Concern as Motivation for Protection: An Investigation of Mothers' Concern About Daughters' Breast Cancer Risk

Neuberger, Lindsay; Silk, Kami J.; Yun, Doshik; Bowman, Nicholas David; Anderson, Jenn

doi:10.1080/10810730.2011.571339

Cited by 12 publications

(8 citation statements)

References 28 publications

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“…In addition a "call to action" was placed at the bottom of each message clearly identifying the action that should be taken, as a way to build behavioral intention for the mother reading the message. Effective incorporation of the theoretical concepts of severity, susceptibility, self-efficacy, and behavioral intention in message design has been widespread (see Cameron et al, 2009;Neuberger, Silk, Yun, Bowman, & Anderson, 2011;Prestin & Nabi, 2009;Silk, Parrot, & Dillow, 2003;Yun, Silk, Bowman, Neuberger, & Atkin, 2009). The three messages used (i.e., BPA, PFOA, radiation) can be found in Appendix A.…”

Section: Message Conceptsmentioning

confidence: 99%

Translating and Testing Breast Cancer Risk Reduction Messages for Mothers of Adolescent Girls

Silk

Perrault

Neuberger

et al. 2013

Journal of Health Communication

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Emerging scientific findings regarding breast cancer science are typically presented only in discipline specific journals in which the general public and those at risk have limited access, creating a development-to-delivery gap between the state of the science and public knowledge. A lack of collaboration between scientists, communication experts, and community partners further compounds this lack of information available to the public. The present study translates recent scientific findings about environmental breast cancer risks into palatable magazine-style messages for mothers of young daughters as a strategy to meet the call for greater translation and dissemination of scientific results to the lay public. Results from focus groups indicate that mothers actually want more science in messages and greater explication of findings that indicate causality. Mothers also expect polished, professional messages that are representative of their daughters and provide a source for further information seeking purposes. Recommendations for future translation and message design endeavors are discussed.

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Section: Message Conceptsmentioning

confidence: 99%

Translating and Testing Breast Cancer Risk Reduction Messages for Mothers of Adolescent Girls

Silk

Perrault

Neuberger

et al. 2013

Journal of Health Communication

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“…Mothers pair bond with children, especially adult daughters, about health matters and invest considerable resources in the social relationship [18]. Eighty-eight percent of mothers diagnosed with breast cancer believed it was their personal responsibility to communicate cancer risks to their family [19]. It should not be assumed that at-risk family members are informed by relatives, some parents, particularly men, do not inform adult children [20].…”

Section: Discussionmentioning

confidence: 99%

Communication by Mothers with Breast Cancer or Melanoma with Their Children

Gaber

Desai

Smith

et al. 2013

IJERPH

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Communication of familial risk of breast cancer and melanoma has the potential to educate relatives about their risk, and may also motivate them to engage in prevention and early detection practices. With the Health Insurance Portability and Accountability Act (HIPAA) privacy laws, the patient often becomes the sole communicator of such risks to family members. This study surveys mothers diagnosed with either breast cancer or melanoma and their adult children about their family communication style, knowledge of increased risk, and early detection practices. In both cancer groups, most mothers alerted their children of the risk and need for early detection practices. Breast cancer mothers communicated risk and secondary prevention with early detection by breast self-examination and mammograms whereas the melanoma mothers communicated risk and primary prevention strategies like applying sunscreen and avoiding deliberate tanning. Open communication about health matters significantly increased the likelihood that children engaged in early detection and/or primary prevention behaviors. Examining the information conveyed to at-risk family members, and whether such information motivated them to engage in early detection/prevention behaviors, is key to guiding better cancer prevention communication between doctors and patients.

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“…PMT addresses the process of whether a person will respond to a health threat, such as breast cancer risk, by adopting specific behaviors [34, 35]. PMT describes processes of coping with a health threat that incorporate aspects of the disease threat (e.g., breast cancer) and the potential means to cope with this risk (e.g., chemoprevention or MRI).…”

Section: Methodsmentioning

confidence: 99%

A web-based personalized risk communication and decision-making tool for women with dense breasts: Design and methods of a randomized controlled trial within an integrated health care system

Knerr¹,

Wernli²,

Leppig³

et al. 2017

Contemporary Clinical Trials

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Background Mammographic breast density is one of the strongest risk factors for breast cancer after age and family history. Mandatory breast density disclosure policies are increasing nationally without clear guidance on how to communicate density status to women. Coupling density disclosure with personalized risk counseling and decision support through a web-based tool may be an effective way to allow women to make informed, values-consistent risk management decisions without increasing distress. Methods/design This paper describes the design and methods of Engaged, a prospective, randomized controlled trial examining the effect of online personalized risk counseling and decision support on risk management decisions in women with dense breasts and increased breast cancer risk. The trial is embedded in a large integrated health care system in the Pacific Northwest. A total of 1,250 female health plan members aged 40–69 with a recent negative screening mammogram who are at increased risk for interval cancer based on their 5-year breast cancer risk and BI-RADS® breast density will be randomly assigned to access either a personalized web-based counseling and decision support tool or standard educational content. Primary outcomes will be assessed using electronic health record data (i.e., chemoprevention and breast MRI utilization) and telephone surveys (i.e., distress) at baseline, six weeks, and twelve months. Discussion Engaged will provide evidence about whether a web-based personalized risk counseling and decision support tool is an effective method for communicating with women about breast density and risk management. An effective intervention could be disseminated with minimal clinical burden to align with density disclosure mandates.

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Concern as Motivation for Protection: An Investigation of Mothers' Concern About Daughters' Breast Cancer Risk

Cited by 12 publications

References 28 publications

Translating and Testing Breast Cancer Risk Reduction Messages for Mothers of Adolescent Girls

Translating and Testing Breast Cancer Risk Reduction Messages for Mothers of Adolescent Girls

Communication by Mothers with Breast Cancer or Melanoma with Their Children

A web-based personalized risk communication and decision-making tool for women with dense breasts: Design and methods of a randomized controlled trial within an integrated health care system

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