Helping Mothers And Daughters Talk About Environmental Breast Cancer Risk And Risk-Reducing Lifestyle Behaviors

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 ongetting the conversation startedandkeeping the conversation goingand two approaches based on lifespan factors to promote daughters' engagement byusing age-appropriate language and visualsandfocusing 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.