Social and Behavioral Sciences Commons^™

Talking About Weight: Weight Stigma And Information Seeking, Alexandra N. Henrici, Lillian H. Mantel

Student Research Symposium

Guided by the Risk Information Seeking and Processing (RISP) model, this study explores the relationship between fear of discussing weight-related topics, or weight-related communication apprehension and weight bias internalization and tests the inconsistent RISP relationship between risk perception and information insufficiency. It investigates differences in weight-related communication apprehension in those who previously sought weight-related information from interpersonal or mediated sources. Using a survey of 64 undergraduate communication students, the study found that high levels of weight bias internalization correlated with high levels of weight-related communication apprehension. The study did not find a significant difference in weight-related communication apprehension based on …

The Association Of Patient-Provider Language Concordance With Healthcare Comprehension Among Latino/As In Oregon, Grace Parra

University Honors Theses

Background: The purpose of this study is to describe the need and preferences among Mexican-origin Latinos in Oregon for language-concordant healthcare providers. We hypothesize that the presence of a language concordant provider is associated with greater health care comprehension.

Methods: This is a cross sectional study in collaboration with the General Consulate of Mexico. We developed a 20-item survey that includes questions about socio-demographics, a validated language-based acculturation scale, and questions regarding language concordant care experience and preferences used in previous studies. We are recruiting at the Mexican Consulate 500 Latino/as ages 18 or older who had a healthcare visit …

Conspiracy Theories And Ebola: Lessons Learned Important For Future Pandemics, Shawn C. Smallman

International & Global Studies Faculty Publications and Presentations

The public health campaign against Ebola in the Democratic Republic of the Congo faced serious challenges, some due to conspiracy theories and denial. These beliefs were so powerful that they even caused repeated attacks upon health care providers and medical centers. These conspiracy theories were nothing new, as they are a common feature of all frightening epidemics, such as HIV and COVID-19. These narratives also circulated during the 2015 West African Ebola outbreak. Addressing conspiracy theories during an epidemic requires a coordinated campaign involving not only local leaders but also the cooperation of social media organizations

Governmental Persuasion Strategies On Social Media During Covid-19: A Comparative Study Of The Us And China, Fan Wang

Hatfield Graduate Journal of Public Affairs

This study compared persuasive strategies of the governments of the U.S. and China during a public health crisis using social media messages. Collecting data with R and Python from two national public health sectors' official accounts on Twitter (N = 1,630) and Sina Weibo (N = 3,554), the researcher investigated how the organizations' messages reflected Cialdini's seven principles of persuasion and whether other emergent messaging patterns occurred. According to the different phases that the two countries had gone through during the pandemic, the researcher also conducted a pooled times series analysis to investigate the relationship between the frequency of daily …

Smoking Behaviors In Patients Offered Lung Cancer Screening, Sara Elizabeth Golden

Dissertations and Theses

In the United States, smoking causes preventable diseases, including lung cancer, which is the leading cause of cancer deaths. Improving smoking cessation rates is important to decrease lung cancer deaths. Health care visits with a discussion about lung cancer screening (LCS) may help in increasing prevalence of smoking cessation. Importantly, insurers now require clinicians to have a shared decision-making discussion with patients that includes discussion of smoking abstinence before they can receive an LCS scan (i.e., a low-dose computed tomography scan). This discussion may represent a unique opportunity to encourage smoking cessation since it may prompt positive smoking behavior change. …

Language And Culture As Barriers To Healthcare For Chinese Immigrants, Edwin Leung

University Honors Theses

Immigrants and their descendants are projected to account for 88 percent of United States population growth through 2065. Currently, immigrants make up for about 13.5 percent of the US population. In addition, 65.5 million Americans speak a language other than English at home. Language and culture are the two most significant barriers faced by immigrants seeking health care. These barriers have a significant impact on immigrants’ ability to receive quality care, make them more vulnerable to poor health outcomes. Many resources exist to help immigrants with various needs including health care. However, more effort is needed to strengthen the resources …

Patient Empowerment Via Mobile Personal Health Records And Mobile Health Applications: A Review Of The Current Use, Abdulaziz S. Alhomod, Saeed Alzahrani

Engineering and Technology Management Faculty Publications and Presentations

Consumer empowerment has gained a significant attention in the medical field recently, and despite the ambiguity of its definitions, elements and measurement tools, it is apparent that mobile and other communication technology can play a major role in keeping patients informed, involved and empowered. This paper aims to explore methods by which mobile applications contribute to consumer empowerment and allowed enhanced patient control over their health.

Conspiracy Theories And The Zika Epidemic, Shawn Smallman

International & Global Studies Faculty Publications and Presentations

After a Zika outbreak began in Brazil in April 2015, narratives blamed the virus on a variety of international actors, including chemical companies and the Gates Foundation. Many of these narratives drew upon older conspiracy theories that had circulated in Latin America during the 2009 H1N1 influenza pandemic. Whether these narratives denounced transgenic mosquitoes or pesticides, they reflected not only the fear created by a mysterious wave of birth defects but also a profound mistrust of health authorities and transnational corporations. This paper will examine the narratives that circulated on YouTube, blogs, podcasts, and other alternative media sources, which typically …

Advocacy Campaign For Women's Reproductive Health And Access On Social Media, Rachel Crist, Jules Montes, Lauren Frank

Student Research Symposium

Advocacy organizations increasingly rely on social media (e.g. Twitter hashtags) to foster issue awareness. Social media platforms can be promising communication channels to reach diverse audiences; however, it is unclear how effective these campaigns are at reaching audience members whose views do not align with the campaign. Using diffusion of innovations as a theoretical framework, this study examines the #BirthControlHelpedMe campaign to better understand the response to an advocacy campaign promoted via Twitter. Focus groups were conducted separately for men and women. The moderator led participants in a semi-structured discussion of perceptions of birth control. Participants were then shown example …

Metaphorical Framing Of Obesity, Ryan Paul Hofer

Dissertations and Theses

The study of metaphor has moved from abstraction and poetics into the realms of cognitive science and cultural studies. Rather than being seen as purely figurative and secondary to literal meaning, investigation of metaphors reveals a close relationship to our processes of reasoning, a capacity to both reveal and cover, and a plasticity that forms within surrounding cultural values. I reviewed current metaphor theory, including its concerns and justifications, and designed a simple survey experiment through the Qualtrix webpage. The survey was distributed via the Amazon Mechanical TURK system. The experiment, in two different versions, briefly described obesity and then …

Information Scanning And Vaccine Safety Concerns Among African American, Mexican American, And Non-Hispanic White Women, Meghan Bridgid Moran, Lauren B. Frank, Joyee S. Chatterjee, Sheila T. Murphy, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

Objective: A significant number of parents delay or refuse vaccinating their children. Incidental exposure to vaccine information (i.e., scanned information) may be an important contributor to anti-vaccine sentiment. This study examines the association between scanned information, trust in health information sources and vaccine safety concerns among African American, Mexican American, and non-Hispanic White women.

Methods: Women (N=761) in Los Angeles County were sampled via random digit dial and surveyed regarding use of and trust in health information resources and vaccine safety concerns.

Results: Analyses indicate that the sources of information associated with vaccine safety concerns varied by …

Telling Stories, Saving Lives: Creating Narrative Health Messages, Lauren B. Frank, Sheila T. Murphy, Joyee S. Chatterjee, Meghan B. Moran, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

Increasingly, health communication practitioners are exploring the use of narrative storytelling to convey health information. For this study, a narrative film was produced to provide information about the Human Papillomavirus (HPV) and cervical cancer prevention. The storyline centered on Lupita, a young woman recently diagnosed with HPV who informs her family about HPV and the availability of the HPV vaccine for her younger sister. The objective was to examine the roles of identification with characters and narrative involvement (made up of three dimensions: involvement, perceived relevance, and immersion) on perceived response efficacy, perceived severity, and perceived susceptibility to HPV and …

Elaborating Patient Agency In Breast-Cancer Care: A Grounded Theoretical Analysis Of Patients Asserting Treatment Preferences, Rachel Sofia Erdman

Dissertations and Theses

Successful physician-patient communication is increasingly being acknowledged as a vital aspect of healthcare today. Research in the field has not examined all aspects of patient-centered care and the aspects that have been studied have not been grounded in actual patient action. The research done in the field has largely been studied quantitatively. The present thesis research attempts to contribute to the gap in the field of physician-patient communication by qualitatively examining patient assertiveness. This thesis examines conversations between women in Portland, Oregon recently diagnosed with breast cancer talking to their surgeons about their diagnoses and treatment options. Using grounded qualitative …

Metaphor Use In Interpersonal Communication Of Body Perception In The Context Of Breast Cancer, Jennifer Mary Fillion

Dissertations and Theses

Female breast cancer patients are often confused, frustrated, and devastated by changes occurring in their bodies and the treatment process. Many women express frustration and concern with the inability to know what the next phases of their life will bring. Previous research also states that many women struggle to communicate with others about treatment as well as side effects. This research examined how woman are use metaphors to describe their experience with breast cancer, specifically throughout the treatment period related to body image struggles. I qualitatively conducted interviews with women who were either currently in treatment or just finishing. My …

The Relationship Of Patients' Perceptions Of Physicians' Communication Style To Patient Satisfaction, Lisa Diane Abramson

Dissertations and Theses

This thesis examines the relationship between physician communication style and patient satisfaction in the diagnostic medical interview. Patient satisfaction is a critical issue for health care organizations today. Health care organizations are coping with the recruitment and maintenance of patient consumers in a competitive and costly market.

The literature indicates that effective communication between the physician and the patient is important to patient satisfaction. The physician needs to structure the medical visit in order to acquire medical information and, at the same time, invite communication with patients to determine their concerns and needs. Patient satisfaction may ensue if the patient …

The Effects Of A Thank-You Letter And/Or Phone Call To First-Time Volunteer Blood Donors, Larkey Sheldon De Neffe

Dissertations and Theses

This study measures two reinforcement strategies designed to increase repeat donations in first-time volunteer blood donors.

The Communication Of Wellness Concepts Interculturally In An Alaskan Health-Care Context, Janet A. Allan

Dissertations and Theses

The purpose of this study is to investigate in what ways cultural value differences between Alaskan Native clients and non-Native health professionals affect the communicating of "wellness" concepts. Specifically, this study focuses on possible difference in the cultural value orientation of "Man's Relationship to Health."

An Analysis Of The Affects Of Crisis On The Decision Making Practice Of A Dialysis Program: A Case Study, James Christopher Farley

Dissertations and Theses

In 1982 the Health Care Finance Administration mandated changes in the mechanism and financing of the End Stage Renal Disease (ESRD) Program by the provisions of the Omnibus Budget Reconciliation Act. These changes in finances and procedures became effective August 1, 1983 and have created a state of crisis for ESRD facilities program wide. This study analyzes a large non-profit dialysis program and how its decision making practices were affected 2 by the change in Medicare laws. Application of decision theory in health care provides a basis for this study on the affects of crisis on decision making.

This study …

Satisfaction And Quality : Patient Perspectives In Medical Care, Marguerite L. Foeller

Dissertations and Theses

Patient dissatisfaction with the physician/patient relationship and medical care is well documented in both the lay press and the medical literature. This problem appears to stem from communication between physician and patient and is drawing increased attention from the communication discipline. Research conducted in interpersonal communication satisfaction theory provides a basis for this study of patient satisfaction with physician/patient communication and its relationship to the perceived quality of medical care.

This paper reports two sets of interviews with a total of 108 respondents on the topic of physician/patient communication which resulted in the identification of nine salient issues which appeared …

Women In Menopause: A Study Of Gynecologist's Perceptions, Zadell Cogan, Sharon Kennedy

Dissertations and Theses

The purpose of this study was to explore the needs of women experiencing menopause. Since women at this time experience physical, social and emotional changes, they may have a special need for services. Doctors were selected as the population for study because they treat so many women at this age and because they are powerful transmitters of our culture. This exploratory study was designed to provide descriptive information about the doctors' perceptions.

Results are reported from interviews with seventeen gynecologists from the Portland metropolitan area in Oregon. Attempts were made to interview all female gynecologists in the area. Male gynecologists …

The 1972 Cigarette Tax Referendum: A Mass Communication Campaign, Gwendolyn Moore Danielson

Dissertations and Theses

During the past forty years, Oregon voters have approved only two tax proposals; both taxes on cigarettes. The subject of this study is the campaign carried out by proponents of H.B. 3064 to pass the most recent Oregon tax referendum measure. Central to the questions asked in the investigation of the 1972 cigarette tax campaign was why the outcome of this proposal was successful. The thesis hypothesizes that the critical variable was the involvement of major socio-economic interest groups in formulating and disseminating persuasive campaign messages.

The rationale for entering into such a study was the shortage of information on …