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Social and Behavioral Sciences Commons™
Open Access. Powered by Scholars. Published by Universities.®
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- Cancer clinical trials (2)
- Health disparities (2)
- Childfree (1)
- Childless (1)
- Communication theory of identity (1)
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- Complementary medicine (1)
- Complex medical situations (1)
- Cultural grounding (1)
- Decision making (1)
- Discourse (1)
- Family decision making (1)
- Health care teams (1)
- Health interventions (1)
- Identity (1)
- Illness identity (1)
- Infertility (1)
- Integrative medicine (1)
- Metaphors (1)
- Oncology research (1)
- Online community (1)
- Organizational communication (1)
- Qualitative research (1)
- Randomization (1)
- Rural Appalachia (1)
- Self-determination theory (1)
- Uncertainty (1)
- Voluntarily childless (1)
- Well-being (1)
Articles 1 - 6 of 6
Full-Text Articles in Social and Behavioral Sciences
Dancing Around Infertility: The Use Of Metaphors In A Complex Medical Situation, Angela L. Palmer-Wackerly, Janice L. Krieger
Dancing Around Infertility: The Use Of Metaphors In A Complex Medical Situation, Angela L. Palmer-Wackerly, Janice L. Krieger
Department of Communication Studies: Faculty Publications
People use metaphors to cognitively frame their experiences as well as to explain those experiences to others, especially in complex medical situations. However, previous research has not fully explored the extent to which metaphors may be helpful or harmful to achieving well-being. This investigation fills this gap by identifying and explaining metaphor use in the context of infertility. Guided by self-determination theory, in-depth interviews were conducted with 22 women and men who had experienced an inability to conceive a child. Analysis of participant narratives yielded 10 prominent metaphors that reflect how participants’ need for competence, autonomy, and relatedness were (and …
Comprehension Of Randomization And Uncertainty In Cancer Clinical Trials Decision Making Among Rural, Appalachian Patients, Janice L. Krieger, Angela L. Palmer-Wackerly, Phokeng M. Dailey, Jessica L. Krok-Schoen, Nancy E. Schoenberg, Electra D. Paskett
Comprehension Of Randomization And Uncertainty In Cancer Clinical Trials Decision Making Among Rural, Appalachian Patients, Janice L. Krieger, Angela L. Palmer-Wackerly, Phokeng M. Dailey, Jessica L. Krok-Schoen, Nancy E. Schoenberg, Electra D. Paskett
Department of Communication Studies: Faculty Publications
Comprehension of randomization is a vital, but understudied, component of informed consent to participate incancer randomized clinical trials(RCTs). Thisstudy examines patient comprehension of the randomization process as well as sources of ongoing uncertainty that may inhibit a patient’s ability to provide informed consent to participate in RCTs. Cancer patients living in rural Appalachia who were offeredanopportunitytoparticipateinacancertreatmentRCT completed in-depth interviews and a brief survey. No systematic differences in randomization comprehension between patients who consented and those who declined participation in a cancer RCT were detected. Comprehension is conceptually distinct from uncertainty, with patients who had both high and low comprehension experiencing …
Caregiver Perceptions Of Their Influence On Cancer Treatment Decision Making: Intersections Of Language, Identity, And Illness, Janice L. Krieger, Angela L. Palmer-Wackerly, Jessica L. Krok-Schoen, Phokeng M. Dailey, Julianne C. Wojno, Nancy Schoenberg, Electra D. Paskett, Mark Dignan
Caregiver Perceptions Of Their Influence On Cancer Treatment Decision Making: Intersections Of Language, Identity, And Illness, Janice L. Krieger, Angela L. Palmer-Wackerly, Jessica L. Krok-Schoen, Phokeng M. Dailey, Julianne C. Wojno, Nancy Schoenberg, Electra D. Paskett, Mark Dignan
Department of Communication Studies: Faculty Publications
Serious illness of a loved one can disrupt a caregiver’s sense of self and relationships. We examined the language caregivers use to describe the cancer treatment decision making of a loved one to understand how caregivers frame their own identity relative to a patient’s illness. We analyzed transcripts from in-depth interviews conducted with caregivers (N = 58) of cancer patients to examine the intersection among language, identity, and illness. Caregivers with a patient-level personal identity frame used phrases such as their body, their decision. Caregivers with a relational identity frame used plural pronouns such as we or our when describing …
Reconsidering Childfreedom: A Feminist Exploration Of Discursive Identity Construction In Childfree Livejournal Communities, Julia Moore
Department of Communication Studies: Faculty Publications
This article employs participant definitional analysis, sensitized with feminist poststructuralism and critical ethnography, to understand three identity construction processes that members of childfree LiveJournal communities participate in: (a) naming childfreedom, (b) negotiating childfreedom, and (c) enacting childfreedom. I argue that childfree identities are contested and sometimes activist. Ultimately, I call for scholars to reconsider the definition of childfree to account for the complex and nuanced identities constructed by individuals who identify as such.
Community Engagement As A Process And An Outcome Of Developing Culturally Grounded Health Communication Interventions: An Example From The Decide Project, Angela L. Palmer-Wackerly, Jessica Krok, Phokeng M. Dailey, Linda Kight, Janice L. Krieger
Community Engagement As A Process And An Outcome Of Developing Culturally Grounded Health Communication Interventions: An Example From The Decide Project, Angela L. Palmer-Wackerly, Jessica Krok, Phokeng M. Dailey, Linda Kight, Janice L. Krieger
Department of Communication Studies: Faculty Publications
Community engagement is a process often used in developing effective health communication interventions, especially in traditionally underserved cultural contexts. While the potentially positive outcomes of community engagement are well established, the communication processes that result in engagement with cultural groups are less apparent. The focus on the outcomes of engagement at the expense of describing how engagement occurs makes it difficult for methods to be improved upon and replicated by future studies. The purpose of the current manuscript is to illustrate the process of achieving community engagement through the development of a culturally grounded health communication intervention. We offer practical …
Trailblazing Healthcare: Institutionalizing And Integrating Complementary Medicine, Barbara F. Sharf, Patricia Geist Martin, Kevin-Khristián Cosgriff-Hernández, Julia Moore
Trailblazing Healthcare: Institutionalizing And Integrating Complementary Medicine, Barbara F. Sharf, Patricia Geist Martin, Kevin-Khristián Cosgriff-Hernández, Julia Moore
Department of Communication Studies: Faculty Publications
Objectives — This study examines three integrative health centers to understand their (1) historical development, organizational goals, and modalities, (2) the processes and challenges of integrating complementary and allopathic medicine, while encouraging staff collaboration, and (3) how each center becomes institutionalized within their community.
Methods — We focus on three organizational case studies that reflect varying forms of integrative health care practices in three U.S. cities. Participant-observation and in-depth interviews with center directors were analyzed qualitatively.
Results — Important patterns found within the three cases are (1) the critical role of visionary biomedical practitioners who bridge complementary and allopathic practices, …