Table 2.
Major study themes, subthemes, and exemplar quotes
| Theme | Subtheme | Quote(s) |
|---|---|---|
| Participants report a sense of obligation to share positive test results with relatives. | “It’s not, but I’m the one telling them about it. I was thinking about this on the way down. It’s similar to if I’m in my house on Queen Anne and maybe I’m thinking of selling my house. I have an inspector coming in. And he says, hey, you’re on a - - this whole side of the hill is on a pile of sand, and there’s a 20 percent chance that It’s going to slide over the next five years. I mean, It’s pretty dangerous. You might want to have this checked out in more depth, and you might want to shore it up. Do you tell your neighbors about that? He said the whole hillside is going to go. You know, you don’t want to worry them, but you’re responsible maybe for telling them.” (ID-107) | |
| Participants expressed greater responsibility to inform younger relatives, particularly those in the stages of family planning. | “And so, you know, which -- you would be balancing all those different elements about whether to use this app -so, yes, I think I would use it with my nephew, and he has a child. So -- but I don’t know the direction -- before I would alarm him or encourage it, I would like to know more so that would be on me to find that out.” (ID-103) | |
| Participants acknowledged complexities in sharing results with relatives with whom they experienced strained relationships. | “[I would choose text message] Because the relationship that I have with my sister is a little bit strained anyway. And I feel like It’s easier for her to approach a conversation with me, regardless of the subject, if It’s not necessarily by phone.” (ID-114) | |
| Participants felt that the advantages of using email were similar to those of the app. | “Well, I think of all my siblings, they’ll all computer literate, so that's why I would offer an app as an option. As far as cousins, I really don’t know all of my cousins’ level of comfort with apps. So that would be one reason to give them the option of telling them over the phone or emailing an attachment or something like that.” (ID-113) | |
| Participants felt that younger individuals would be more comfortable with an app. | “Given the way things have changed with younger people than me, yeah. In fact, a whole bunch of them of my generation and older, they’re just getting so facile with all this stuff and knowledgeable and -- mostly stimulated by grandkids probably and kids and all that, social stuff, with pictures, pictures, pictures.” (ID-103) | |
| Participants felt they could use the app independently and in their own time. | “I mean, you don’t ask anybody how to do the app. So most of the apps are self-explanatory. So I guess the task would be here to make this like -- make it explanatory like you would do any other app.” (ID-111) |