Health Communication Commons^™

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 …

A Quantitative Content Analysis Of Media Framing Of Illegal Mining In Ghana, Ebenezer Ato Kwamena Aidoo, Patrick Ansah, Fredrick Daoyenikye, Maame Aba Afful

Faculty Scholarship

Illegal mining in Ghana has attracted considerable public and policy attention due to its far-reaching environmental, social, and health consequences. Our study examines how Ghanaian news media frame illegal mining, the tone of media coverage, and the stakeholders represented in news narratives. Using a quantitative content analysis, 800 news articles were sampled from six widely read media outlets, Daily Graphic, Ghanaian Times, TV3 Ghana, GTV, Joy FM, and Citi Newsroom. A multivariate analysis of variance (MANOVA) was employed to examine differences in framing, tone, and stakeholder representation across outlets. Findings indicate that news organizations emphasize distinct frames, resulting in varied …

Navigating The Nicu Without Words: A Case Study Of A Spanish-Speaking Mother’S Healthcare Experience, Emma Norris

Poster Presentations

Research on NICU experiences largely focuses on majority-language families; non-English-speaking families are understudied (Cleveland, 2008). The Family Integrated Care model promotes parent-infant connection and shared decision-making to improve outcomes (Wreesmann et al., 2020). Language barriers impede parent-provider communication, increasing miscommunication and parental anxiety (Kynoe et al., 2020; Ardal et al., 2011). The purpose of this research is to explore communication experiences and barriers between English-speaking and bilingual NICU nurses and a Spanish-speaking NICU mother.

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 …

Fake News Y Redes Sociales: Cómo El Algoritmo En Torno A La Migración Afecta La Salud Mental, Maria F. Alarcon

Capstones

Las redes sociales son la principal fuente de información para migrantes latinos en Estados Unidos, pero también son un terreno fértil para fake-news que afectan la salud mental y desinforman.

Navigating Legal Labyrinths: Health Communication And The Experiences Of Immigrant Healthcare Professionals In The Us Healthcare System, Sabahat Moughal, Sarah Price

Publications and Research

This study examines how immigrant healthcare professionals experience immigration-related stress, cultural tension, and communication demands within U.S. clinical environments. A survey of 55 clinicians at Wyckoff Heights Medical Center showed varied levels of cultural conflict and socioeconomic worry, as well as frequent adjustments to communication styles. While many participants reported feeling culturally stable, a significant portion experienced tension or uncertainty tied to immigration status. These findings highlight the wide range of adaptation experiences among immigrant clinicians, supporting the need for institutional awareness and targeted support. IRB Protocol #: 20251023-12, Wyckoff Heights Medical Center

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 …

Enhancing Cataract Surgery Outcomes: Optimal Use Of Pre- And Post-Operative Eye Drops, Keith Skolnick M.D., Anu Valiaveedu

Mako: NSU Undergraduate Student Journal

Many preoperative and postoperative cataract patients struggle with comprehending the use of prescription medication as directed. Language barriers and low health literacy levels are major factors contributing to improper use of prescriptions. To increase patients comprehension, the Fort Lauderdale Eye Institute employed an educational intervention consisting of a live presentation and an instructional video. Results found that 44% of patients were hesitant to ask questions to clinical staff, 32% felt overwhelmed, and nearly 70% lacked confidence in using their prescribed eye drops. Following the intervention, 91% of patients reported increased confidence in their medications, and most indicated that the video …

Language Barriers In Accessing Healthcare Services For Refugees In The United States, Sadaf Khuram

Communication & Theatre Arts Theses

Accessing healthcare is a pivotal aspect of refugees' integration into their host countries and significantly impacts their long-term health outcomes. The literature emphasizes the critical role of language proficiency in overcoming communication barriers within healthcare settings. This thesis, however, challenges the assumption that addressing language barriers alone is universally sufficient. It argues that the importance of language solutions is context-dependent, varying with the design of healthcare systems and the diverse needs and backgrounds of refugees. In some cases, focusing primarily on language barriers can divert resources from other critical areas, particularly when healthcare facilities have limited capacities or when services …

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 …

Interpretation Challenges In Healthcare Settings As Experienced By Refugees And Healthcare Providers In The United States, Lydia H. Samoff

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Language and interpretation barriers are significant challenges for refugees receiving healthcare in the United States. Both providers and refugee patients associate effective communication with a positive healthcare experience. Therefore, it is important to identify themes in interpretation barriers to promote productive communication between providers and refugee patients.

Purpose: To identify themes in literature surrounding interpretation challenges between refugees and healthcare workers in the United States and compare them to lived experience in a clinic in Northwest Arkansas.

Methods: Several databases were searched, including CINAHL, Medline, HealthSource, and Google Scholar, and articles were chosen with the inclusion criteria being research …

Understanding How Family Dynamics Affect Mental Health Communication In Inside Out: A Content Analysis, Kataryna Morton

Honors Program: Senior Projects (Public)

This study examines the impact of open communication between family members on mental health and a child’s sense of belonging in the film Inside Out. Previous research has shown the impact of media on children’s socialization, which can influence stigma and make it less likely for vulnerable communication to occur. It is crucial for children to learn to communicate their emotions, and the media can play a key role in shaping these beliefs. Inside Out provides a positive example of mental health communication, which is specifically explored through Riley’s communication with her parents throughout the film. Using a content analysis, …

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, …

Analyzing The Message Complexity, Signal Words, And Readability Of Medical Tourism Warning Messages, Alicia Mason, Sakshi Bhati

Faculty Submissions

Medical tourists are deemed to be a vulnerable patient population because they often have limited knowledge of the specialized health care treatment and services they seek. They are also frequently unfamiliar with the medical tourism physicians, providers, and facilitators with whom they interact. As a result, travel, biomedical, and procedural risks are often difficult to define and estimate. This analysis uses computer-automated technology to analyze the risk and warning messages distributed by government and private medical associations to medical tourists. Results show these messages are often complex and highly textual with little visual graphic elements. The messages frequently lack key …

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 …

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 …

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …

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.

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 …

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …

Breaking The Silence: International Students’ Communication About Sexual Assault And Opportunities For Improved Prevention Messaging, Samaha Ghani

Graduate Theses, Dissertations, and Problem Reports (ETD)

The beginning of college campus life is one of the most exciting phases of student life. However, for some students, it might pose a threat in the form of sexual violence. In the United States, sexual violence is highly pervasive, placing college students at a greater risk of victimization. Currently, there is a lack of data on sexual crimes within the international student population on U.S. college campuses due to cultural and language barriers. As such, the purpose of this study is to explore international students’ communication needs around the topic of sexual consent and sexual violence. This vulnerable and …

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 …

The Patient Experience Of Language Discordance And Interpreter Services In The Emergency Department, Keri L. Baker

Theses and Dissertations

Background: Clear communication is critical to the interaction of a patient and medical provider. For non-English speaking patients, language discordance, described as the lack of proficiency in a shared language, with the medical team results in a poor patient experience and poor patient outcomes. The predominant solution to language discordance is the use of interpreter services, however these services are underused in the emergency department (ED). Studies examining underuse of interpreter services have primarily focused on the clinician and little is known about the patient’s influence on the use of interpreter services.

Methods: Semi-structured interviews were conducted with 12 Spanish-speaking …

Reducing Food Scarcity: The Benefits Of Urban Farming, S.A. Claudell, Emilio Mejia

Journal of Nonprofit Innovation

Urban farming can enhance the lives of communities and help reduce food scarcity. This paper presents a conceptual prototype of an efficient urban farming community that can be scaled for a single apartment building or an entire community across all global geoeconomics regions, including densely populated cities and rural, developing towns and communities. When deployed in coordination with smart crop choices, local farm support, and efficient transportation then the result isn’t just sustainability, but also increasing fresh produce accessibility, optimizing nutritional value, eliminating the use of ‘forever chemicals’, reducing transportation costs, and fostering global environmental benefits.

Imagine Doris, who is …

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.