“Let’s Chat”: A qualitative study exploring intergenerational communication on social media group chats as a cancer prevention intervention opportunity among Vietnamese American families (Preprint)

2021 ◽  
Author(s):  
Huong Thien Duong ◽  
Suellen Hopfer

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.

2021 ◽  
Vol 48 (2) ◽  
pp. 208-219
Author(s):  
Huong T. Duong ◽  
Suellen Hopfer

Vietnamese Americans are disproportionately affected by preventable late-stage cancers. This study capitalizes on the protective role of family networks to develop an online social media family group chat intervention promoting cancer screening among Vietnamese American families. A feasibility study was conducted to assess implementing Let’s Chat, a 4-week intergenerational family group chat intervention to increase cancer screenings. Vietnamese American young adults were trained to act as family health advocates on their private family group chats and share cancer screening messages. The intervention covered material on recommended screenings for colonoscopy for those aged 45+ years, HPV (human papillomavirus) vaccination for young adults, and Pap testing for women. Ten families ( n = 41) participated. Family group chat content analysis resulted in (a) sharing personal screening experiences, (b) family members being prompted to schedule cancer screening appointments after discussions in the chat, and (c) family members expressing a sense of urgency to follow up with cancer screening. Postintervention survey results revealed that 48% of participants received screening/vaccination, 77% reported intent to schedule an appointment to discuss recommended screenings, 61% reported discussing cancer screenings outside their group chat, 84% felt comfortable discussing screenings with family after the intervention, and 68% agreed that the group chat facilitated comfort around cancer screening discussions. Family members reported feeling closer to their family and greater comfort discussing cancer and cancer screening. Results from the Let’s Chat feasibility study indicate promise for implementing a randomized trial conditional on grouping family chats by age and gender to increase cancer screenings among Vietnamese American families.


Author(s):  
Huong T Duong ◽  
Suellen Hopfer

Abstract Vietnamese Americans have a higher rate of cervical and colorectal cancer (CRC) compared to other ethnicities. Increasing CRC screening, Pap testing, and HPV vaccination is critical to preventing disproportionate cancer burden among Vietnamese families. To describe the successes and challenges of implementing a novel intergenerational family group chat intervention that encourages CRC screening, Pap testing, and HPV vaccination. Young adult Family Health Advocates (FHAs) were trained to facilitate online family group chat conversations to encourage cancer screenings. Ten families participated in a 4-week intervention. Data collection included screenshot data of family group chat conversations, family member surveys, and post-intervention FHA interviews. Intervention implementation successes included (a) cultural and language brokering, (b) active co-facilitation by family members to follow up on cancer screenings, (c) high levels of family group chat engagement, (d) high acceptability of intervention among families, and (e) accessibility of intervention curriculum. FHA challenges to implement the intervention included (a) sustaining cancer prevention conversations, (b) comfort with navigating family conversations around cancer screening, (c) relevance for all family members, and (d) missed opportunities for correcting misinformation. Researcher challenges included family recruitment and retention. The intervention made cancer-screening messages more accessible and was well accepted by Vietnamese families. Scaling up the intervention will require (a) training FHAs to monitor family conversations and build confidence in sharing medical accurate messages, (b) segmenting group chats by age and gender, and (c) employing multiple family engagement strategies.


2017 ◽  
Vol 2 (4) ◽  
pp. 133-142 ◽  
Author(s):  
Connie Kim Yen Nguyen-Truong ◽  
Kim Quy Vo Nguyen ◽  
Thai Hien Nguyen ◽  
Tuong Vy Le ◽  
Anthony My Truong ◽  
...  

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e13076-e13076
Author(s):  
Ana Maria Lopez ◽  
Jennyffer Morales ◽  
Garrett Harding ◽  
Donna Branson

e13076 Background: Cancer prevention and cancer screening behaviors are challenging to support. A myriad of variables including improved knowledge, language access, and health care access serve as facilitators for cancer screening behaviors. Utah is a vast state that is remarkably sparsely populated with more than 96% of the state defined as either rural (< 100 persons per square mile) or frontier (< 7 persons per square mile). Huntsman Cancer Institute is the only academic health center in the Mountain West and serves as the only NCI Comprehensive Cancer Center in the region. Methods: Access to the internet and to social media helps to bridge geography and support engagement. Facebook Live and Twitter Chats were used to deliver content. Language, Spanish, access was considered. Social media was also utilized to connect interested populations with in-person cancer prevention education events. Results: We will present our outreach results by intervention. Conclusions: Our work has successfully engaged rural and Latino populations in cancer prevention activities through social media.


2017 ◽  
Author(s):  
Urmimala Sarkar ◽  
Gem M Le ◽  
Courtney R Lyles ◽  
Danielle Ramo ◽  
Eleni Linos ◽  
...  

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 127s-127s
Author(s):  
L.Y. Su ◽  
C.Y. Wu ◽  
C.L. Wang

Background and context: In 2012, Hope Foundation for Cancer Care initiated “Running for Hope” project (road running around Taiwan) to raise awareness of Pap test and female cancers, during which lack of awareness about cancer prevention among general public was observed. To further educate the awareness, HOPE foundation launched campaigns in campus to aim at younger generations. According to both World Cancer Research Fund (WCRF) and Union for International Cancer Control (UICC), by adopting healthier style of life, which includes staying away from cancer-causing factors, healthy diet, regular exercise, weight management and effective cancer screening, millions cancers on a global scale can actually be prevented. Aim: To implement campaigns about healthy life styles which include staying away from cancer-causing factors, healthy diet, regular exercise, weight management and effective cancer screening. Strategy/Tactics: To implement “5 Tips to Stay Away From Cancer” campaign. The five tips are: proper diet, regular exercise, saying no to cigarettes, alcohol and beetle nuts, weight management and regular screening. Program/Policy process: In 2013 and 2014, cancer prevention short films were played in campuses. In 2015, taken inspiration from Running for HOPE project in 2012, a campaign for raising awareness for female cancer was initiated by using new social media and smart phones with the display of “HOPE” logo on screens. In 2016, renowned cross-disciplinary artist Mr. Eyeball was invited to create the mascot Bao-Di, launching the new cancer-prevention slogan “Cancer prevention—five tips to keep you safe—proper diet, regular exercise, saying no to cigarettes, alcohol and beetle nuts, weight management and regular screening”. The mascot Bao-Di took on the role of educating the public about how to prevent cancer. In 2017, more social media strategies were applied, including the Bao-Di journal, celebrity-featured short-films, Line stickers and taxi advertisements. Outcomes: 1. 7 screenings of short films with 1843 views in campus (2013), 9 screenings of documentary in local communities with 545 views (2014). 2. 505 people joined Running for Hope project in photo-taking with the “HOPE” logo during 6 weeks of campaign (2015), 1028 people participated “Hope You are Here” campaign. 3. 24,290 people were reached through Bao-Di Journal project with its friendly campaign “Cancer prevention–five tips to keep you safe”. 4. 121,335 people total viewed the two celebrity-featured short films on YouTube. 5. 365 download of Line stickers. What was learned: 1. Lack of awareness about cancer-prevention through direct contact with general public during the road running project was observed. Therefore, more effort in education is foreseen. 2. Development of localized risk-reducing signs and mascots taken inspiration from campaigns of international cancer-prevention organizations. 3. Application of new social media to raise cancer-prevention awareness.


2018 ◽  
Vol 20 (6) ◽  
pp. e203 ◽  
Author(s):  
Urmimala Sarkar ◽  
Gem M Le ◽  
Courtney R Lyles ◽  
Danielle Ramo ◽  
Eleni Linos ◽  
...  

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Sunday Joseph Ayamolowo ◽  
Lydia Feyisayo Akinrinde ◽  
Monisola Omoyeni Oginni ◽  
Love Bukola Ayamolowo

The global incidence of cancer is rising, and low-income and lower-middle-income countries have the worst figures. However, knowledge of cervical cancer prevention and cervical cancer screening practices remains poor in these regions. This study assessed the concept of health literacy as a potential determinant of knowledge of cervical cancer prevention and screening practices among female undergraduates. A descriptive cross-sectional study was conducted among 385 female undergraduates at a university in southwest Nigeria. A validated questionnaire composed of subscales on nine components of health literacy, knowledge of cervical cancer prevention, and cervical cancer screening practices was used for data collection. The majority of the respondents obtained a high score on most of the components of health literacy and 66% had good knowledge of cervical cancer prevention. Only 11% demonstrated good practices of Pap smear testing. Of all the components of health literacy, “feeling understood and supported by healthcare providers” (OR = 0.075; 95% CI [0.036–0.115]; p = 0.015) and “understanding health information well enough to know what to do” (OR = 0.055; 95% CI [0.006–0.104]; p = 0.029) were significantly associated with knowledge of cervical cancer prevention. Out of the major challenges related to cervical cancer screening among undergraduates, the feeling of being at risk (OR = 4.71; p < 0.05) and uncomfortable experiences from past screening (OR = 0.12; p < 0.05) were significantly associated with going for cervical cancer screening. The study concluded that levels of health literacy influenced knowledge of cervical cancer prevention among female undergraduates, but it did not affect their engagement in cervical cancer screening practices.


Sign in / Sign up

Export Citation Format

Share Document