Health Communication Commons^™

Getting To The Heart Of It: Examining Intergenerational Sensemaking Of Heart Disease, Sarah R. Petitte

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

Using Communicated Narrative Sense-Making Theory (Koenig Kellas, 2018), this study tested how grandchildren’s perceptions of risk and knowledge about heart disease in the family, as well as relational satisfaction, changed over the course of 3 weeks as a result of engaging in a storytelling experiment. Participants included 17 grandchild participants who interviewed their grandparents to tell stories about family heart health or discuss everyday events based on random assignment into a treatment or comparison group. Additionally, participants completed measures surrounding their knowledge of heart disease, relational satisfaction with their grandparent, and their perception of risk to develop heart disease in …

The Birds And The Bees: The Impact Of Parent-Child Communication On Adolescent Sexual Health, Hannah Adams

James Madison Undergraduate Research Journal (JMURJ)

Having “the talk” with children can be difficult and uncomfortable. However, recent behavioral research indicates that having this conversation, and having it often, is important for raising sexually healthy adolescents. This paper provides an overview of the literature surrounding the role of parent-adolescent communication in the development of sexually healthy young adults, including benefits for LGBTQIA+ youth. The findings suggest that non-judgmental parental communication can encourage condom use, delay initiation of intercourse, and reduce mental health issues arising from a perceived lack of support for sexual choices.

Silent Hands: A Leader’S Ability To Create Nonverbal Immediacy, Linda Talley, Samuel R. Temple

Journal of Social, Behavioral, and Health Sciences

Nonverbal immediacy is a core element of a leader’s ability to lead followers. Nevertheless, there are no empirical studies regarding a link between a leader’s hand gestures and followers’ perceptions of immediacy (attraction to someone) or nonimmediacy (distancing). Guided by Mehrabian’s theory of nonverbal behavior, this study included one independent variable segmented into seven levels (positive hand gestures defined as community hand, humility hands, and steepling hands; three defensive gestures, defined as hands in pocket, arms crossed over chest, and hands behind back; and neutral/no hand gestures) to test for immediacy or nonimmediacy. In this experimental study, participants (n …

The Relationship Between Nonverbal Communication And Patient Willingness To Comply In Framed, Low-Risk Medical Settings, Rachael A. Katz

Communication Studies

This study discusses framing and communication tactics in the medical field. It specifically aims to understand whether expertise and empathetic nonverbal communication impacts patient willingness to comply with physician directives in gain- and loss-framed medical settings. Framing has been studied in many settings, including medical situations, and has been found to impact decision-making. This experiment utilizes college-aged individuals to examine Meningitis, a disease where the most at-risk group is college aged young adults. Participants were exposed to one of six conditions to examine whether perceived expertise/empathy in their scenario impacted willingness to comply with the doctor directives. Although no mediation …

Interns Matter: Maximizing Integration Of Interns Into Community Agencies, Valerie Garcia

Capstone Projects and Master's Theses

Hope Services is a non-profit agency serving individuals with developmental disabilities in six counties. Over the years, there have been many agencies that have formed connections with Hope Services. One of these collaborative partnerships has been with CSU Monterey Bay’s (CSUMB) integration of interns through their field placement program. However, recently former Hope Services South District Manager, Greg Dinsmore, witnessed a lack of utilization and integration of interns across all Hope Services agencies. Through firsthand experience as a mentor, he witnessed the benefits of utilizing interns and saw the need for further advocacy and support for the integration of interns …

Improving Interviewing And Conversational Skills Using "Speed Interviewing", Colleen Arendt

Discourse: The Journal of the SCASD

A great deal of research focuses on the importance of effective interviewing skills across professions and interpersonal settings. This activity, based on “speed dating,” is designed to improve students’ interviewing skills. Specifically, the activity develops listening and probing skills by having students conduct mini interviews without preparation. The lack of preparation forces students to rely only on their listening and probing skills instead of an interview protocol. To increase difficulty, the questions can be tailored to employment or internship interviews to help the interviewees prepare while their partners practice listening and asking probing questions. This activity can also be modified …

Interdepartmental Rounding, Peggy Anderson, Carrie Strick, R3 Med-Surg Unit, Haley Pelletier, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Maine Medical Center Operational Excellence

MaineHealth Maine Medical Center

STRATEGIES FOR IMPROVING COMMUNICATION BETWEEN DOCTORS AND NURSES IN AN ACUTE CARE HOSPITAL

Effective interdisciplinary communication is imperative for safe patient care in an acute care hospital environment.

A surgical unit used their HCAHPs scores to assess how often patients perceived there was good communication between different doctors and nurses during their hospital stays. The data demonstrated that this occurred 22% less often than the national average.

As a result of a root cause analysis, a number of countermeasures were initiated with the goal of achieving scores greater than the national average. Post KPI inception in the second quarter of …

Pilot Test Of Communication With A ‘Rapid Fire’ Technique, Desiree A. Díaz, Candace Pettigrew, Christine Dileone, Meredith Dodge, Deborah Shelton

Journal for Evidence-based Practice in Correctional Health

Abstract

An innovative communication training technique, ‘Rapid Fire’, was created to enhance communication and was incorporated into the debrief component of a simulation designed for correctional nurses to promote learning and engagement. The term ‘Rapid Fire’ was used to expose the critical time element that appears in the first five minutes of many crisis situations, where a quick relay of information and problem solving is essential; such as in a cardiac arrest or other rapidly deteriorating patient situations. This technique consists of a five-minute session prior to the structured debrief. During the ‘Rapid Fire’ portion of the debrief, all learners …

Digital Mindfulness: An Emerging Field Of Inquiry And Practice, Sherri Henderson

Mindfulness Studies Theses

This two-part paper explores digital mindfulness as an emerging field of inquiry and practice into the integration of technology and contemplative practices. The first part surveys the growing research on the effects of technology on health and well-being. Investigating Buddhist teachings leads to a more balanced and aware approach towards integrating mindfulness with the digital world. Digital mindfulness encourages meaningful engagement while online. It also encourages thoughtfulness, awareness and intention. Digital mindfulness also reshapes and encourages conversations in our homes, schools, and proposes digital responsibility and digital citizenship. The second part of the paper proposes a framework for a workshop …

Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed

Master's Theses

What attracts people to buy condoms? HIV/AIDS remain one of the biggest health dangers of the world, especially in Sub-Saharan Africa. A lot of efforts have been pursued in the past two decades to drastically reduce prevalence of HIV and increase awareness about preventive mechanisms. In order to prevent relapse of success achieved so far, it is important to recognize transformation of consumer behavior due to growth in social networks, education and awareness over time. There are a lot of behavioral triggers captured by social marketing interventions in the field of public health. In an attempt to investigate the role …

Transgenerational Patterns Of Communication Orientations And Depression Among Mothers And Adult Children, Timothy Curran, Jennifer A. Samp, Anastacia Janovec

Languages, Philosophy, and Communication Studies Faculty Publications

This study investigated intergenerational transmissions of conversation orientations, conformity orientations, and depressive symptoms among 235 (N = 470) mother–child dyads. The analysis revealed that mothers’ reports of conformity orientation in her family of origin positively predicted her child’s report of conformity orientation and conversation orientation. Moreover, maternal depressive symptoms predicted child reports of family communication climates, which in turn predicted child depressive symptoms. A mediation analysis showed a significant indirect effect from maternal depressive symptoms to child depressive symptoms through child reports of conformity orientation. Implications for transgenerational patterns of family communication climates and depressive symptoms are discussed.

Parental Messages About Substance Use In Early Adolescence: Extending A Model Of Drug-Talk Styles, Jonathan Pettigrew, Michelle Miller-Day, Young Ju Shin, Janice L. Krieger, Michael L. Hecht, John W. Graham

Communication Faculty Articles and Research

This study extends a typology of parent-offspring drug talk styles to early adolescents and investigates associations with adolescent substance use. Data come from a self-report survey associated with a school-based, 7th grade drug prevention curriculum. Mixed-methods were used to collect data across four measurement occasions spanning 30 months. Findings highlight frequencies of various drug-talk styles over time (i.e., situated direct, ongoing direct, situated indirect, ongoing indirect, never talked), messages adolescents hear from parents, and comparisons of alcohol, cigarette, and marijuana use by drug talk style. This study advances understanding of parent-adolescent communication about substances and holds practical implications for drug …

Managing Multiple Goals In Opioid Prescription Communication: Perspectives From Trauma Physicians, Elizabeth T. Adams

Theses and Dissertations--Communication

Prescription opioids and heroin account for more than half of all drug overdose fatalities, claiming an estimated 91 American lives every day (Rudd, Seth, David, & Scholl, 2016). The ongoing opioid epidemic represents a tremendous burden to the national economy and healthcare system (Rudd, Aleshire, Zibbell, & Gladden, 2016). In 2016, the Centers for Disease Control and Prevention and the White House Office of National Drug Control Policy proposed action to train prescribers on the proper dispensing of opioids, which are indispensable pharmacologic resources for treating acute pain resulting from trauma or surgery. This study examines the prescribing practices of …

Offline Social Relationships And Online Cancer Communication: Effects Of Social And Family Support On Online Social Network Building, Namkoong Kang, Dhavan V. Shah, David H. Gustafson

Community & Leadership Development Faculty Publications

This study investigates how social support and family relationship perceptions influence breast cancer patients’ online communication networks in a computer-mediated social support (CMSS) group. To examine social interactions in the CMSS group, we identified two types of online social networks: open and targeted communication networks. The open communication network reflects group communication behaviors (i.e., one-to-many or “broadcast” communication) in which the intended audience is not specified; in contrast, the targeted communication network reflects interpersonal discourses (i.e., one-to-one or directed communication) in which the audience for the message is specified. The communication networks were constructed by tracking CMSS group usage data …

Baby Dust To All! Identity Construction In Two-Week Wait Online Discussion Forums, Danielle R. Derose

Master's Theses (2009 -)

Women with a self-identified infertility status sometimes choose to address this status by seeking medical intervention. There are a variety of methods available when attempting to conceive using medical treatments, with the choice heavily dependent on the health of each partner. A common first approach by reproductive endocrinologists is that of intrauterine insemination, or IUI. Women undergoing IUI invest significant time and money into the process and often must undergo procedures or take medication that can be enormously distressing. Once the IUI is complete, the woman must wait an emotional two weeks before she finds out if she is pregnant …

Psychometric Testing Of The Presence Of Nursing Scale: Measurability Of Patient Perceptions Of Nursing Presence Capability Of Nurses In An Academic Medical Center, Rebecca L. Turpin

Electronic Theses and Dissertations

Introduction: Nursing presence occurs when nurses expend themselves on the behalf of a unique patient. This phenomenon requires further research to develop instruments. The Presence of Nursing Scale (PONS) measures the patient’s perspective (Kostovich, 2012). Psychometric testing of PONS-Revised using exploratory factor analysis is warranted to further develop a reliable and valid measure of nursing presence. Contextual workplace variables need exploration in inpatient settings for correlation with nursing presence.

Method(s): A convenience sample of 122 adult inpatients from ten acute-care nursing units in a Southeastern Magnet hospital were surveyed to conduct the first psychometric testing of this revised instrument using …

Dialectical Tensions Experienced During Pediatric Chronic Illness: Analyzing Art Therapy Conversations From A Relational Dialectics Perspective, Katherine A. Rafferty, Erin Parcell

Journal of Clinical Art Therapy

Relational dialectics theory (RDT) provides a framework for understanding the dialectical tensions families experience when talking about pediatric chronic illness. One place where families may express these tensions is during clinical art therapy sessions, where therapists encourage child patients and their family members to use the creative process of art to tell stories while engaged in art making. Subsequently, we studied one clinical art therapy program for families with chronically ill hospitalized children. We examined the naturally occurring conversations during the art making process. Family members’ talk enumerated three primary dialectical tensions describing the pediatric illness experience. Findings and implications …

Family Communication Motivating Athletics Over Generations: A Mixed Method Expansion Of Self-Determination Theory, Elizabeth Hanson Smith

Dissertations

Mixed methods were utilized to test the communication within a model of self-determination (Deci & Ryan, 1985) in a multi-generational sports framework in order to argue for an update to self-determination theory (SDT) that includes a communication element. Fourteen qualitative research questions were posed to examine how communication functioned to move tennis players, golfers, and runners from the initial family influence in participating, to integrating family values to the extent that participants modeled athletic values to offspring and community members. Three hypotheses correlating the variables of self-efficacy, autonomy-controlling and autonomy-supportive family communication supported the argument that communication functioned to develop …

Evaluating Family Caregivers' Memorable Messages Of Social Support In The Context Of Cancer, Alexis Johnson

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

Caring for a loved one with cancer can be physically and emotionally difficult. Research has established that social support can improve overall mental health (Albrecht & Goldsmith, 2003; Sarason et al., 1994). To understand how caregivers make sense of the supportive messages they receive and the links between those messages and caregiver well-being (e.g. stress, depression, and affect), this study used the communicated sense-making model (CSM, Koenig Kellas & Kranstuber Horstman, 2015). Specifically, the current dissertation focuses on memorable messages, as one significant form of CSM, in order to identify the understudied nature of supportive message content and the ways …

Relationally Managing Weight Loss, Clinton L. Brown

Masters Theses

Previous research emphasizes the link between social support and weight loss. However, scholarship has failed to explore how family members enact support during an individual's weight loss attempt and how participation in a weight loss program impacts family communication about dietary choices. This project examines how family members enact support for individuals in a weight loss program and how as a result of participating in a weight loss program family members renegotiate relational norms and rules regarding dietary behaviors. Thirteen individuals (n= 13), eleven (11) females and two (2) males enrolled in a medically supervised weight management program journaled about …

The Person We Knew: Perceptions Of The Identity Of Loved Ones With Dementia By Family Caregivers, Amber Jannusch, Dena Huisman

Speaker & Gavel

While several studies have looked at the identity of dementia patients, most focus on the point of the view of the patient. However, caretakers’ and family members’ view of the identity of the dementia patient is unstudied. This study attempts to see how family caregivers’ view of their family member’s dementia manifests in communication about the loved one. This study is a preliminary examination of family caregivers’ constructions of the identity of their loved one, revealing that caretakers have one of three views: the patient without an identity, the patient as a different person, or the patient as “not lost” …

The Future Of Farming In Capable And Small Hands: The Young Farmer’S Movement In Waterloo Region 1907-1924, Morgan Williams

Laurier Undergraduate Journal of the Arts

No abstract provided.

Sugar For Sale: Constructions Of Intimacy In The Sugar Bowl, Emily Zimmermann

Laurier Undergraduate Journal of the Arts

No abstract provided.

Assessment Of The Perceived Role And Function Of A Community Advisory Board In A Nih Center Of Excellence: Lessons Learned, Margaret L. Walsh, Desiree Rivers, Maria Pinzon, Nina Entrekin, Emily M. Hite, Julie A. Baldwin

Journal of Health Disparities Research and Practice

Background: The Community Advisory Board (CAB) was a vital component of the Center for Equal Health. The center addressed health disparities through community-based research and educational outreach initiatives. Objectives: To evaluate the perceived relationship of the CAB and Center, explore members’ perceptions of the CAB’s role, and elicit feedback on how to enhance the relationship between the Center and the CAB. Methods: Ten in-depth, semi-structured interviews were conducted. All interviews were transcribed verbatim and analyzed with a focus on predetermined codes. Results: Main themes focused on perception of CAB roles and need for utilization of board members; overall center challenges; …

Information Diffusion, Facebook Clusters, And The Simplicial Model Of Social Aggregation: A Computational Simulation Of Simplicial Diffusers For Community Health Interventions, Kerk Kee, Lisa Sparks, Daniele C. Struppa, Mirco A. Manucci, Alberto Damiano

Communication Faculty Articles and Research

By integrating the simplicial model of social aggregation with existing research on opinion leadership and diffusion networks, this article introduces the constructs of simplicial diffusers (mathematically defined as nodes embedded in simplexes; a simplex is a socially bonded cluster) and simplicial diffusing sets (mathematically defined as minimal covers of a simplicial complex; a simplicial complex is a social aggregation in which socially bonded clusters are embedded) to propose a strategic approach for information diffusion of cancer screenings as a health intervention on Facebook for community cancer prevention and control. This approach is novel in its incorporation of interpersonally bonded clusters, …

Illness Narratives Of Women With Systemic Lupus Erythematosus And Family Communication: A Mixed Methods Study, Katherine M. Castle

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

Systemic lupus erythematosus (SLE) is a prominent, yet under-studied autoimmune condition that is both life limiting and potentially life threatening and affects more than one million Americans, primarily women. Despite this, the disease continues to go undiagnosed and unmanaged, leading to more severe outcomes of the disease process. Though there is growing recognition of the importance of social behaviors in improving health outcomes, particularly family communication and sense-making, there is a paucity of research aimed at understanding the experience of SLE and how women make sense of the disease in family contexts. This exploratory sequential mixed methods project is framed …

National Collegiate Athletic Association Head Coaches' Satisfaction With Athletic Training Services 2015, Whitney Larson

Master's Theses

Athletic trainers and coaches have a significant amount of interaction regarding the care of an athlete. This communication and cooperation is necessary to providing effective care. The purpose of this study was to determine the level of satisfaction that head coaches have with those providing athletic training services across all three NCAA Divisions. Overall satisfaction and four satisfaction categories (professionalism, communication, knowledge/ability, and accessibility) were examined. A total of 40 head coaches from NCAA Division I, II, and III schools participated in the study. The instrument used was originally developed by Beer (2004) and was modified to fit the current …

A Comparison Of Sexual Health And Sexual Pressure Among Young African American And Caucasian Women, Ann Gakumo

Journal of Health Disparities Research and Practice

Introduction. Condom self-efficacy, positive attitudes toward condom use, condom negotiation skills, HIV knowledge, and self-esteem have been associated with decreased HIV risk behavior among young women, but few studies have examined racial disparities that may exist in these social health indicators. Moreover, sexual pressure (inclusive of both coercive and non-coercive pressures to engage in unwanted or unprotected sex) has been understudied in women of different racial groups.

Study Purpose. The purpose of this study was to compare racial similarities and disparities in indicators of sexual health and sexual pressure in an urban sample of young African American and Caucasian women …

Caregiver Perceptions Of Their Influence On Cancer Treatment Decision Making: Intersections Of Language, Identity, And Illness, Janice L. Krieger, Angela L. Palmer-Wackerly, Jessica L. Krok-Schoen, Phokeng M. Dailey, Julianne C. Wojno, Nancy Schoenberg, Electra D. Paskett, Mark Dignan

Department of Communication Studies: Faculty Publications

Serious illness of a loved one can disrupt a caregiver’s sense of self and relationships. We examined the language caregivers use to describe the cancer treatment decision making of a loved one to understand how caregivers frame their own identity relative to a patient’s illness. We analyzed transcripts from in-depth interviews conducted with caregivers (N = 58) of cancer patients to examine the intersection among language, identity, and illness. Caregivers with a patient-level personal identity frame used phrases such as their body, their decision. Caregivers with a relational identity frame used plural pronouns such as we or our when describing …

Adolescent Perceptions Of Nutrition: Identifying Memorable Messages, Audrey S. Bachman

Theses and Dissertations--Communication

Research is necessary to uncover ways to improve adolescent nutrition and reduce obesity rates, particularly in the Appalachian region, which has high rates of food insecurity and adolescent obesity. The current study examines rural cultural norms about food, memorable messages adolescents received about nutrition, and the sources of identified memorable messages. Adolescents shared memorable messages during comprehensive, semi-structured, small group interviews in which participants revealed their individual experiences. Thematic framework analysis is used to present the range and nature of memorable messages about nutrition and to develop strategies for future health campaigns and interventions. This qualitative method of sequential inductive …