title: Rural Families' Process of Re-Forming Environmental Health Risk Messages.
abstract: OBJECTIVE
  This study was undertaken to explore how rural low-income families with children process health information following a nurse-delivered intervention designed to reduce environmental risks in their homes.
  
  
  METHODS
  Grounded theory methodology with a constructivist approach was used to conduct the study. Semistructured interviews of 10 primary child caregivers in rural low-income families who had participated in an environmental risk reduction intervention were completed from 2009 to 2011. Data were categorized using comparative analysis, theoretical sampling, and coding techniques.
  
  
  RESULTS
  The three phases-(a) visiting my perception, (b) weighing the evidence, and (c) making a new meaning-explained the core process of the grounded theory of Re-Forming the Risk Message.
  
  
  CONCLUSIONS
  Rural low-income families at risk for environmental hazards in their homes determined what health information and needed subsequent actions regarding their risks were important by changing the meanings of nurse-delivered messages.
  
  
  CONCLUSIONS
  Nursing interventions designed to improve health behaviors and reduce risks are often based on stage theories that explain how change occurs through steps leading to positive actions through delivery of risk messages. However, the risk message delivered in an intervention designed to engage action is not always the risk message people decide to use. To understand whether people are ready to engage in positive behaviors through interventions, or if needed changes to the information must be made, nurses need to discover and explore reasons for the re-formed risk messages.
authors.affiliation: Delta Chi At-Large, Assistant Professor, Washington State University College of Nursing, Spokane, WA, USA.
authors.forename: Gail A
authors.initials: GA
authors.lastname: Oneal
authors.affiliation: Delta Chi At-Large and Gamma Psi, Associate Professor, Washington State University College of Nursing, Spokane, WA, USA.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Eide
authors.affiliation: Gamma Phi, Associate Professor, Rush University, Chicago, IL, USA.
authors.forename: Rebekah
authors.initials: R
authors.lastname: Hamilton
authors.affiliation: Professor and Dean, Washington State University College of Nursing, Spokane, WA, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Butterfield
authors.affiliation: Delta Chi At-Large, Associate Professor, Washington State University College of Nursing, Spokane, WA, USA.
authors.forename: Roxanne
authors.initials: R
authors.lastname: Vandermause
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003152:Community Health Nursing; D054626:Consumer Health Information / Q000379:methods*; D004781:Environmental Exposure / Q000517:prevention & control*; D004782:Environmental Health / Q000379:methods*; D005260:Female; D066296:Grounded Theory; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011314:Preventive Health Services / Q000458:organization & administration*; D012424:Rural Population; D014481:United States; D055815:Young Adult
keywords: Environmental health; grounded theory; public health nursing; risk messages; rural