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.

中文翻译：

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帮助母亲和女儿谈论环境乳腺癌的风险和降低生活方式的行为。

背景：母女俩努力谈论乳腺癌的风险。对癌症的环境决定因素的关注甚至更少。第三方在线方法可能有助于在这些对话中进行导航。这项研究的目的是从接受社交媒体干预的母亲（“妈妈博客”）那里获得反馈，并确定他们偏爱消息设计方法，这些方法可以帮助他们与女儿谈论环境乳腺癌的风险。方法：我们对50名母亲进行了半结构化访谈。使用常数比较法进行了主题分析。结果：母亲确定了四种信息设计方法，可以帮助促进母女就环境乳腺癌风险进行沟通。其中包括两种着眼于开始对话并保持对话进行的以行动为导向的方法，以及两种基于寿命因素通过使用适合年龄的语言和视觉手段并着重于发展特定的生活方式行为来促进女儿参与的方法。母亲还提供了每种方法的推荐策略。结论：母亲们发现干预者可以采用各种方法来克服与女儿谈论环境乳腺癌风险的障碍。为了促进母女之间的交流，信息应该以行动为导向，以促进互动，但在发展过程中，要考虑到女儿的寿命和发展方面的考虑。