Helping Mothers and Daughters Talk about Environmental Breast Cancer Risk and Risk-Reducing Lifestyle Behaviors

• Published in: International journal of environmental research and public health 2020-07, Vol.17 (13), p.4757
• Main Authors: Fisher, Carla L., Wright, Kevin B., Rising, Camella J., Cai, Xiaomei, Mullis, Michaela D., Burke-Garcia, Amelia, Afanaseva, Dasha
• Format: Article
• Language: English
• Subjects: Blogs; Breast cancer; Daughters; Digital media; Environmental research; Families & family life; Family medical history; Health aspects; Health behavior; Health care; Health risk assessment; Health risks; Intervention; Life span; Lifestyles; Mother-daughter relations; Mothers; Public health; Risk; Risk reduction; Risk taking; Social aspects; Social networks; System theory; Third party; Verbal communication; Womens health
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph17134757

Background: Mothers and daughters struggle to talk about breast cancer risk. Even less attention is paid to environmental determinants of cancer. Third-party online approaches can be helpful navigating these conversations. The aim of this study was to obtain feedback from mothers exposed to a social media intervention (“mommy bloggers”) and identify their preferences for message-design approaches that could help them talk to their daughter(s) about environmental breast cancer risk. Methods: We conducted semi-structured interviews with 50 mothers. A thematic analysis was conducted using the constant comparative method. Results: Mothers identified four approaches to message design that could help facilitate mother–daughter communication about environmental breast cancer risk. These included two action-oriented approaches that centered on getting the conversation started and keeping the conversation going and two approaches based on lifespan factors to promote daughters’ engagement by using age-appropriate language and visuals and focusing on developmentally specific lifestyle behaviors. Mothers also provided recommended strategies within each approach. Conclusions: Mothers identified various approaches interventionists can utilize to overcome barriers to talking to daughters about environmental breast cancer risk. To promote mother–daughter communication, the messages should be action-oriented to facilitate interaction, but also developed with lifespan and developmental considerations in mind to engage daughters.