nothing really pretty, pretty, pretty good genetics although I’ve got poor hearing from my mother’s side but yeah I mean that’s something I’ve known about for years, might need to get a hearing aid 1 day…	TS-GP08-19
Enquiry through context – highlighting the unknown	GP: Can I ask you a few more questions… is there any family history of any cancers in your family? PT: Um yes GP: Which ones? PT: On my father’s side I don't know much, he was an only child with elderly parents so I never even met them and um so I don't know much about that except his cousin had cancer, um started with er testicles I think and then carried on um he’s now passed	DS-GP32-05_Taboo
	GP: Any er cancer in your family? Especially breast cancer PT: Possibility of breast cancer my mum’s side GP: Who? PT: My mother’s, my grandmother GP: Your grandmother? PT: Yep GP Had breast cancer PT: Yep um, yeah yep she had one breast removed about, it’s all a bit it’s from quite a long time ago, they’re a bit unsure as to how accurate the diagnosis was yeah so	TS-GP14-02
	GP: ….have either you or your family had a history of any skin cancer or anything like that? PT: No. Not that I’m aware of but I’ve got very narrow family I’ve only got mum, dad, and they’ve got no brothers or sisters there’s no aunty or uncles and, much above that don’t really know to be honest	TS-GP08-02

ARCH, Applied Research on Communication in Health.