Health Communication Commons^™

The End Of Unmeasured Exploitation: How A.S.M., C.A.S., And S.I.A. Challenge Digital Attention Capitalism, Delante Clark

Graduate Scholarship and Creative Works

Digital attention capitalism generates value through the capture and monetization of human attention, yet it has historically lacked standardized mechanisms for measuring attention-related harm. This paper argues that the Attention Safeguard Models (A.S.M.), Cognitive Attentional Standards (C.A.S.), and Sociological Impact Assessment (S.I.A.) collectively challenge this system by introducing an integrated framework for classifying, measuring, and evaluating digital attention harm and its societal consequences. C.A.S. provides standardized measurement of digital attention harm, A.S.M. identifies and classifies patterns of attentional disruption and manipulation, and S.I.A. evaluates broader impacts on institutions, communities, civic engagement, education, social cohesion, and inequality. Together, these systems transform …

Medical Tourism Patient Guidance: A Content Analysis Of Risk Reduction Guidelines Available To Global Health Seekers., Alicia Mason, Angela Ashmore

Faculty Submissions

This study examines medical tourism (MT) patient guidance messages intended to reduce procedural risks—those directly related to biomedical treatments—and process risks, which involve logistical, administrative, and interpersonal challenges of seeking healthcare abroad. The analysis focuses on print and digital publications authored by individuals independent of the MT industry, including policy researchers, travel health experts, lifestyle reporters, and consumer-focused medical travel writers. Using a two-phase digital and database search strategy, 27 publications from 2009 to 2024 were identified and analyzed using exploratory content analysis methods. Findings reveal important differences in the scope and depth of guidance aimed at reducing risks for …

Borderline Personality Disorder (Bpd) And Witness Memory: A Beginner’S Guide For Criminal Justice, Forensic Mental Health, And Legal Professionals, Jerrod Brown Ph.D., M.A., M.S., M.S., M.S.

Forensic Scholars Today

Borderline personality disorder (BPD) is associated with emotional instability, impulsivity, interpersonal difficulties, identity disturbance, and stress-related dissociative symptoms that may influence cognitive functioning. Research suggests that BPD may contribute to difficulties with attention, executive functioning, and memory, particularly during periods of emotional distress. These issues, combined with common co-occurring conditions such as trauma exposure, substance use disorders, and sleep disturbances, may affect the encoding, storage, retrieval, and recall of information. This article examines current literature on BPD and discusses how symptoms and associated factors could influence witness memory in forensic and legal settings. Because findings remain mixed, the presence of …

Phenomenological Analysis Of Trust In Science For The Design Of Ai-Based Health And Social Policies, Kochav Koren

All Duquesne Faculty Scholarship

The promises of artificial intelligence (AI) as a solution to challenges facing health systems increasingly link technological innovation with improvements in efficiency and access. However, the legitimacy of AI-supported health policies depends not only on scientific competence but also on public trust in scientific institutions. Using data from the international Trust in Science Project (71,922 respondents across 68 countries), this study analyses multidimensional trust and communication ecologies to reconstruct relational configurations of trust, termed ‘Figures of Relevance’. Findings reveal that whilst scientific competence is widely recognised, perceptions of institutional openness vary markedly, shaping heterogeneity in trust. The study identifies four …

Da Mosang Tarsier Series: Developing Digital Bullying Prevention Materials For Filipino Parents Of Grade School Students, Rudy M. Danganan Jr., Ann Christine V. Braga, Maria Kristina S. Alfonso, Romelito Manuel D.S. Clorina, Ma. Regina Hechanova

Children and Families

Bullying remains a significant public health and educational concern worldwide and is particularly prevalent in Philippine public schools, with Grade 7 students identified as a vulnerable group. Although the Anti-Bullying Act of 2013 (Republic Act No. 10627) mandates school-based policies and procedures, persistent implementation gaps underscore the need to strengthen home–school partnerships and equip parents with practical, culturally grounded response strategies. This paper describes the development of the Da Mosang Tarsier Series, a set of digital psychoeducational comic strips designed for Filipino parents of Grade 7 students. Guided by a user-centered design (UCD) framework, the project began with a Generative …

Draw To Breathe, Ranran Ma

Masters Theses

This thesis explores visual expression in drawing as an intuitive mode of thinking suited to everyday life—a form of expression that runs parallel to language and surpasses it.

The project begins with a daily Post-it note drawing practice. These drawings often emerge before conscious understanding, subsequently accompanied by brief text, allowing image and word to resonate through emotion and intuition. Through the use of small-scale, portable, low-pressure materials, and with immediacy and intuitive freedom as the foundation of making, a visual language system grounded in the self develops. Through this sustained practice, I developed an instruction-based card system titled Draw …

Digital Orientalism: Examining Eastern Practices In The Wellness Industry, Celia Golden

Departmental Honors & Graduate Capstone Projects

As popularity rises for global and domestic wellness retreats as tourist destinations, their predominantly Western audience invites an American offshoot of Orientalism that commodifies Asian names and practices into “mindfulness.” This paper examines the guest guide of the Miraval Berkshires wellness facility and its treatment of Eastern practices. Findings revealed 55.6% of the specialists at the Miraval Berkshires employ Eastern techniques, and 74.14% of those offerings are restricted to paid and private sessions to create exclusivity. The word “ancient” is disproportionately leveled against Eastern practices in the guest guide to further cement them as relics of the past. Alongside minimalist …

Digital Touchpoints: Investigating Contact Page Accessibility And Visual Authenticity Within Medical Tourism Health Websites, Alicia Mason, Elizabeth Spencer, Kristen Livingston, Treyton Meyers, Sakshi Bhati, Himika Akram

Faculty Submissions

This study examines two critical digital touchpoints on medical tourism provider (MTP) websites: (1) the accessibility of contact pages which often function as entry points for inquiries, scheduling, and pre-travel coordination, and (2) the authenticity of visual imagery used to shape expectations about care environments, personnel, and technological capacity. A sample of 105 MTPs across all six World Health Organization regions were analyzed using quantitative web accessibility testing and qualitative visual analysis. Results indicate pervasive accessibility errors on contact-page touchpoints and extensive reliance on inauthentic imagery to depict patients, providers, and medical technologies. Together, these practices may distort user expectations …

Embodying Design Justice: A Peace Education Framework To Strengthen Relationships, Foster Trust And Build Community, Michelle Helman

Peace and Conflict Studies Journal Conference

BACKGROUND

Groups working toward creating peace and equity often focus on external innovation without addressing internal culture shifts necessary to navigate change and achieve their goals. Michelle’s doctoral research and practice address this challenge through a design research study and peace innovation project focused on organizational culture transformation through a design justice framework. Findings suggest that interweaving the framework with storytelling, arts, and embodiment practices are key to support people in navigating change processes to strengthen relationships, foster trust, and build community.

ABOUT

The workshop offers an applied learning experience for participants to explore the concepts of design and innovation …

Community Resilience Drives Change, Andrew Thomas Solt

Graduate Theses, Dissertations, and Problem Reports (ETD)

The opioid crisis has impacted many Americans. From 1999 to 2023, approximately 800,000 people have died due to opioid overdose (CDC, 2025). What began as overprescriptions of painkillers has quickly evolved into a complex social health issue that is now further worsened by stronger synthetic drugs like fentanyl. Fentanyl and fentanyl analogs (synthetic opioids that are very similar chemically to fentanyl) are often found in illegal drug supplies and in counterfeit pills (CDC, 2025). Thus, individuals who might have been initially overprescribed painkillers might now be pushed towards illegally produced drugs that are significantly more potent than what they were …

#Diydiabetes: Type One Diabetes, Stigma, And Control In Digital Networks Of Diy Looping, Sophia M. Shelley

Culture, Society, and Praxis

The general public’s awareness of type one diabetes is often lacking and filled with misinformation that can lead to stigma around the disability. Often type one diabetics have to fend for themselves through the means of “DIY diabetes.” The delay in technological innovations and the slow approval rate of Health Canada, compared to the US Food and Drug Administration, makes improving the lives of those with diabetes much more challenging. The self-management of the disability enables diabetics to take agency of their treatment plan and is the primary reason for DIY diabetes. The main reason for this research is to …

Propuesta Curricular Para La Asistencia Médica Bilingüe Orientada A La Concordancia De Lenguas Y La Interpretación Médica En Español, David Sanchez-Jimenez, Noemi Rodriguez, Justin Harnandan, Margarita Perez, Melissa Garcia

Publications and Research

Resumen: El presente trabajo describe el proceso para establecer una especialización secundaria bilingüe centrada en la comunicación y la interpretación médica en una universidad de Estados Unidos designada como Institución al Servicio de los Hispanos. Este nuevo título universitario brindará a los estudiantes bilingües de español e inglés especializados en el área de la salud la oportunidad de mejorar sus destrezas comunicativas para convertirse en competentes profesionales de la salud concordantes de lengua.

Abstract:This paper details the process to establish a new bilingual academic minor in health communication and medical interpretation at a United States university designated as a Hispanic-Serving …

Improving Palliative Care Knowledge And Intentions Among Great Plains American Indians: Efficacy Results From A Randomized Clinical Trial Testing A Culture-Centric Palliative Care Message, Mary J. Isaacson, Kah Meng (Charlie) Soh, Christopher S. Wichman, Gina Johnson, Kelly Le Beaux, Semhar Michael, Lisa Sparks, Karla M. Hunter

Communication Faculty Articles and Research

Background

Methods

Results

Improving Palliative Care Knowledge And Intentions Among Great Plains American Indians: Efficacy Results From A Randomized Clinical Trial Testing A Culture-Centric Palliative Care Message, Mary J. Isaacson, Kah Meng (Charlie) Soh, Christopher S. Wichman, Gina Johnson, Kelly Le Beaux, Semhar Michael, Lisa Sparks, Karla M. Hunter

Communication Faculty Articles and Research

Background

Methods

Results

Investigating The Relationship Between Noun Classes And Plant Folk Taxonomy In Chasu Language Of Kilimanjaro Region In Tanzania, Peter Rabson Mziray

Journal of Humanities and Social Sciences

The current study investigates the relationship between noun classes and plant folk taxonomy in Chasu (G 22). The study focuses on two objectives: the first objective is to describe the plant folk taxonomy in Chasu and the second objective is to determine the relationship between noun classes and plant folk taxonomy in Chasu. Data were collected from rural villages in Same and Mwanga districts by using free listing, field interviews (jungle-walk-and-identify), and written texts containing Chasu plant names. The findings reveal that Chasu folk taxonomy reflects different ethnobotanical categories; including a unique beginner which is mmea/mimea ‘plant(s)’, and three life …

Plastic Makes Perfect: An Analysis Of Plastic Surgery As Rehabilitation In Early To Late 20th Century Prison Populations, Jack West

The Ozark Historical Review

As early as 1910, journalists from around the United States reported on the cause-and- effect relationship between a criminal’s physical appearance, their offenses, and the plastic surgeons willing to help them. These surgeons were interested in changing the physical “causes” of criminality to sever the mental roots of crime, inferiority, and anti-social attitude. This paper examines the use of plastic surgery programs as reform in prison through the lens of popular newspaper and journal articles and argues that public perception and reaction revealed in these articles shaped the prison program’s journey from its underground beginning to its eventual demise.

Multimodal Poster Kampanye Antirokok Stivoro Dalam Upaya Mengurangi Prevalensi Merokok Di Belanda, Aurellia Virgie Andjani, Triaswarin Sutanarihesti

Multikultura

This study examines the multimodal elements in the campaigns of STIVORO (Stichting Volksgezondheid en Roken), the Netherlands' first national organization dedicated specifically to tobacco control. The objective of this research is to analyze and describe the roles of visual and verbal elements in STIVORO’s campaigns in conveying anti-smoking messages to the Dutch public. This research adopts a qualitative descriptive approach and applies the theory of multimodality developed by Kress and van Leeuwen (2006). The research objects consist of eight posters, classified based on their target audience: active smokers and passive smokers. The findings reveal that visual and verbal …

Becoming A Beloved Community: A Restorative Reckoning For A Radical Conversion To Transform Discourse In Higher Education, Latasha Tomay Varlack-Butler

Dissertations

This dissertation critically examines the misappropriation of Restorative Justice Discourse (RJD) within three predominantly white institutions (PWIs), analyzing 59 institutional documents through Critical Discourse Analysis, Relational Critical Discourse Analysis, and Rhetorical Criticism (Fairclough, 1995; Vaandering, 2021; van Dijk, 2008). Tribal Colleges and Universities and South African institutions have emerged as exemplars of authentic RJD, countering co-optation within PWIs. The findings demonstrate that RJD as applied in PWIs is framed in ways that attenuate its transformative potential, perpetuating color-evasiveness (Bonilla-Silva, 2017) and obscuring the intersectional experiences of Black, Indigenous, and disabled communities (Crenshaw, 1991; Million, 2009).

Grounded in decolonial praxis (Smith, …

Rhetorics Of Vigilance: Refracting Discourses In Technologies Of Self-Managed Health & Wellness, Haley Swartz

All Dissertations

Rhetorics of Vigilance explores the limits of feminist health rhetorics by examining technologies that promote women’s self-managed health and wellness practices. By establishing a corpus of personal health technologies and associated texts including mobile health applications, pelvic floor training devices, and perimenopause information shared on social media, this dissertation analyzes how discourses refract––redirected and often distorted––to implicate women in persistent self-monitoring. Drawing from interdisciplinary scholarship on women’s health from feminist rhetorical studies, rhetorics of health and medicine, science and technology studies, and digital studies, I theorize rhetorics of vigilance as a framework through which women understand and interpret issues …

Podcasting Towards Togetherness: Utilizing Podcasts To Improve Departmental Camaraderie And Well-Being, Michael Petrauskis, Colleen Gutman, Rosemarie Fernandez

Journal of Wellness

Introduction: Physician burnout is on the rise, and this is of particular concern in emergency medicine. Burnout is associated with medical errors, adverse events, poor professionalism, and litigation. A sense of community can build engagement and mitigate workplace stressors on well-being. Emergency physicians may have trouble connecting due to the nature of shift-work and various practice settings. Communication technology, and particularly podcasting, has the potential to help overcome these barriers and positively impact relatedness and well-being.

Approach: We developed an inward-facing podcast, “The ER Break Room” within the Department of Emergency Medicine at the University of Florida. Through the …

Small Town Voices And Stories: Rural Older Populations And Health Narratives, Wyatt K. Zumbahlen

Masters Theses

Stories play a vital role in our humanity; they help us understand the world around us. As we age, our experiences, along with those of the people around us, shape our perceptions of health and influence our healthcare choices. For older adults, narratives become an essential resource in making healthcare decisions. In rural communities like Coles County, Illinois, these stories are especially important for older adults who are navigating the limited care and services available in the area. This reliance on narratives impacts their willingness to seek care, highlighting the need to recognize the power of stories in empowering older …

Cultural Identity In Mental Health Services And Helpseeking Behaviours Among African International Students, Mark Ofosu Asirifi

Theses and Dissertations

Acculturation stress impacts international students’ psychological well-being and academic success, yet research on African students remains limited. For African international students, this stress is intensified by cultural stigma surrounding mental health services, deterring help-seeking due to fears of judgment and ostracization. This identity negotiation complicates their willingness to access support, reinforcing cultural barriers to mental health care. This study explores how cultural identity shapes the mental health perceptions and help-seeking behaviors of African international students in the United States. Grounded in the Communication Theory of Identity (CTI) and the Health Belief Model (HBM), the research examines how acculturative stress, stigma, …

¿Qué Dijo El Médico?: Creating A Procedural Preparation Booklet For Spanish-Speaking Patients And Families In The Pediatric Hospital Setting, Caitlyn Bockbrader

Honors Projects

The purpose of my Honors Project is to demonstrate the need for and creation of a resource that supports Spanish-speaking children’s ability to cope through commonly stressful medical procedures. In developing this project, I conducted a literature review on the efficacy of preparation booklets in lessening pre-procedural anxiety, cultural considerations for the Hispanic community, and current barriers to equitable language access in healthcare settings. My final product was designed to answer the following question: How can the psychosocial outcomes of Spanish-speaking children in U.S. hospitals be improved through the use of Child Life procedural preparation materials? In answering this question, …

Caracterización Lingüístico-Discursiva De Los Mecanismos De Despersonalización Y Posicionamiento Del Autor En El Género Médico Ficha Clínica, David Sanchez-Jimenez, Paulina Meza

Publications and Research

El dominio de géneros especializados es una competencia que representa gran dificultad para los estudiantes en formación. Su falta de dominio puede impedir o retrasar el proceso de enculturación de un individuo en una comunidad. Para formar adecuadamente a los estudiantes en las prácticas discursivas disciplinares, son necesarios datos empíricos sobre las características lingüístico-discursivas de los textos que deben producir. El objetivo de esta investigación cualitativa es describir los recursos lingüístico-discursivos de despersonalización y posicionamiento del autor en el género médico Ficha clínica. El corpus está constituido por 52 Fichas clínicas producidas por estudiantes de medicina de una universidad chilena. …

Healthcare-Seeking Behavior In A Toxic Landscape: Investigating Cancer Care Awareness In Louisiana's Cancer Alley, Moumita Roy

LSU Master's Theses

The fossil fuel and petrochemical sector in the Louisiana region, known as "Cancer Alley," has a devastating impact not only on the environment but also on the health and lives of the local population. Extreme pollution from the petrochemical industry not only elevated cancer rates in this region but also maternal, reproductive, and newborn health harms, respiratory diseases, and other complex health issues. This study examined the healthcare-seeking behavior of some residents and their awareness of cancer facilities within a 100-mile radius of their homes and identified key challenges, such as proximity of cancer care and accessibility, financial constraints, and …

A Review Of Neurodivergent, Madison Marshall

Feminist Pedagogy

No abstract provided.

Exploring Cultural, Health, And Technology Intersections: A Focus On Migrant Experiences, Merna Mina, Sahij Gill

Bridges: An Undergraduate Journal of Contemporary Connections

Despite the plethora of theories and frameworks addressing culture, health, and technology adoption, there remains a notable absence of a unifying theory that comprehensively encompasses all three aspects, particularly concerning newcomers. The Health Belief Model, for example, underscores individual perceptions and attitudes toward health yet fails to consider the intricate interplay between cultural factors and technology adoption among immigrant populations. The Healthy Immigrant Effect, which posits that immigrants often exhibit better health outcomes than native-born individuals, does not mention the role of technology on health outcomes. Acculturation theories, while shedding light on the adaptation process, often fall short of explaining …

Supporting South Korea’S Aging Population: How Ai And Iot Acceptance Connects The Young And Old, Bobby Im

Master's Projects and Capstones

In 2024, South Korea surpassed every other nation by becoming the country with the lowest fertility rate (below 0.7%). Population decline will hinder future ability to care for their aging population and although the government and private corporations are investing millions of dollars on developing Artificial Intelligence-Internet of Things (AI-IoT) devices to support the aging, the acceptance levels and the amount of family support required is undervalued. By examining AI-IoT’s current use and role in South Korea’s public health system this paper shows how intergenerational support helps optimize existing procedures and equipment, increases the level of acceptance and use, and …

Los Intérpretes Médicos Son Un Derecho, No Un Privilegio, Morgan Uesseler

World Languages and Cultures Senior Capstones

This essay explores medical interpretation as a right, not a privilege. It argues that medical interpretation is a vital service that should be required in all healthcare settings, not just in those that are funded by the government. Themes addressed include the difference between interpretation and translation, face-to-face interpretation versus telecommunication, liabilities and risks associated with untrained and uncertified medical interpreters, and the federal law Title VI of the Civil Rights Act of 1964. Challenges experienced during any medical session are underscored, while giving special focus to limited English proficient Hispanic patients whose healthcare literacy is in Spanish, not English.

“Vacation, All I Ever Wanted?” A Qualitative Analysis Of Travel Narratives From Interabled Families, Mary Heather Johnson

Electronic Theses and Dissertations

The present study researched and investigated the travel narratives of 13 interabled families through qualitative research methods of thematic and contrapuntal analysis. Participants were parents who have at least one dependent with a disability in their family unit. Theories used to guide this study include narrative theory, family systems theory, and relational dialectics theory. Narrative theory laid the groundwork for understanding how stories function to communicate and construct identity. Family systems theory provided definitions and terms for how to understand dynamics within families. Relational dialectics theory guided the understanding for what tensions are at play for interabled families and how …