Digital Commons Network^™

Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer

DNP Projects

Background: Emergency Department (ED) overcrowding is a global healthcare crisis documented in the literature for more than a decade, impacting patient outcomes and resource availability. While awaiting delayed transfer to an inpatient room, older adults in the ED remain vulnerable to developing acute delirium. Boarding potentiates the risk for worsening health outcomes, which are further compounded by delirium. Scarcity of resources and time constraints delay delirium detection and increase risk for down-stream hospital-acquired complications, higher cost, and prolonged length of stay. Current ED models do not prioritize caregiver partnership or involvement in delirium-conscious care, which is a holistic approach to …

Evaluating The Caring Cards Program And Its Effect On Mental Health Indicators Among A Self-Defined Agricultural Group In Rural Kentucky, Katrina Clontz

Theses and Dissertations--Community & Leadership Development

Suicide is currently the 11^th leading cause of death in the Unites States (American Foundation for Suicide Prevention, 2024), and is especially high among the farming and agricultural population (Kennedy et al., 2021; Klingelschmidt et al., 2022; Monteith et al., 2020). Additionally, mental health access and outcomes are worse among this population, partially due to the inaccessibility of care in rural areas (Taylor, 2019). Communication among caring individuals is thought to be an effective suicide prevention strategy (Long, 2023; Ross & Bassilos, 2019). The Caring Cards program was developed as a way to facilitate mental health communications among a …

Local News Deserts In China: The Role Of Social Media And Personal Communication Networks, Zixue Tai, Bai He, Jianping Liu

Journalism and Media Faculty Publications

The field of local news is often associated with news deserts, commonly defined as geo‐based communities without news‐ papers or other legacy media as providers of locally oriented news and civic information. This phenomenon is expanding in global society due to the diminishing presence of newspapers at moments of accelerated digitization. This study examines the multiplex nature of news deserts in rural and suburban areas in China. Data were collected through a multi‐methods approach combining two focus groups and 44 semi‐structured in‐depth interviews. Patterns of engagement among inter‐ viewees reveal that smartphone‐based social media applications and digital platforms function as …

Identity And Perception Among Aspec Consumers Of Mass Media, Jericho Franke

Theses and Dissertations--Communication

The portrayals of sex and romance, as well as asexuality and aromanticism, in mass media can have a profound impact on the way asexual and aromantic media consumers view relationships and their own identities, and affect the perception and treatment of the aspec community as a whole. This study uses mixed qualitative methods of online discourse analysis and participant interviews to examine the how mass media has shaped the self-perception and life experiences relating to sex and romance among aspec audience members.

Cold Calling In The Classroom: Exploring Student Perceptions Of Instructor Communication Using The Face Negotiation Theory, Cynthia Chinazo Nnagboro

Theses and Dissertations--Communication

Using face negotiation theory (Ting-Toomey, 1988) as a theoretical framework, this dissertation sought to determine students’ perceptions of instructor communication during classroom discussions where instructors use cold calling tactics. According to FNT, students perceived that self-construal determines their face concern as either self, other/mutual face. Therefore, an instructor must determine the best facework strategies to prevent face loss during classroom discussions to maintain optimal student outcomes in communication satisfaction and motivation to participate. This was accomplished by using 8 hypothetical vignettes, a pilot test and an experiment that measured face threat, face support, student communication satisfaction and motivation, intention to …

Paper Gowns, Cold Hands, Or Something Else? Black Women's Barriers To Gynecologic Screening, Nadia Ayesha Sesay

Theses and Dissertations--Communication

Cervical cancer mortality burden is carried disproportionately by African American women. Early indicators of cervical cancer are identified through prevention screening, a procedure typically performed by a gynecologist. Ideally, the patient group with the most severe mortality would likewise be the group with the most robust communication exchange with their physician to prevent cervical cancer incidence. However, a slew of factors contributes to continued mortalities among Black women. This study uses semi-structured interviews (n=10) and the health belief model to examine one barrier to Black women’s prosocial behaviors regarding routine gynecologic care—awkwardness, which here is conceptualized as social anxiety. The …

‘It’S Like Flipping A Switch’: Understanding The Challenges, Expectations, And Identity Of High School Wrestlers, Aubree Herman

Theses and Dissertations--Communication

This study aims to understand the challenges and expectations of high school wrestlers, and how they are managing their social identities within the parameters of the sport. The rise of female wrestlers within the last decade and the hegemonic masculine roots of the sport show how imperative it is that research shed light into the unique experiences of high school wrestlers. Social identity theory was used as a theoretical framework and participants answered interview questions that discussed the three components of their social identity (i.e., cognitive, affective, and evaluative). They also identified challenges that they faced, the kind of expectations …

Assessing The Intention, Attitudes, And Social Influences On Covid-19 Preventive Behaviors Among Non-Rural Black And Rural Appalachian White Populations: A Faith-Based Community Study, Maria L. Gomez, Tofial Azam, Jean Edward, Hannah Bowman, Lovoria B. Williams

Journal of Appalachian Health

Introduction: The COVID-19 pandemic has had detrimental impacts in non-rural Black and rural Appalachian populations. Yet despite the pandemic’s magnitude, there is a scarcity of research exploring potential influences of attitudes and social influences within these populations on their adherence to COVID-19 public health preventive behaviors.

Purpose: This study examines the intention, attitudes, and social influences to adhere to COVID-19 preventive behaviors among non-rural Black and rural Appalachian congregants in Kentucky by integrating the Theory of Planned Behavior (TPB).

Methods: Secondary analysis of cross-sectional data was used to assess the association between the TPB constructs and four key public health …

Rise Of Social Media Influencers As A New Marketing Channel: Focusing On The Roles Of Psychological Well-Being And Perceived Social Responsibility Among Consumers, Jihye Kim, Minseong Kim

Integrated Strategic Communication Faculty Publications

This empirical research investigated the structural relationships between social media influencer attributes, perceived friendship, psychological well-being, loyalty, and perceived social responsibility of influencers, focusing on the perspective of social media users. More specifically, this study conceptually identified social media influencer attributes such as language similarity, interest similarity, interaction frequency, and self-disclosure and examined the respective effects of each dimension on perceived friendship and psychological well-being, consequently resulting in loyalty toward social media influencers. The authors collected and analyzed data from 388 social media users in the United States via Amazon’s Mechanical Turk with multivariate analyses to test the hypothesized associations …

Ambiguous Appalachianness: A Linguistic And Perceptual Investigation Into Arc-Labeled Pennsylvania Counties, Crissandra J. George

Theses and Dissertations--Linguistics

The Appalachian Regional Commission (2022) designates 52 of Pennsylvania’s 67 counties as Appalachia, excluding only the southeast portion of the state. Matthew Ferrence, in Appalachia North, states that his "home is sometimes called Appalachia, sometimes Rust Belt, other times Midwest, even though very few who live there would accept any of those labels as correct" (xi). This ambiguous and fluid identity is due to the shaping, forming, and changing of Pennsylvania’s role within society from a founding colony to a thriving state with industry, unselfishly spoiling others, to the grounds of converging identities (Ferrence xi). This ambiguous identity makes …

The Effectiveness Of Handwriting Intervention On Handwriting And Spelling Outcomes Delivered Via Telehealth, Laura Bray

Theses and Dissertations--Rehabilitation Sciences

Across the United States, there has been a push to improve the literacy of our population, especially in the school systems. This has resulted in emphasizing reading skill development; however, literacy encompasses more than just reading. Literacy is the internal processes needed to create and understand contextualized visual, written, and verbal information. According to the Common Core State Standards, foundational literacy skills include reading, but also writing, listening, and speaking abilities. Handwriting is an area of literacy that is often forgotten, but has significant positive correlations to writing composition, spelling, and early reading skills. In fact, the Simple View of …

Predictors And Outcomes Of The Occurrence And Valence Of Campaign-Related Talk: The Interplay Between New Media Use, Conversations, And Vicarious Learning In The Context Of Reproductive Health, Carina Mazariegos Zelaya

Theses and Dissertations--Communication

Study 1 explored the dominant or deciding barriers and facilitators, beyond environmental and systemic factors, influencing women’s LARC uptake (RQ1, RQ2). Moreover, it examined pregnancy ambivalence and motivation to prevent unintended pregnancy as distal variables to LARC information seeking and uptake (H1, H3). Additionally, it examined embodied experience as an important source of information about contraception (H4). Furthermore, it explored how informal and formal sources support reproductive health decision-making, specifically focusing on social networks as sources of information, knowledge (RQ3, H2), and norms regarding LARC uptake (RQ4, RQ4a, RQ5). Study 2 examined the influence of social learning and LARC knowledge …

Turning The Tides: An Inoculation Theory And Theory Of Planned Behavior Approach To Developing Mental Health Help-Seeking Interventions For Gen Z, Sarah Ann Geegan

Theses and Dissertations--Communication

Extensive research, predating and during the COVID-19 pandemic, demonstrates the rising prevalence of anxiety and depression among Gen Z college students in the United States—findings which are accompanied by rising rates of suicide, the second leading cause of death among people aged 15-24. Although college campuses often offer mental health resources, the number of college students utilizing them is significantly less than the number of students reporting mental health challenges. A dearth of empirical evidence, focused on Gen Z specifically, exists as a basis for developing interventions to address this issue. This investigation addressed this gap through two component studies. …

Authentically Advocating: Public Relations' Role In Social Issues Management, Gabrielle Leigh Dudgeon

Theses and Dissertations--Communication

Now more than ever, organizations utilize public relations to build, maintain, and even strengthen relationships with internal and external stakeholders. Many public relations strategies and tactics serve to bridge an organization’s interests with those of their publics, while also building, maintaining, and strengthening trust. Social issues management is one of the tools that has the potential to build long-term trust and commitment. Public relations practitioners have recognized this opportunity, and most engage in social issues management in a variety of ways to strengthen their organizations while also contributing to society (Fall, 2006). This double-edge tool can create long- lasting impact …

Smartphone Use And Psychological Well-Being Among College Students In China: A Qualitative Assessment, Cheng Dai, Zixue Tai, Shan Ni

Journalism and Media Faculty Publications

Background: Problematic smartphone use is widespread, and college-age youth faces an especially high risk of its associated consequences. While a promising body of research has emerged in recent years in this area, the domination of quantitative inquiries can be fruitfully and conceptually complemented by perspectives informed through qualitative research. Toward that end, this study aimed to interrogate the myriad behavioral, attitudinal, and psychological tendencies as a side effect of college students’ engagement with the smartphone in their everyday lived experience through in-depth interviews.

Methods: We recruited 70 participants from seven college campuses hailing from different geographic regions in China, and …

The Impact Of Contact Tracing On The Spread Of Covid-19: An Egocentric Agent-Based Model, Andrew Pilny, Lin Xiang, Corey Huber, Will Silberman, Sean Goatley-Soan

Communication Faculty Publications

At its core, contact tracing is a form of egocentric network analysis (ENA). One of the biggest obstacles for ENA is informant accuracy (i.e., amount of true contacts identified), which is even more prominent for interaction-based network ties because they often represent episodic relational events, rather than enduring relational states. This research examines the effect of informant accuracy on the spread of COVID-19 through an egocentric, agent-based model. Overall when the average person transmits COVID-19 to 1.62 other people (i.e., the R₀), they must be, on average, 75% accurate with naming their contacts. In higher transmission contexts (i.e., …

Dating App Use Among Rural Men Who Have Sex With Men And Its Relationship To Hiv Prevention And Risk Behaviors: A Mixed-Methods Analysis, Lauren Bineau, Danielle Lambert, Natalia Truszczynski, Nathan Hansen, Carolyn Lauckner

Center for Health Equity Transformation Faculty Publications

INTRODUCTION: Men who have sex with men (MSM) in rural areas have limited access to HIV prevention and education resources. Given the growing usage of mobile dating apps among the wider MSM population, this research sought to explore their use among MSM in rural areas and their potential for delivering HIV prevention information.

METHODS: Participants were recruited from different areas of the rural Southern USA. This mixed-methods study consisted of an online survey (n=85) and follow-up qualitative phone interviews with 20 survey respondents. The survey assessed dating app use, sexual behaviors, and pre-exposure prophylaxis (PrEP) awareness, usage, and attitudes among …

Beyond Hours Of Video Gameplay: Connections Between Verbal Aggressiveness, Genre Preference, And Technology Used, William T. Howe, Ioana A. Cionea

Communication Faculty Publications

This research examined how multiple factors (i.e., hours of gameplay, types of gameplay, preferred genre of video games, technology used to play games, and biological sex) were associated with both trait and situational verbal aggressiveness. Cross-sectional data were collected from 435 undergraduate students via an online questionnaire. Results indicated similar patterns to previous literature in that video gameplay hours were positively related to verbal aggressiveness. However, we extended research by also showing that a preference for certain genres and technology used to play video games were also related with both situational and trait verbal aggressiveness. Based on these results, we …

An Egocentric Network Contact Tracing Experiment: Testing Different Procedures To Elicit Contacts And Places, Andrew Pilny, C. Joseph Huber

Communication Faculty Publications

Contact tracing is one of the oldest social network health interventions used to reduce the diffusion of various infectious diseases. However, some infectious diseases like COVID-19 amass at such a great scope that traditional methods of conducting contact tracing (e.g., face-to-face interviews) remain difficult to implement, pointing to the need to develop reliable and valid survey approaches. The purpose of this research is to test the effectiveness of three different egocentric survey methods for extracting contact tracing data: (1) a baseline approach, (2) a retrieval cue approach, and (3) a context-based approach. A sample of 397 college students were randomized …

Effects Of Website Interactivity On Skin Cancer-Related Intentions And User Experience: Factorial Randomized Experiment, Zhaomeng Niu, Jessica Fitts Willoughby, Elliot J. Coups, Jerod L. Stapleton

Health, Behavior & Society Faculty Publications

BACKGROUND: Digital media technologies provide users with the ability to interact with content and to receive information based on their preferences and engagement.

OBJECTIVE: We used skin cancer and sun protection as a health topic to explore how modality interactivity, interface tools that afford users greater activity, resulting in greater depth and breadth of mentally representing and experiencing mediated content, and message interactivity, the extent to which the system allows users to exchange messages back and forth on health websites, influenced users' attitudes, knowledge, behavioral intentions, and experience.

METHODS: We employed a 2×2 (modality interactivity: high vs low; message interactivity: …

I Need To See Me On Tv: Parasocial Affirmations Of Sexual And Gender Identity Development Of Lgbtq+ Mass Media Consumers, Donald I. Lowe

Theses and Dissertations--Communication

This dissertation presents a new cycle model of media usage by LGBTQ+ community members in the United States that reveals a purpose previously unnamed and undefined. While parasocial contact, parasocial interaction, and parasocial relationships have been present in the academic literature for quite some time (as early as 1956 when Horton and Wohl first wrote of the phenomenon), use of media to parasocially affirm one’s LGBTQ+ status is unique to this study. This study used qualitative methods to examine a specific mass media audience, LGBTQ+ individuals, and asked them, in one-on-one interviews, how they utilize mass media to assist with …

“It’S The Only Thing We Have”: Whisper Networks Among Women Theatre Actors, Richard Edward Carter

Theses and Dissertations--Communication

Women who secretly warn one another via informal communications about men in their environment who may engage in some kind of misconduct are participating in a whisper network. This dissertation employs the narrative paradigm to understand how these networks function in the context of professional actors. Interviews conducted with actors who have worked in a variety of communities were analyzed in order to better understand how whisper networks function as warning systems that must be created because conventional means of protection may not exist or be trusted in their industry.

Exploring Health And Risk Information Seeking In The Context Of Covid-19: Testing The Comprehensive Model Of Information Seeking And Risk Information Seeking And Processing Model As Competing Explanatory Models, Xianlin Jin

Theses and Dissertations--Communication

Facing a pandemic caused by a novel coronavirus (COVID-19), the public feels uncertainty and fear. To cope with the pandemic and reduce uncertainty, the public needs accurate and prompt information. By theoretically and empirically comparing the Comprehensive Model of Information Seeking (CMIS) and the Risk Information Seeking and Processing Model (RISP), this dissertation aims to unpack the core mechanism of health and risk information seeking. Built on the two models, the author proposed an Integrated Model and explored which variables are the significant predictors of health and risk information seeking.

The author recruited 729 adult participants and analyzed 394 completed …

Gender Violence On Television: Insights And Implications From Female Audiences Of Drama Series, Mary Celeste Clark

Theses and Dissertations--Communication

Gender-based violence is pervasive across many television shows that are targeted toward a variety of audiences and cover a range of genres and settings, yet there is a dearth of literature regarding gender violence in fictional television drama series and how female audiences interpret and react to the depictions of gender violence in those programs. For this study, I spoke with 13 women about their experiences viewing programs with depictions of gender violence. The data was analyzed qualitatively using a phronetic iterative approach and demonstrates why these women watch these shows, what affective responses they have, and how they interpret …

Understanding Struggles And Triumphs Of Widows In Central Nigeria: A Path To Communication And Economic Empowerment, Meredith Annette Garrison

Theses and Dissertations--Communication

One in ten African women age 15 or older are widows. Approximately 8 million widows live in Nigeria with many living in extreme poverty. Throughout the nation, widows are subjected to physical and psychological harm from their families and communities following the deaths of their husbands. Women are marginalized across Nigeria, but widowed women often experience ostracization and oppression that leads to poverty. Most widows rely on informal business and petty trading to survive but these ventures typically only bring in less than a $1 a day for a family. This dissertation critically examined the situation of widows in a …

The Consent Of Man: An Examination Of Privacy Awareness, Surveillance, And Privacy Policy (Mis)Use, Will Reilley Silberman

Theses and Dissertations--Communication

The problem of privacy is nuanced, pervasive, and requires an elevated approach. Given the lack of consistency with regard to privacy’s conceptualization and operationalization, research is needed that examines variables related to privacy to better understand how privacy operates in the present day. This dissertation aims to better understand nuances of privacy by gauging knowledge of online privacy, technological affordances related to privacy, and knowledge of surveillance. In this study, human subjects from a large southern University were presented with an opportunity to use a privacy-invasive smartphone application. After doing so, they viewed one of three privacy policies. Finally, they …

Communication Strategies To Intervene In Intimate Partner Violence Among Young Adult Couples, Kaylee Marie Lukacena

Theses and Dissertations--Communication

Intimate partner violence (IPV) is a social and behavioral health issue of importance among the young adult population (Cupp et al., 2015). IPV includes acts of physical violence, sexual violence, psychological aggression, and stalking enacted by an intimate partner (Smith, Zhang, Basile, Merrick, Wang, Kresnow, & Chen, 2018). In the United States., approximately one in three women and one in ten men experience IPV during their lifetime (Smith et al., 2018). Furthermore, over more than 70% of women who experience indicate that the first act occurred before the age of 25. One approach to preemptively address IPV on college campuses …

A Qualitative Examination Of The Agency Of Women In Their 30s And 40s Who Use Dating Applications, Tera Buerkle

Theses and Dissertations--Family Sciences

The use of dating applications (apps) to find romantic and sexual partners is widespread across age groups, however, there is a paucity of research on dating apps with those in middle adulthood. Sexual script theory suggests that women’s agency (i.e. the ability to act in one’s own best interest) may be impacted by expectations from an inherently sexualized context, such as dating apps. Feminist theory contends that women’s agency is complicated by gender socialization due to the imbalance of power in society that greatly favors men. In this study seventeen women aged 30 to 49 completed in-depth semi-structured interviews, and …

Cross-Cultural Analysis Of Gamer Identity: A Comparison Of The United States And Poland, Małgorzata Ćwil, William T. Howe

Communication Faculty Publications

Who is a gamer? What kind of people are perceived to be gamers? And finally – who perceives themselves as a gamer? In this article the authors attempt to answer these three questions from a multinational perspective.

Background. Games are nowadays one of the most frequently encountered forms of entertainment and constitute an ever-increasing part of many people’s day-to-day lives. With the rising popularity of video games, there is a need to conduct a research concerning gamer identity and to find out who perceives themselves as a gamer. The aim of this study is to compare the results of …

An Experimental Investigation Into Promoting Mental Health Service Use On Social Media: Effects Of Source And Comments, Zhaomeng Niu, Lun Hu, David C. Jeong, Jared Brickman, Jerod L. Stapleton

Health, Behavior & Society Faculty Publications

Mental health is an increasingly prevalent topic of public interest, but remains a complex area requiring focused research that must account for negative perceptions surrounding mental health issues. The current work explores the roles of social media information source credibility and valence of social media comments on health outcomes in such a mental health context. We used a 2 (message source: professional vs. layperson) × 3 (valence of comments: positive vs. negative vs. mixed) online experiment to examine the effects of source and valence of comments on trust, attitudes and intentions related to mental health information and services among 422 …