This project will investigate whether a family-centered approach to providing personalized risk feedback based on family health history encourages the communication among family members of family risk for common, complex disease, the development of shared appraisals of risk, and the promotion of cooperative strategies to reduce risk through screening and lifestyle changes. Additionally, we will investigate whether the content of feedback affects participants' beliefs about the causes and controllability of disease and whether these beliefs impact the development of cooperative strategies to adopt health promoting behaviors. The influence of participants' cognitive, familial, and cultural context on these processes will also be examined. Specific aims that will be addressed within this project include:
1. Examine whether a family-centered feedback approach, as compared to an individual-focused approach, encourages communications regarding family risk and the development of strategies (i.e. whether a family member encourages screening) to adopt health promoting behaviors within the household.2. Investigate whether the type of personalized risk feedback (predisposing or predisposing plus enabling) affects family members' beliefs about the causes and controllability of disease onset and perceived risk for disease.
3. Investigate whether shared perceptions of risk and beliefs about disease mediates the relationship between communications about family risk and the development of cooperative strategies (i.e. whether a family member encourages screening) to adopt health promoting behaviors within the family.4. Understand how culture and the familial social system facilitate or impede communications regarding family health history and risk for disease, and the development of strategies (i.e. whether a family member encourages screening) to adopt health promoting behaviors. |