Determinants Of Antenatal Care Utilization: A Community-Based, Cross-Sectional Study In Morang And Sunsari Districts, Eastern Nepal, Sunil Shah, Chandra Jha

Journal of Social, Behavioral, and Health Sciences

This study examined the factors influencing antenatal care (ANC) utilization in the eastern region of Nepal, focusing on the Morang and Sunsari districts, with the aim of identifying key determinants affecting ANC uptake and assessing the extent of ANC service utilization among mothers. Using lot quality assurance sampling, a community-based, descriptive, cross-sectional design was employed, surveying 164 mothers who had given birth within the previous 12 months; data were collected from June through November 2023. Data were collected through a semi-structured questionnaire and analyzed using SPSS, with descriptive statistics, chi-square tests, and logistic regression. Findings revealed that 80.5% of respondents …

Tales Of The Empathic Support Provider: How Emerging Adult Women Make Sense Of Providing Empathic Support To Female Friends, Emma R. Eslinger

Department of Communication Studies: Dissertations, Theses, and Student Research

The current study explored the stories and reflections of 33 emerging adult women who made sense of their empathic support provider (ESP) identity in the context of female friendships. From the standpoint of the retrospective storytelling heuristic, within communicated narrative sense-making theory, participants told stories about their ESP identity, including how they provide support to others and reflect on the benefits of drawbacks of serving in this role (CNSM, Koenig Kellas, 2022). Under Proposition 1 of CNSM theory, meanings, values, and beliefs (MVBs) that ESP women expressed in this role were depicted as key takeaways gathered. Findings illuminated how ESP …

Hand Mapping: Our Sexual Health Is (Not) In Our Hands, Laura L. Ellingson

Feminist Pedagogy

This Original Teaching Activity introduces hand mapping, an assignment based on the body mapping method, in the context of a communication and gender studies course. Hand mapping can be adapted to interpersonal, organizational, intercultural, and media courses that address identities, intersectionality, communication, culture, and power in different contexts and mediums. Students outline their hands on paper and artfully embellish them as a visual representation of important takeaways or lessons they learned in the course in response to the prompt, “Our sexual health is (not) in our hands.” Students write an “artist’s statement” explaining meanings of color, symbolism, and design.

Portrayals Of Miscarriage In Film And Television: A Qualitative Analysis, Geovana Leonetti Saraiva

All Theses

Entertainment media may serve as a primary source through which individuals learn about miscarriage; however, little research has examined how miscarriage is portrayed in film and television. This study addresses this gap by conducting a textual analysis of five films and five television shows using a constructivist grounded theory approach. Guided by the model of stigma communication (MSC), communication privacy management theory (CPM), and social support frameworks, the analysis explores how miscarriage is represented in entertainment media.

Findings indicate that the analyzed content frequently includes stigma-related cues—such as marks, labels, responsibility, and peril—that may contribute to the formation and reinforcement …

Eyes Wide Shut: Sex Trafficking In The Black Community, Stephany Powell

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Bridging Cultures: Developing A Culturally Responsive Educational Website For Pediatric Service Providers, Aimun Aziz, Wendy Tremaine

Spring 2026 OTD Capstone Symposium

The increasing cultural diversity of the pediatric population in the United States highlights the need for culturally responsive, family-centered care. However, many providers report limited training and practical resources to support the integration of cultural humility into clinical practice. This capstone project aimed to develop and evaluate an evidence-based educational website to support pediatric service providers in delivering culturally responsive care.

A program development framework was used, incorporating family needs assessments, pre- and post-intervention surveys of pediatric therapy staff, and thematic analysis of key factors related to communication, trust, and provider preparedness. Community field visits with diverse populations informed the …

The Disproportionate Impact Of Hiv On Young Women In Durban: Exploring Gendered Vulnerabilities And Socioeconomic Barriers, Adrian A. Nolasco

Capstone Collection

South Africa has a high rate of HIV, with young women in Durban especially affected due to social, economic, and cultural challenges. This study looks at the experiences of young women living with HIV and the views of healthcare professionals caring for them in KwaZulu-Natal. Using a qualitative, phenomenological approach, semi-structured interviews were conducted with five women and three medical professionals to explore how HIV affects their lives, the challenges they face, and how they cope.

The findings show that both structural and personal barriers make it hard for young women to stick to treatment. Long waits at clinics, limited …

How To Talk To A Seahorse: Communication In Transmasculine Gestational Experiences As Told Through Narrative, Emerson Armstrong

Communication ETDs

Transmasculine experiences before, during, and after pregnancy were evaluated using focus groups and autoethnographic research. As transgender people are more likely to experience inequality in healthcare encounters, this project aims to shed light on, and counter sensationalized accounts of male pregnancy, as transmasculine gestational individuals sought normalization in their experiences of pregnancy. Seven focus groups consisted of 90 minute sessions, with a total of 15 participants. Transcripts were analyzed using a trans narrative approach to find a greater understanding about identity construction, challenges, and changes around trans pregnancy. Asking about communities and healthcare experiences worked to create a complete picture …

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 …

Mentoring In The Undergraduate Classroom And Beyond: Creating A Feminist Praxis, Satarupa Dasgupta

Feminist Pedagogy

In the following critical commentary, it is discussed how mentoring--- in the classroom and in academia---can be a feminist practice that comprises an essential part of being a feminist educator. Mentorship encompasses a process in which the mentor disseminates knowledge as well as psychosocial support that are perceived by the mentee as essential for professional or personal development (Sedlacek et al., 2007). Mentorship has been specifically found to fulfill professional needs for women, while enhancing their self-worth and sense of competence, and providing instances of role modeling and social affirmation (Meschitti & Lawton Smith, 2017).

The Impact Of Culture And Language On Internal Communication And Patient Care In Small To Medium-Sized Black Immigrant-Owned Healthcare Practices In Texas., Chisom Nwosu

Dissertations

This qualitative phenomenological study explored how cultural competency in small to medium-sized Black immigrant-owned healthcare practices in Texas affects internal communication and patient care. Through semi-structured interviews with nine clinical and administrative leaders in Dallas and Houston, five themes emerged: culturally competent leadership, intentional communication structures, language and interpretation practices, patient-centered cultural sensitivity, and the use of technology for adaptation. Findings suggest that culturally aware leadership and inclusive communication strategies foster team cohesion and improve patient trust and care. Participants reported adapting workflows to meet religious, language, and communication needs through human and technological tools. The study underscores embedding cultural …

Black Men And Health Literacy: Strategies For Improvement In A Digital Age Through The Adaptation Of A Chronic Disease Self-Management Program, Evelina Weidman Sterling, Laura Stevens, Vanessa Robinson-Dooley, Tyler Collette

Faculty Articles

Health literacy is a critical determinant of health outcomes, yet it is often overlooked, particularly among marginalized groups. This paper explores the significance of health literacy, with a particular focus on low-income African American and Black (AA/B) men, a population that faces unique challenges due to intersecting factors such as race, gender, socioeconomic status, and educational disparities. We examine how these factors contribute to health literacy gaps, highlighting adverse effects on health outcomes for AA/B men compared to the general population. Additionally, we stress the growing importance of digital literacy in an increasingly technology-driven world. Not actively addressing digital health …

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, …

Observed And Reported Outcomes Following Experiential Cultural Capability And Clinical Yarning Training For Clinicians Treating Aboriginal And Torres Strait Islander People With Persistent Pain, Stuart Ekberg, Renata F. I Meuter, Ivan Lin, Roslyn Rowen, Angela Kinnell, Eva Malacova, Tania Waring, Kushla Houkamau, Marayah Taylor, Matthew Bryant, Jermaine Isua, Andrew Claus, Paul Gray, Joseph Kluver, Christina M. Bernardes, Greg Pratt

Journal of the Australian Indigenous HealthInfoNet

Communication is recognised as crucial to culturally safe healthcare, and poor communication remains a major reason that Aboriginal and Torres Strait Islander people do not access healthcare. This pragmatic, pre-post comparison study employed mixed methods to evaluate cultural capability and clinical yarning training delivered to 57 clinicians supporting Aboriginal and Torres Strait Islander people at three persistent pain management services in Queensland, Australia. Observable outcomes of the training were evaluated by video recording clinicians’ training experiences and seven consultations with patients that occurred either pre- or post-training. Reported outcomes were evaluated by using a modified Cultural Safety Survey (CSS), which …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

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, …

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 …

How Family Communication Emerges In Hpv Vaccine Parent Narratives, Samantha Garcia, Suellen Hopfer, Michelle Miller-Day, Jamie Mccain, Michael L. Hecht

Communication Faculty Articles and Research

Family communication surrounding HPV vaccination can support or hinder HPV cancer prevention strategies. We used narrative communication theory to elicit HPV vaccine decision narratives in the context of family communication from a purposive sample of 29 parents of adolescents. Parent narratives indicated that family negotiations occur throughout the decision-making process, topic avoidance was common among parents of unvaccinated and undervaccinated children, parents had concerns that vaccination is a sign of approving sexual permissiveness, and family communication was often prompted by encounters in the exam room. Understanding complex family dynamics in the context of vaccination decision-making, the role of family communication …

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …

Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian,

Library Philosophy and Practice (e-journal)

Background: As technology continues to advance, individuals' interactions with digital platforms have become integral to daily life. Amidst this technological evolution, a novel concern emerges—Digital Phobia, hereafter referred to as “Digiphobia.” This phenomenon, although not previously explored in scholarly literature, necessitates an in-depth investigation due to its potential impact on individuals' well-being. Our research employs a two-step methodology to investigate its existence, implications, and manifestations.

Introduction: This research paper introduces and proposes the term "Digiphobia" as a comprehensive conceptualization of anxiety arising from interactions with digital spaces, applications, and environments. The proliferation of digital technologies has led to the emergence …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Autopathography Across Media: Trauma And Fluid Embodied Subjectivity, He (Kristen) Shen

Honors Theses

Illness memoirs with first-person point of view have gained more attention in recent years among medical sociologists and anthropologists. Different from traditional “case histories”written by doctors that are in danger of ignoring patients’ voices, autopathograhical works delineate narrators’ transformative experiences of persons to patients, emphasizing the importance of gaining social understanding of illness. Focusing on three works within the category of autopathography across genres and media forms in the late 1950s and contemporary periods, The Cancer Journals (1980) written by Audre Lorde, The Collected Schizophrenias (2019) written by Esmé Weijun Wang, and The Diving Bell and the Butterfly (2007) directed …

Intercultural And International Communication In The Surrogacy Industry, Jessica Baker

Undergraduate Scholarship

Understanding the relationship between intercultural communication, international communication, and the proper way to discuss sensitive topics (infertility, surrogacy, LGBTQ+) in the surrogacy industry leads to strong communication. When communicating internationally or interculturally, there may be challenges such as language barriers, cultural differences, and cultural taboos. In order to avoid uncomfortable situations or miscommunication, knowing how to change the way we communicate with Communication Accommodation Theory (CAT) is a necessity to navigate important conversations. In the surrogacy industry, knowing how to communicate interculturally and being culturally competent about sensitive topics such as infertility or loss can determine the success of a …

Argumentation For Critical Heterogenous Political Discussions: Constructing A Rebuttal, Rebecca Oliver

Discourse: The Journal of the SCASD

This activity seeks to explain to undergraduate students how to craft a proper attack and defense in argumentation and debate, persuasion, or political communication courses. The activity teaches students 1) the parts of a basic argument structure and 2) how to construct a rebuttal using a basic argument structure. Students will argue against their true political typology by selecting an opposing typology from the Pew Research Typology Quiz. Broadly, this exercise is designed to encourage students to engage in dialogues with people who disagree with their political positionality. Specifically, the activity accomplishes this by teaching students the value of basic …

Encoding & Decoding: Artfully Modeling Communication, Daniel L. Foster, Ashley D. Garcia

Discourse: The Journal of the SCASD

Drawing objects and concepts, such as cats, trees, love, democracy, and family, is probably the last activity students expect to do in a communication course. Although this sounds like an introductory art activity, creating visual representations provides a nuanced understanding of the encoding and decoding processes. Encoding and decoding are the most hidden and often the most unfamiliar and complex fundamental components of communication for students to comprehend. By engaging in this activity, students translate their decoding process into drawings, which serve as personal artifacts representative of their encoding and decoding. Students come to better conceptualize this cognitive process with …

“Party In The Communication Classroom”: Exploring Communication Competence To Raise Social Awareness, Nancy Bressler

Discourse: The Journal of the SCASD

This activity demonstrates communication competence and allows students to observe, assess, and ultimately utilize the model of communication competence to engage with other people successfully. To understand how to engage in communication competence, students must recognize that appropriateness and effectiveness are crucial aspects of their communication. Through the communication competence model, students examine how to achieve effectiveness in their communication by setting goals for specific contexts; they also consider to what extent their goals are achievable given the particular situation. Using a 2014 MTV Video Music Award example, students can analyze why Miley Cyrus allowed a homeless man to accept …

Introducing Public Speaking Self-Concept (Pssc): A Novel, Qualitatively-Derived Communication Anxiety And Competence Variable, Karla M. Hunter, Joshua N. Westwick

Discourse: The Journal of the SCASD

Despite numerous quantitative assessments of teaching interventions that have helped mitigate public speaking anxiety (PSA), this common barrier to public speaking persists. In addition, quantitative measures may not be appropriate for all instructional goals, especially with students from across a variety of cultures. To enrich educators’ capacity to help diverse bodies of students overcome the challenges presented by PSA, this qualitative study asked students to “Please describe yourself as a public speaker” at the beginning and the end of a freshman-level, general education public speaking class. Thematic analysis identified a two-dimensional pattern within student responses (N = 51) (a …

Front Matter

Discourse: The Journal of the SCASD

No abstract provided.

Discourse: The Journal Of The Scasd, Volume 8 (2023), The Speech Communication Association Of South Dakota

Discourse: The Journal of the SCASD

No abstract provided.

Comparing Ways To Ask Patients About Sexual Orientation And Gender Identity In The Emergency Department (Ed), Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Sexual and gender minority patients report higher satisfaction and comfort with ED encounters when SO/GI is collected along with other demographic information via a nonverbal, written method during patient registration.