Social and Behavioral Sciences Commons^™

Message Effects And The Communication Theory Of Identity: Does Making Message Recipients Mindful Of Identity Gaps Influence Their Health Behavior Decisions?, Jacob J. Matig

Theses and Dissertations--Communication

Situated within the context of college students’ excessive drinking behaviors, the current study drew from dissonance theory, self-consistency theory, and hypocrisy induction methodology to evaluate the utility of the Communication Theory of Identity within persuasive health message design. Specifically, it examined whether hypocrisy induction manipulations that focused participants on salient identity layers made them mindful of corresponding identity gaps, which in turn caused them to experience cognitive dissonance that they sought to resolve by reporting intentions to change their excessive drinking behavior.

Participants (N = 279) completed an online experiment in which they were randomly assigned either to one …

Black Women’S Perspectives On Breast Cancer Detection Messaging, Denise M. Damron

Theses and Dissertations--Communication

A qualitative approach was used to explore the influence of mass media campaigns on Black women’s perceptions of breast cancer. The primary purpose of this study was to address the high breast cancer mortality rate among young Black women, thus informing strategies to increase awareness of risk and encourage prevention activities. Black women have higher incidence rates before age 45 and are more likely to die from breast cancer at every age. Although the breast cancer mortality variance has been linked to socioeconomic status, studies have shown that differences in cancer knowledge and beliefs persist even when educational and socioeconomic …

Understanding And Promoting Parent-Child Sexual Health Communication, Shannon Phelps

Theses and Dissertations--Education Sciences

Parent-child sexual health communication (PCSHC) can have a positive impact on adolescents’ sexual health choices, outcomes, and capabilities for communicating with others about sexual health. Many parents are hesitant and feel unprepared for and uncomfortable with communicating about sexual health with their children. Other parental factors as well as child factors can impact the quality, frequency, coverage, and effectiveness of PCSHC. Some adolescent sexual health outcomes have improved, however, teen birth rates in the United States are elevated compared to other developed countries and half of all sexually transmitted infection (STI) diagnoses are made to adolescents and emerging adults. This …

A Beacon Of Hope: Inoculating Against Relapse, Allison F. Thieneman

Theses and Dissertations--Communication

Inoculation is a robust theory applied to a variety of health behaviors. Social marketing is designed to change behavior by applying marketing tactics in the context of social change. This study combines inoculation theory with social marketing in the context of substance abuse disorders to promote long-term recovery. This is a pilot project that specifically focuses on the Beacon House, a residential recovery treatment center in Louisville, Kentucky. With the growing drug problem in America, it is necessary to implement effective recovery strategies in treatment programs. The social marketing plan focuses on the target audience to outline potential barriers, motivators, …

Using Social Cognitive Theory To Understand Child And Adolescent Psychiatrists’ Discussions Of Substance Abuse With Their Patients, Kevin A. Wombacher

Theses and Dissertations--Communication

This study investigates factors that influence the conversations that child and adolescent psychiatrists have with their patients about substance use. The goal of the study is to gain a better understanding of salient psychological and communication constructs in this context using social cognitive theory as a guide. The study consisted of a national online survey of child and adolescent psychiatrists (n = 170) focused on understanding factors that affect self-efficacy and communication competence related to discussing substance use with adolescent patients. Results show that communication apprehension has a strong negative association with perceptions of self-efficacy. Results also show that …

Managing Multiple Goals In Opioid Prescription Communication: Perspectives From Trauma Physicians, Elizabeth T. Adams

Theses and Dissertations--Communication

Prescription opioids and heroin account for more than half of all drug overdose fatalities, claiming an estimated 91 American lives every day (Rudd, Seth, David, & Scholl, 2016). The ongoing opioid epidemic represents a tremendous burden to the national economy and healthcare system (Rudd, Aleshire, Zibbell, & Gladden, 2016). In 2016, the Centers for Disease Control and Prevention and the White House Office of National Drug Control Policy proposed action to train prescribers on the proper dispensing of opioids, which are indispensable pharmacologic resources for treating acute pain resulting from trauma or surgery. This study examines the prescribing practices of …

Text Messaging Appointment Reminders To Reduce No-Shows: A Pilot Study, Cameron M. Stephenson

DNP Projects

Background: Hospital and outpatient clinic no-show, did not cancel or did not attend rates are a serious problem to organizations across the United States health care system. No-show appointments reduce clinic productivity, wastes clinician time and clinic resources and can be detrimental financially. Bluegrass Pediatrics and Internal Medicine (BPIM) located in Georgetown, KY experiences these problems on a daily basis.

Purpose/Methodology. This quality improvement project consisted of evaluating the effects of text messaging on appointment attendance during 3 clinic weeks of February 2016. The sample was derived from all patients enrolled at BPIM with a scheduled well, established or routine …

Using Social Networking Sites During Public Health Crises: Theorizing The Diffusion Of Effective Messages, Sarah Vos

Theses and Dissertations--Communication

During a public health crisis, officials need to communicate with the public quickly and accurately. Social networking sites (SNS) have been identified as an appropriate channel for this type of communication; however, few studies have examined what makes SNS messages effective. Further limiting research in this area is a lack of attention to theoretical constructs that may explain message effectiveness in SNS.

In this dissertation, I propose that diffusion of innovations (DOI) be used to understand SNS and message success on SNS. In doing so, I compare traditional message success (persuasion) to message success on SNS platforms (amplification) and provide …

College Students’ Use Of Social Media To Communicate About Alcohol And Drinking Behaviors, Jenna E. Reno

Theses and Dissertations--Communication

Social networking sites (SNSs) are an increasingly popular channel for communication among college students. Often students disclose more freely via social networking sites than they would in other situations. These disclosures commonly include information about engaging in risky health behaviors (e.g., binge drinking). Study 1 examined students’ impression management goals and self-presentation tactics specifically related to self-disclosures of drinking behavior on SNSs. Findings suggest that students use differing self-presentation tactics across various SNSs in order to achieve their impression management goals and to avoid consequences associated with disclosing about risky health behaviors to certain audiences. Study 2 sought to develop …

Adolescent Perceptions Of Nutrition: Identifying Memorable Messages, Audrey S. Bachman

Theses and Dissertations--Communication

Research is necessary to uncover ways to improve adolescent nutrition and reduce obesity rates, particularly in the Appalachian region, which has high rates of food insecurity and adolescent obesity. The current study examines rural cultural norms about food, memorable messages adolescents received about nutrition, and the sources of identified memorable messages. Adolescents shared memorable messages during comprehensive, semi-structured, small group interviews in which participants revealed their individual experiences. Thematic framework analysis is used to present the range and nature of memorable messages about nutrition and to develop strategies for future health campaigns and interventions. This qualitative method of sequential inductive …

“It’S A Very Tricky Communication Situation": A Comprehensive Investigation Of End-Of-Life Family Caregiver Communication Burden, Sara Lynn Shaunfield

Theses and Dissertations--Communication

Family caregivers encounter immense negative consequences including decreased quality of life and increased rates of morbidity and mortality that stem from physical burdens, emotional distress, depression, social isolation, and loss of financial security. Although communication is an important aspect of caregiving, communication tasks are reportedly difficult for end-of-life family caregivers. The goal of this study was to explore the variety of communication stressors experienced by end-of-life family caregivers to gain insight into the communication tasks caregivers perceive as most difficult and the reasons why.

Qualitative data was achieved through in-depth, face-to-face interviews with 40 caregivers currently providing care for a …

Dimensions And Validation Of Perceived Message Sensation Value Scale For Print Messages, Lisanne F. M. Grant

Theses and Dissertations--Communication

The purpose of this research project was to develop a reliable and valid scale to assess the perceived message sensation value (PMSV) of print messages. The goal of this project was accomplished by conducting two studies. Study one involved collecting 397 undergraduate students’ responses to one high and one low sensation value anti-smoking message, while for study two, 284 undergraduate students’ responses to one high and one low sensation value anti-crystal meth message were collected. The results of the studies highlighted that the PMSV of a print message can be assessed using three dimensions (emotional arousal, novelty, and dramatic impact) …

Testing The Message: Making Sense Of Converging Multimodal Messages In A Foodborne Illness Outbreak, Bethney A. Wilson

Theses and Dissertations--Communication

The goal of risk and crisis communication is to reduce and contain the harm inherent in a threat. In order to achieve this goal, risk and crisis scholars call for continued testing of messages surrounding these events; specifically, messages that address the needs of the at-risk message receiver. Previous scholarship suggests that these messages should include adapting and instructing information (Coombs, 2012), and should be designed using pedagogically sound instructional approaches (Frisby, Sellnow, Sellnow, Lane, & Veil, 2011; Sellnow & Sellnow, 2010). In order to meet this call, this dissertation tested an instructionally sound message that includes both adapting and …

Behind The Mirrors: Examining The Role Of African American Cosmetologists And Salons In Domestic Violence Advocacy And Education, Pangela H. Dawson

Theses and Dissertations--Educational Policy Studies and Evaluation

African American beauty salons across the country have historically served as settings for social interaction, political activism, and community organizing in the African American community. These settings often offer opportunities for intimacy between cosmetologists and their clients. Research findings suggest that the unique bonds between women in salons can be a viable option when providing health intervention and education to large numbers of women. Data indicates that salon campaigns and promotions which focused on health issues such as stroke and diabetes education, breast and cervical cancer awareness, healthy living, and smoking cessation, have been efficacious in changing unhealthy habits or …

Social Support In Young Adult Cancer Survivors And Their Close Social Network Members, Nicholas Thomas Iannarino

Theses and Dissertations--Communication

A cancer diagnosis often causes biographical disruption in the lives of young adult (i.e., 18-39; YA) survivors and their close social network members (i.e., familial, plutonic, or romantic relational partners with whom the survivor has a salient relationship; SNM). In order to integrate their illness into their lives, normatively regain balance and equilibrium, and achieve a “new normal” following a cancer diagnosis, YA survivors and their close SNMs must work to reconstruct their biographies by engaging in tangible interpersonal communication processes often used to initiate and maintain relationships. However, YA cancer survivors report facing social struggles due to the biographical …

I Can't Hear You But I'M Not Sure I'M Going To Tell You: Perceptions Of Stigma And Disclosure For Individuals Who Are Deaf Or Hard Of Hearing, Brittany Nicole Lash

Theses and Dissertations--Communication

Communication processes can be affected by stigma – a negative evaluation of an individual’s attributes that discredits or identifies the individual as not normal (Goffman, 1963). One such communicative process that is affected by stigma is disclosure. Disclosure is when individuals share personal information that reveals something not previously known (Charmaz, 1991). One such group of individuals who may be forced to choose between disclosing (to get accommodations or social support) and avoiding stigma (by not disclosing) is individuals with disabilities (Braithwaite, 1991; Charmaz, 1991).

This study focuses on one particular population of individuals with disabilities – those with a …

Communication During First-Time Multidisciplinary Clinic Visits: Navigating Parental Decision Making And Uncertainty Management In Pediatric Chronic Illness, Anna M. Kerr

Theses and Dissertations--Communication

Individuals with chronic illnesses must manage long-term uncertainty and decision making as they cope with the ways the illness influences almost every aspect of their lives. In the context of pediatric illnesses, parents assume the burden of uncertainty management and decision making during the diagnosis and treatment of their child’s illness. It is common for children with complex chronic illnesses to see multiple specialists for the treatment of their condition. The first visit to a specialist is often more elaborate than a routine primary care visit. While previous research has explored parents’ decision making and uncertainty management during a child’s …

Increasing Compliance With A Tobacco-Free Policy Via A Campus Campaign, Rachael A. Record

Theses and Dissertations--Communication

The implementation of a tobacco-free policy is the leading recommendation among health institutes for reducing the harms associated with tobacco exposure–for both smokers and nonsmokers–on college campuses. Despite the health benefits associated with tobacco-free policies, compliance with these policies remains a serious challenge on college campuses. Interventions aimed at increasing smokers’ willingness to comply with tobacco-free policies are essential for improving public health.

Guided by the theory of planned behavior (TPB), the purpose of this study was to (a) investigate the factors associated with tobacco-free policy compliance among undergraduate students and (b) design and evaluate a theory-based campaign aimed at …

The Nature And Perceived Influence Of Lifestyle Discussions With Older Adults In Primary Care, Shoshana H. Bardach

Theses and Dissertations--Gerontology

The Nature and Perceived Influence of Lifestyle Discussions with Older Adults in Primary Care Rationale: A healthy diet and physical activity help with disease prevention and disease management and can promote quality of life regardless of the age at which an individual begins engaging in these behaviors. Despite the value of these health behaviors, many older adults do not follow lifestyle recommendations. Given that older adults frequently interact with the healthcare system, primary care providers are well situated to counsel older adults to improve their health behaviors. Unfortunately, we do not know how to most effectively engage in this counseling. …

An Exploratory Study Of Social Support For Health-Related Purposes On Weibo In China, Chen Chen

Theses and Dissertations--Communication

This study explores how people with medical concerns seek and perceive social support via Weibo—a social network site in China. The study conducts both a content analysis and an in-depth interview for a comprehensive understanding of the nature of social support on Weibo. Altogether 2548 postings and replies from four Weibo support groups—the Breast Cancer Group, the Arthritis Group, Baby Eczema Group and Children’s Health Group—were categorized into 9 types with a deductive thematic analysis; twenty participants from these four Weibo groups were recruited in the in-depth interview to explore how people seek and perceive social support from Weibo. Weibo …

Untangling Neoliberalism’S Gordian Knot: Cancer Prevention And Control Services For Rural Appalachian Populations, George F. Bills

Theses and Dissertations--Sociology

In eastern Kentucky, as in much of central Appalachia, current local storylines narrate the frictions and contradictions involved in the structural transition from a post-WWII Fordist industrial economy and a Keynesian welfare state to a Post-Fordist service economy and Neoliberal hollow state, starving for energy to sustain consumer indulgence (Jessop, 1993; Harvey, 2003; 2005). Neoliberalism is the ideological force redefining the “societal infrastructure of language” that legitimates this transition, in part by redefining the key terms of democracy and citizenship, as well as valorizing the market, the individual, and technocratic innovation (Chouliaraki & Fairclough, 1999; Harvey, 2005). This project develops …

A Message-Centered Approach To Understanding Young Women’S Decision-Making About Hpv Vaccination, Katharine J. Head

Theses and Dissertations--Communication

The HPV vaccine represents an important step in the primary prevention of cervical cancer, yet uptake rates for the vaccine remain below what is needed to establish "herd immunity" from the virus. While many studies have examined both psychosocial and communication factors affecting HPV vaccination decisions, this study adopts a unique approach to understand the communication environment within which this health decision happens, such as the many and sometimes conflicting messages about vaccine efficacy and safety guiding young women's decisions. Using the message convergence framework, this project identifies how further study of converging and diverging messages in the communication environment …

Marijuana Behaviors In The Arabian Gulf (Gcc): Applying Theory Of Planned Behavior, Nola Almageni

Theses and Dissertations--Communication

The theory of planned behavior is a great tool for understanding predictors of drug use, specifically marijuana. Although the theory has been applied in the U.S. and European context, research on the predictors of behavioral intention for marijuana use within the Arabian Gulf context is limited. This thesis provides an overview of the theory of planned behavior as used in the U.S. and European context. An argument for the need to better understand predictors of behavioral intentions to use drugs, in the Arabian Gulf Region, prior to developing interventions and preventions is presented. Data was collected from 95 participants between …

Getting To 40 Weeks: Constructing The Uncertainty Of Due Dates, Sarah Cornelia Vos

Theses and Dissertations--Communication

In the United States as many as 15% of births occur before 39 weeks because of elective inductions or cesarean sections. This qualitative study employs a grounded theory approach to understand the decisions women make of how and when to give birth. Thirty-three women who were pregnant or had given birth within the past two years participated in key informant or small group interviews. The women’s birth narratives and reflections reveal how they construct the uncertainty of their due dates and how this construction influences their birth decisions. Problematic integration theory is used to analyze this construction and identify points …

Age, Attention, And Ots In A Constrained Vs Unconstrained Task, Courtney Leann Jensen

Theses and Dissertations--Rehabilitation Sciences

The discourse of older healthy adults is commonly described as lengthy and off-topic and thought to be associated with a general cognitive decline that occurs in healthy aging. This study investigated the overall decline in attention associated with healthy aging and its relationship to instances of off-topic speech (OTS) in a constrained and unconstrained language production task. Ninety cognitively healthy adults participated and comprised three age cohorts (40 – 75+). Participants completed cognitive measures of attention and two discourse tasks that included recounting personal events and describing a procedure. Older adults exhibited poorer scores on measures of selective and shifting …

Effects Of Image Congruency On Persuasiveness And Recall In Direct-To-Consumer Prescription Drug Advertising, Kristen M. Kiernicki

Theses and Dissertations--Communication

Although direct-to-consumer (DTC) prescription drug advertising is regulated by the U.S. Food and Drug Administration, content analyses (Baird-Harris, 2009; Frosch, Krueger, Hornik, Cronbolm, & Berg, 2007; Kaphingst, DeJong, Rudd, & Daltroy, 2004; Wilkes, Bell, & Kravitz, 2000) and other studies (Davis, 2000, 2007) have suggested that advertisers may not disclose drug risks to the same extent that they describe drug benefits. This study builds on previous studies by Baird-Harris and Smith and Shaffer (2000) and aims to test the relationship between image congruency in televised DTC advertisements, recall of risks and benefits, and perceived ad persuasiveness. Advertisements for Nexium, Advair, …