Identifying individuals with hereditary cancer predisposition can improve health outcomes for patients and their family members through early cancer detection and prevention strategies. Prior research about family sharing of genetic test results among those with hereditary breast cancer has overwhelmingly been limited to the BRCA1 and BRCA2 genes. The present study sought to compare family sharing behaviors in women with pathogenic BRCA variants to women with pathogenic variants in the more recently identified and characterized PALB2 gene. A total of 18 BRCA carriers and 13 PALB2 carriers were interviewed about family sharing practices using a semi-structured guide based on the Integrated Behavioral Model. Barriers and facilitators to family sharing were similar for both BRCA and PALB2 carriers, with logistical difficulties and emotional struggles related to anticipated negative reactions from relatives being the most salient barriers. The most important facilitators were: attitude that sharing enables health protection, provider recommendation, strong family relationships, confidence in sharing basic information, knowledge of what to share and how to share, and belief that sharing is highly important. Given similar attitudes, norms, and control beliefs related to family sharing, similar, but tailored interventions may be effective at increasing family disclosures among both groups. Such interventions should involve a discussion of patients’ attitudes towards sharing with healthcare providers to strengthen motivations and address barriers and provision of informational resources to increase confidence and knowledge. Family sharing resources should clearly specify which relatives need to be informed, why sharing is important, and how at-risk relatives may benefit.

This thesis investigates how environmental meaning is constructed within families, considered as units of socialisation, and what role family members play in it. Family socialisation is a dynamic moment in which family members interact and generate meanings, values, beliefs and habits. Drawing on theories of the social construction of reality, symbolisation and symbolic interactionism, the thesis examines sustainable symbols and shared beliefs among parents and young adult children, considered relevant both for understanding how the family social group feels towards the environment and for understanding what motivations can be found behind the family's environmental habits. By conducting semi-structured interviews with parents and young adult children, recurring patterns of sustainable meanings and symbols were identified. The results show that the family context is regarded as the first site of environmental awareness and education, where sustainability discourses take the form of open conversations focused on individual behaviour and family values. In these conversation, parents and young adult children cover specific roles that dynamically contribute to the creation of environmental meanings. The thesis is considered relevant in that it creates a solid understanding of both the form that environmental discourse takes within families and the intrinsic motivations that justify this form, so that more conscious environmental communication and education can be developed.

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The Appalachian region is known for its beautiful mountains, close-knit communities, and health care disparities including higher rates of cancer and premature mortality. Being diagnosed with cancer in the region may present a unique experience for survivors in regards to family cancer communication and changing personal identities. In a multiphasic study, the stories of 29 female Appalachian cancer survivors were collected through either a day-long modified story circle event (n=26) or an in-depth interview (n=3). Qualitative content analysis was used to identify emergent themes in the data. The analysis revealed 5 types of family cancer communication and five barriers to family cancer communication. The analysis additionally revealed the identity struggle women experience between maintaining traditional Appalachian gender roles and surviving cancer. These findings suggest that female Appalachian cancer survivors appear to have additional challenges that may make the cancer experience in Appalachia unique.

The purpose of this study was to examine family communication within the Core and Balance Model of Family Leisure Functioning. This was accomplished using path analysis, specifically using a mediator model. Family leisure was measured using the Family Leisure Activity Profile (FLAP), family functioning using the Family Adaptability and Cohesion Evaluation Scales (FACES II), and family communication using the Family Communication Scale (FCS). The sample was youth (n = 90) and parents (n = 123) from 25 different states in the US. Family leisure involvement predicted family functioning variables from the youth and family perspectives, but only partially from the parent perspective. Family leisure also predicted family communication from the youth and family perspectives, but not from the parent perspective. Family communication predicted family functioning from all of the perspectives. Path analyses from the youth perspective indicated that the relationship between core family leisure and family flexibility was mediated by family communication, as well as the relationship between balance family leisure and family cohesion. Path analyses from the parent perspective indicated the same mediation by communication as the youth, with an addition of the mediation of the relationship between balance family leisure and family flexibility. The data indicated that family communication does mediate some of the relationship between family leisure involvement and family functioning.

As an environment, the modern university setting is diverse and subject students to numerous challenges and opportunities that prepare them to enter careers, build families, and grow as an individual. Yet what a student experiences in college differs greatly and is shaped by internal and external factors in their environment, including campus participation, college self-efficacy, depression and stress. Prior research indicates the impact of family on how a student expresses each of these variables (Schmidtgall, King, Zarski & Cooper, 2000; Bradbury & Mather, 2009; Hannum & Dvorak, 2004; Kenny & Donaldson, 1991; Lopez et al, 2001; Shaver & Mikulincer, 2006). However, there is one area of the family that has been scarcely studied in terms of campus experience influence: family communication patterns (FCPs). The present study sought to investigate this connection. Utilizing a survey-based design, 253 student participants were asked questions to identify the amount of conversation and conformity orientation present in their family unit, as well as levels of campus participation, college self-efficacy, depression and stress. Results indicated that conversation and conformity orientation in families were positively correlated with campus participation. Conversation orientation led to higher feelings of college self-efficacy and lower feelings of stress and depression. Conformity orientation had no correlation with experiencing stress or depression. The current study suggests that family communication does indeed influence multiple areas of a student's college experience, though conversation-oriented communication has a greater positive influence. Having a positive and communicative family environment allows students to get involved, lowers their risk of experiencing mental issues, and equips them to feel confident in their environment. However, the obedience and uniformity found in conformity orientation families instills structure in a student, which may help them avoid distractions and stay focused on schoolwork (Koerner & Fitzpatrick, 1997).

This study investigates the role that family communication patterns may play in predicting student experiences by looking at the experiences of native United States and international college students. Experiences in college are shaped by various factors including self-efficacy, stress, loneliness and depression. Data were collected from a sample of 152 students – 90 being U.S. natives studying at UCF and 62 being international students studying at UCF. Results indicated that conversation orientation, or a more open-conversation household, was positively linked with higher academic self-efficacy and negatively linked with stress, mainly for U.S. students. Conformity orientation, or a less open-conversation household, was positively correlated with loneliness and depression for both U.S. and international students.