Risk Communication Within Mexican-American Families
| Status: | Completed |
|---|---|
| Conditions: | Breast Cancer, Colorectal Cancer, Cancer, Peripheral Vascular Disease |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Oncology |
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 3/24/2019 |
| Start Date: | April 27, 2007 |
The Role of Family History and Culture in Communal Coping Within Mexican-American Families
This study will examine what methods work best for encouraging Mexican-American family
members to talk about their risk for diabetes, heart disease, breast cancer and colon cancer.
Within the Mexican-American community, the family culture provides an important setting in
which individuals interpret and share their health information and formulate strategies to
engage in health-promoting behaviors. The information from the study will be used to design
risk communication approaches for Mexican-American households.
Members of households with at least three adults 18 to 70 years of age who are part of the
existing Mexican-American households recruited by the University of Texas M.D. Anderson
Cancer Center may be eligible for this study.
Participants are interviewed about their medical history, family history of disease, health
behaviors, beliefs about disease and disease risk, experiences living in the United States,
and relationships with family members and close friends. They are then provided information
about their family risk for diabetes, heart disease, breast cancer and colon cancer, based on
the information they provided in the interview. Two additional interviews are conducted over
the telephone that include questions about how the participants communicate with family
members about their risk and health behaviors.
members to talk about their risk for diabetes, heart disease, breast cancer and colon cancer.
Within the Mexican-American community, the family culture provides an important setting in
which individuals interpret and share their health information and formulate strategies to
engage in health-promoting behaviors. The information from the study will be used to design
risk communication approaches for Mexican-American households.
Members of households with at least three adults 18 to 70 years of age who are part of the
existing Mexican-American households recruited by the University of Texas M.D. Anderson
Cancer Center may be eligible for this study.
Participants are interviewed about their medical history, family history of disease, health
behaviors, beliefs about disease and disease risk, experiences living in the United States,
and relationships with family members and close friends. They are then provided information
about their family risk for diabetes, heart disease, breast cancer and colon cancer, based on
the information they provided in the interview. Two additional interviews are conducted over
the telephone that include questions about how the participants communicate with family
members about their risk and health behaviors.
The current project aims to understand the mechanisms underlying communications about
familial risk for common, complex diseases and the development of strategies by Mexican
American families to address this risk. For the Mexican American community, the family
culture provides an important setting within which individuals will interpret their health
information, share health information, and formulate strategies to engage in health promoting
behaviors. This family culture can be defined by the family social structure, the degree of
acculturation represented by household members, as well as socio-economic factors.
Participants for the current project will be recruited from an ongoing population-based
cohort of Mexican American households initiated by the Department of Epidemiology at the
University of Texas MD Anderson Cancer Center (UTMDACC). At least three adults, two of which
are biological relatives, living within the same residence from 160 multigenerational Mexican
American households will participate in this study. Medical risk information (feedback) will
be provided to participants based upon family history information that they provide about
four complex diseases: diabetes, heart disease, breast cancer and colon cancer. The feedback
will be randomized in two ways varying who within the family is provided the feedback
(Receiver of the Feedback) and what information is provided (Content of Feedback). The data
will allow us to examine whether the family-centered feedback approach (where all
participating family members receive feedback), rather than the individual-focused feedback
approach (where only one participating family member receives feedback), encourages
communications regarding disease risk among family members. The medical risk feedback will
also be randomized as to whether they receive disease risk information only (predisposing
risk feedback) or disease risk information coupled with personalized recommendations for
behavior change to reduce risks (predisposing plus enabling feedback). These data will allow
us to examine the impact of the content of risk feedback based on the CDC s family health
history tool Family Healthware on beliefs concerning the underlying causes and
controllability of common diseases. Cross comparisons between the data obtained from who
receives the medical risk information and the content of that information will help in
understanding the role of beliefs about disease and communication about family risk for
disease in the development of shared perceptions of risk and strategies to adopt health
promoting behaviors within the family. The role of the familial and cultural context in the
communication and strategy development process will also be investigated.
familial risk for common, complex diseases and the development of strategies by Mexican
American families to address this risk. For the Mexican American community, the family
culture provides an important setting within which individuals will interpret their health
information, share health information, and formulate strategies to engage in health promoting
behaviors. This family culture can be defined by the family social structure, the degree of
acculturation represented by household members, as well as socio-economic factors.
Participants for the current project will be recruited from an ongoing population-based
cohort of Mexican American households initiated by the Department of Epidemiology at the
University of Texas MD Anderson Cancer Center (UTMDACC). At least three adults, two of which
are biological relatives, living within the same residence from 160 multigenerational Mexican
American households will participate in this study. Medical risk information (feedback) will
be provided to participants based upon family history information that they provide about
four complex diseases: diabetes, heart disease, breast cancer and colon cancer. The feedback
will be randomized in two ways varying who within the family is provided the feedback
(Receiver of the Feedback) and what information is provided (Content of Feedback). The data
will allow us to examine whether the family-centered feedback approach (where all
participating family members receive feedback), rather than the individual-focused feedback
approach (where only one participating family member receives feedback), encourages
communications regarding disease risk among family members. The medical risk feedback will
also be randomized as to whether they receive disease risk information only (predisposing
risk feedback) or disease risk information coupled with personalized recommendations for
behavior change to reduce risks (predisposing plus enabling feedback). These data will allow
us to examine the impact of the content of risk feedback based on the CDC s family health
history tool Family Healthware on beliefs concerning the underlying causes and
controllability of common diseases. Cross comparisons between the data obtained from who
receives the medical risk information and the content of that information will help in
understanding the role of beliefs about disease and communication about family risk for
disease in the development of shared perceptions of risk and strategies to adopt health
promoting behaviors within the family. The role of the familial and cultural context in the
communication and strategy development process will also be investigated.
- INCLUSION CRITERIA
- Member household of existing population-based cohort of Mexican-American households
recruited by the Department of Epidemiology at UTMDACC. The existing population based
cohort consists of self-identified Mexican-Americans living in predominantly
Mexican-American neighborhoods in the Houston area. All individuals in the cohort are
18 years of age or older and had to be able to complete a personal interview.
- Household includes at least three adults (18 to 70 years of age) who are willing to
participate in the study, where at least two of the household participants are related
biologically and represent differing generations, and additionally in which one
household participant is a spouse or partner of another household participant.
- Ability for each participating household member to complete one in-home survey
instrument via computerized assessment tool or personal interview and to complete two
telephone interviews.
- Ability of all household participants to speak either English or Spanish.
EXCLUSION CRITERIA
More than two household members are unable to complete the baseline questionnaire using a
computerized assessment tool.
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