Health Communication Commons^™

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 …

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 …

An Impact Assessment Of The Effectiveness Of Utilizing Informal Health Communication Interventions To Spread Health Recommendations And Change Public Perception, Lina Mohamed Ezzat Ahmed Abdel Mawgoud

Theses and Dissertations

Brain health is an increasingly urgent but critically under-addressed public health priority in Egypt and the wider MENA region. Despite its centrality to aging, productivity, and overall quality of life, public understanding of brain health remains limited, and stigma continues to shape responses to dementia and cognitive decline. This study evaluates the effectiveness of informal, culturally adapted health communication as a tool to shift perception, increase awareness, and promote behavior change among non-medically trained adults in Egypt.

Grounded in global evidence on cognitive reserve, neuroplasticity, and the life-course approach to brain health, the intervention translated expert-informed brain health recommendations into …

Developing Identity After Goodbye: Social Identity Theory And How Adolescent Survivors Navigate Suicide Loss, Elizabeth Susan Lawton

Graduate Student Theses, Dissertations, & Professional Papers

Adolescents who lose a loved one to suicide, known as suicide-loss survivors, face a disruption to identity development, a life stage defined by identity formation (Adler et al., 2018) and group belonging (Pittman & Richmond, 2008). Suicide bereavement is complicated not only by grief but also by stigma, which can fracture social ties and undermine self-concept. Social identity theory (SIT) provides a framework for examining how young adults, now ages 18 to 30, reconstruct their social identities after experiencing suicide loss in adolescence. Research in other stigmatized contexts shows that adopting positive in-group identities can buffer against stigma and protect …

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 …

Giving Voice To Student Grief: Using Community-Based Participatory Research To Develop And Pilot A Translational Storytelling Intervention For Bereaved College Students, Cassidy Rae Taladay-Carter

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

The purpose of this dissertation was to employ community-based participatory research (CBPR, Wallerstein et al., 2018) methods to attend to a pressing issue in the community. In partnership with one local grief center, we identified the need for enhanced grief support for current emerging adult undergraduate students in our area. Nearly 50% of U.S. emerging adults enrolled in four-year residential universities experience the death of an important figure (Cox et al., 2015; Cupit et al., 2021), at a time when they are developing important facets of their narrative identity. Without the coherence and meaning structures provided by narrative identity, students …

Building Blocks For New Kinship Partnerships And Coalitions, Kathy L. Dial, Daniel J. Koltz, Janet Salo, Erin Beasley

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Building successful kinship partnerships and coalitions requires intentional effort to establish trust, align goals, and foster inclusivity. These collaborations are essential for addressing the unique and evolving needs of kinship families, who often face limited access to resources due to the informal nature of many caregiving arrangements. Effective partnerships prioritize clear missions, open communication, and active engagement with stakeholders, particularly those with lived experiences such as kinship caregivers. Research demonstrates that coordinated efforts among organizations enhance resource availability, improve advocacy capabilities, and strengthen service delivery. By integrating diversity, equity, and inclusion principles, coalitions can ensure that diverse perspectives shape solutions …

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 …

The Effects Of Family Communication Patterns On Young Adults’ Healthcare Encounters, Victoria Esquivel

Communication Theses - Archive

Family communication through childhood is shown to affect young adults’ health decision-making over time. This study examined young adults’ (18-28 years) perceptions of family communication patterns and their effects on avoidance of healthcare encounters, communication self-efficacy, ratings of healthcare quality and trust with healthcare providers, through the lens of Family Communication Patterns Theory. A cross-sectional survey was conducted at a large southern university (n=127). Results showed that young adults from families high in conversation orientation rating their healthcare encounters more positively. Implications are discussed with healthcare providers, educators, and family members in mind. Future research should examine these relationships qualitatively.

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 …

Exploring The Connections Between Social Media Posts About Intimate Partner Violence And Their Influence On Women’S Physical And Mental Health, Joanna Lynn

UNF Graduate Theses and Dissertations

Intimate Partner Violence (IPV) can happen to anyone and is considered a common occurrence in the United States (U.S. Department of Justice, 2025). Social media platforms have allowed individuals to post about their IPV experiences, but such posts can be met with negative comments that are not beneficial to the survivor. This study explores how social media posts regarding IPV affect an individuals’ mental and physical health through a quasi-experimental design. Three out of the four groups of participants were exposed to a mock Instagram post that included the same caption and photo for a supportive, unsupportive, and neutral condition. …

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, …

Review Of The Heumann Perspective Podcast, Jennifer Woody Collins

Feminist Pedagogy

This media review of the Heumann Perspective podcast encourages educators to use it as a way to discuss and teach disability justice and activism.

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 …

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 …

Beneath The Beauty: A Mixed Method Approach To Examining Identity Negotiation Among Asian Transracial Adoptees, Noel H. Mcguire

Communication (PhD) Dissertations

Making sense of one’s identity is an integral part of the human experience. This study examines identity negotiation and sense-making processes among individuals who have particularly complex identities: Asian transracial adoptees. In the past six decades, more than 280,000 infants and children in Asian countries were abandoned or surrendered to social welfare institutes and were subsequently adopted by American families, making Asian transracial adoptees (ATRAs) a substantial, if frequently overlooked, proportion of the Asian American community. Prior research indicates that identity negotiation is a particularly daunting task for this demographic due to ever-present paradoxical feelings toward their identity, as they …

Division-I Student-Athletes’ Socialization Out Of Sports: The Role Of Exit Circumstances And Interpersonal Support On Wellness, Hannah J. Gertz

All Theses

Student-athletes who compete at the Division-I level typically receive much public exposure and attention during their athletic careers, often leading them to form a high athletic identity. As such, they often need help transitioning away from the athletic competitor role following their retirement. This process, known as socialization out of sport (SOS), is characterized by a loss of purpose and identity for student-athletes and can harm their overall well-being and quality of life. Establishing the empirical associations between SOS's proposed characteristics/features (e.g., the impetus of SOS, educational status, athletic identity, and sense of closure) and former student-athletes’ subsequent life experiences …

Investigating The Experiences Of Evangelical Couples Coping With Painful Intercourse During Early Marriage, Arielle L. Leonard Hodges

Communication (PhD) Dissertations

Women who internalize evangelical purity messages face heightened risk for persistent pain or difficulty with penile-vaginal intercourse. Drawing on research in communication, psychology, and sexual medicine, the aim of this multilevel qualitative study is to increase understanding of how evangelical couples communicatively cope with painful intercourse and the memorable messages they believe contribute to their experiences of coping. This study involved conducting qualitative interviews with 20 evangelical married couples (40 total spouses) who currently or recently experienced a wife’s persistent pain during (attempted) penile-vaginal intercourse and 16 female clinicians (pelvic floor physical therapists and mental health professionals) who regularly work …

“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 …

Grief In The Basic Course, Carly Densmore, Jessica Cherry

Basic Communication Course Annual

In a broad search of the Basic Communication Course Annual, there is little discussion regarding student or instructor grief in the basic course. However, in our own experiences teaching the basic course, student expressions of grief are common. Grief is expected to be hidden or silenced, and is often not welcomed in the classroom (Hurst, 2009). Grief is unique to each individual; we can feel grief over a variety of losses, and there is no one way to cope with grief. Grief is not only an emotional but a physical experience, and it is not “a relinquishing of ties to …

Overcoming Communication Challenges: Training Family Medicine Interns Amidst Covid-19, Ny'nika T. Mcfadden, Connie C. Leeper, Catanya G. Stager, Amanda H. Wilkerson

Marshall Journal of Medicine

Introduction

Assessing and addressing possible deficiencies in medical school training is important for residency programs. Due to virtual rotations and low patient volumes, the COVID-19 pandemic disrupted medical students’ opportunities to practice patient communication. Communication skills are essential for medical students and residents. Continuous participation in communication training can increase the self-efficacy of healthcare professionals. Due to the likely impact of COVID-19, we designed and implemented a tailored workshop that focused on increasing 16 incoming family medicine interns’ level of comfort communicating with patients and their families.

Methods

Sixteen incoming family medicine interns participated in the workshop during orientation in …

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 …

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 …

Crisis Negotiation Techniques In Interactional Context: Managing A Suicide Threat In An Emergency Service Call, Angela Garcia

Natural & Applied Sciences Faculty Publications

Previous research reveals that standard crisis negotiation techniques are useful in assisting suicidal persons, but how routine interactional procedures impact their implementation has not yet been sufficiently examined. Aim: This paper investigates how routine interactional procedures impact the effectiveness of crisis negotiation techniques in an emergency services call involving a suicide announcement. Methods: A publicly released emergency service call was transcribed and analyzed using the qualitative technique of conversation analysis. Results: The call taker used crisis negotiation techniques such as maximizing autonomy, displaying active listening, and distracting the caller to keep them on the phone. These techniques were implemented successfully …

Improving Patient Self-Advocacy And Communication With Providers Through Diabetes Self-Management Education: Analyses From A Randomized Controlled Trial, Brenna Owens Kirk

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: West Virginia (WV), a rural state in Appalachia, has the highest type 2 diabetes mellitus (T2DM) prevalence in the United States. Open communication in the patient-provider relationship is an integral part of comprehensive chronic disease management. This is especially true for patients living with T2DM, a disease that requires many complex, daily self-management activities and is associated with increased emotional distress. However, patients living with T2DM are often reluctant to openly share their concerns regarding self-care with their provider. This study aimed to test the effectiveness of the Diabetes and Hypertension Self-Management Program (DHSMP), a 12-week group lifestyle …

Amplifying Awareness: Narrative Rationality In The Discourse Of Childhood Cancer, Rosalinda L. Frick

Undergraduate Scholarship

This paper looks into the complex psychological and economic effects of pediatric cancer on families. The paper has devastating realism as it draws on personal experience, as illustrated by the author's brother, Dylan, dying of brain cancer. Dylan's shortened life serves as a harsh reminder of the need to address this serious problem. The paper delves into the power of Aristotle's persuasion model, specifically looking at the concepts of ethos, pathos, and logos. This persuasion model ties into narrative rationality in the paper and looks at how a story's coherence and fidelity can make a large impact on persuasion 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 …