Accepted for/Published in: JMIR Formative Research
Date Submitted: Dec 10, 2021
Open Peer Review Period: Dec 10, 2021 - Feb 4, 2022
Date Accepted: Dec 13, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
“Let’s Chat”: A qualitative study exploring intergenerational communication on social media group chats as a cancer prevention intervention opportunity among Vietnamese American families
ABSTRACT
Background:
The adoption of mobile technology in the family context presents a novel cancer prevention opportunity. There have been few studies to our knowledge that have utilized private social media group chats as a way to promote health information.
Objective:
In this formative study, we investigate how family group chat platforms can be leveraged to encourage colorectal, HPV vaccination, and cervical cancer screening among intergenerational Vietnamese American families.
Methods:
Twenty semi-structured interviews were conducted with Vietnamese young adults to co-create a communication intervention for introducing cancer screening information as part of family social media group chats.
Results:
13 of the 20 young adults (65%) reported having more than one group chat with immediate and extended family. Preventive health was not a typical topic of family conversations, while food, family announcements, personal updates, humorous videos or photos, and current events were. Young adults expressed openness to initiating conversation with family members about cancer prevention but also raised concerns that may influence family members’ receptivity to the messages. Themes that potentially could impact family members’ willingness to accept cancer prevention messages included (a) family status and hierarchy, (b) gender dynamics, (c) family relational closeness, and (d) source trust and credibility. These considerations may impact whether families will be open to receiving cancer screening information and acting on it. Participants also mentioned practical considerations for intervention and message design including the (a) Vietnamese cultural conversation etiquette of “hỏi thăm,” (b) respect for a doctor’s recommendation, (c) prevention vs. symptom orientation, (d) the FHA’s bilingual capacity, and (e) the busy lives of family members. In response to exemplar messages, participants mentioned that they would prefer to personalize template messages to accommodate conversational norms in their family group chats.
Conclusions:
Findings from this study inform the development of a social media intervention for increasing preventive cancer screening in Vietnamese American families.
Citation
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