Health Communication Commons^™

Using Education To Confidently Identify And Report Concerns Of Child Abuse And Neglect: A Qualitative Improvement Initiative Through Staff Development, Sarah E. Neilson

Master's Theses and Capstones

BACKGROUND: Pre-licensure education on child abuse and neglect is crucial for nurses in the healthcare field. It helps to equip them with the knowledge and skills necessary to effectively identify, report, and intervene in cases of child abuse and neglect. Having this education available and understanding the signs and effects of child abuse and neglect, empowers nurses to take quick and decisive action in early intervention and prevention. Within the microsystem of a local Operating Room (OR), this quality improvement (QI) project will determine the muchneeded addition to the healthcare curriculum.

METHODS: The Plan, Do, Study, Act (PDSA) framework was …

Outbreak Communication: Exploring The Relationships Between Health Information Seeking Behaviors, Vested Interests, And Covid-19 Knowledge In U.S. Midwest Populations, Alicia Mason, Josh Compton, Elizabeth Spencer, Kaitlin Barnett

Faculty Submissions

On February 15, 2020, the World Health Organization (WHO) Director, General Tedros Adhanom Ghebreyesus, stated at a Munich Security Conference, “We’re not just fighting an epidemic; we’re fighting an infodemic,” (Zarocostas, 2020, p. 676). The term ‘infodemic’ refers to the onslaught of both accurate and inaccurate health information surrounding the COVID-19 pandemic. The concept of an ‘infodemic’ was quickly integrated into mass media, popular culture (i.e., documentaries, podcasts), and eventually scholarly literature. In response to COVID-19, health communication scholars have centered on understanding specific messaging strategies such as the use of fear appeals (Stolow et al., 2020), nature of advertising …

After The Disaster Guidebook: Designing A Post-Disaster Communication Intervention For Rural Landowners, Channing Bice, Susan Carter

Journal of Extension

Extension is well-positioned to facilitate communication strategies that foster community resilience and disaster recovery, particularly for rural residents. This paper proposes a new approach to post-disaster communication that strengthens rural community capacities in locally and culturally relevant ways. The findings revealed specific post-disaster information needs, preferences for local resources, and communication that encourages resilience through a document analysis and interviews with informants recovering from the 2020 Colorado wildfires. The practical recommendations discussed serve as a starting point for Extension professionals in other areas to consider ways to engage with their communities before, during, and after a disaster.

Bridging Empathy, Qianwen Lu

Masters Theses

As a jeweler, ally, and sympathetic witness to the traumatic stories of survivors, my work aims to support the process of reconstruction and reintegration for victims and the greater community. To move beyond isolation, resentment, and debilitating helplessness requires care and support. I want my jewelry to act as catalysts in the healing process by straddling both sides of the trauma-induced situation, to create greater awareness and empathy. National Coalition Against Domestic Violence shows that women are more likely to become victims of domestic violence, sexual assault, or other forms of physical and psychological abuse in unhealthy emotional relationships. These …

Inner Portraits, Bethany Salisbury

Graduate Theses

This paper investigates the many interconnected layers of women’s mental health through portraiture and how animal and plant symbolism can represent the way women's hormones and bodily health affect their mental health. I reveal how the artwork created presents these connections and inner mental health narratives to the viewer, creating a space of empathy, destigmatization, and self-reflection. This body of portraiture art connects five women through a series of both two-and three-dimensional portraits based on interviews using my own adaptation of Sara Lawrence-Lightfoots’ (1983) portrait methodology.

Women and non-binary individuals have always dealt with difficult interactions of bodily and mental …

Circumventing Ableism: A Grounded Theory Study Exploring Caregiver Strategies To Promote A Positive Identity, June Furr

All Dissertations

This qualitative research study explores how caregivers and persons with disabilities navigate the rhetoric of disability and caregiving through the interviews of fifteen caregivers and fifteen persons with disabilities using the lens of grounded theory and Burke’s (1952) dramatistic pentad. Significant findings describe how focused disability description can circumvent ableism when rhetorical resources that assist caregivers and persons with disabilities to navigate the rhetoric in disability descriptions are provided. Disability description theory includes the three stages that define, collaborate and revise, and practice and apply a disability description. This qualitative research offers an introduction into the phenomenon of …

Patient Experiences Through Head And Neck Cancer: Information Delivery Combatting Psychological Distress, Eleah Stringer Msc., Julian J. Lum Phd., Jonathan Livergant Dr., Andre Kushniruk Phd.

Patient Experience Journal

As part of a larger study investigating the utility of electronic decision support tools for patients with head and neck cancer (HNC), this article describes the patient experience of receiving cancer treatment in British Columbia, Canada. It aims to give voice to the patient experience and recommend a model of psychological adjustment for clinicians and clinical service management to consider to refine patient centric care pathways for HNC. Based in phenomenology, semi-structured interviews were conducted with 12 survivors of HNC, audio-video recorded, and thematically analyzed. Three themes were identified: (1) patients have high, though varying information needs; (2) an emotional …

The Global Anxiety Crisis In Teenagers And A Proposed School-Based Preventative Intervention Plan Focusing On Building Resilience In Children, Lia Darling

Independent Study Project (ISP) Collection

The impacts of the COVID-19 pandemic and climate change have significantly influenced teenagers, creating a global anxiety crisis. This paper discusses why and how the pandemic and climate crisis increased anxiety in teenagers and the ways that prevent anxiety disorders like building resilience in children. While there is much literature on the negative effects on mental well-being, few propose solutions. This paper discusses the urgent need for preventative interventions to decrease the risk of developing an anxiety disorder along with proposing a framework for a school-based intervention focusing on building resilience skills in children. The paper used a mix method …

The Effect Of Language Type And Perceived Controllability On Stigma And Compassion, Maddie Leake, Christine Mcgrath, Trudy Mickel, Claire Shaver, Gina A. Paganini, E. Paige Lloyd

DU Undergraduate Research Journal Archive

Previous research suggests that mental health stigma creates significant barriers to treatment seeking and adherence, diminishes treatment outcomes, and motivates social rejection towards people experiencing mental illness; by contrast, compassion seems to offer protective effects, improving treatment outcomes and helping behavior. The current work extends the established literature by experimentally examining the independent and interactive effects of two factors theorized to influence stigma and compassion: controllability and language. Participants read vignettes about hypothetical mental illnesses explained with a genetic attribution (indicating low controllability) or a behavioral attribution (indicating high controllability) and completed measures of perceived controllability, stigma, and compassion. We …

Examining The Effect Of Physician Language On Physician Impressions, Kathleen L. Hopps, Anna H. Rini, Maggie E. Williams, Gina A. Paganini, E. Paige Lloyd

DU Undergraduate Research Journal Archive

Previous research provides evidence that stigma can be perpetuated through language with consequences for well-being and quality of care. For example, providers who use stigmatizing language transmit bias toward patients with implications for care provided by other healthcare professionals. The current work extends upon this research by investigating perceptions of physicians who use stigmatizing or humanizing language. The current work sought to document the negative consequences of providers’ indelicate language on impressions of the provider, thereby motivating thoughtful language choices. To this end, the current work experimentally manipulated the language (stigmatizing, identity-first and destigmatizing, person-first) that hypothetical providers used to …

Faking And Conspiring About Covid-19: A Discursive Approach, Rosa Scardigno, Alessia Paparella, Francesca D'Errico

The Qualitative Report

In the more general climate of post-truth - a social trend reflecting a disregard for reliable ways of knowing what is true, mostly acted through massive use of misinformation and rhetoric calling for emotions - an alarming “infodemic” accompanied the COVID-19 pandemic, affecting healthy attitudes and behaviors and further lessening trust in science, institutions, and traditional media. Its two main representative items, fake and conspiracy news, have been widely analyzed in psycho-social research, even if scholars mostly acknowledged the cognitive and social dimensions of those items and devoted less attention to their discursive construction. In addition, these works did not …

Making Scientific Information Usable: Development And Assessment Of A Novel Intervention To Boost Healthy Lifestyle Decision-Making, Brittany Nelson

Dissertations, Master's Theses and Master's Reports

Context—Improving diet can reduce the risk of chronic health conditions such as cancer and heart disease. However, people continue to make poor dietary health decisions. A novel intervention based on the science of behavior change and incorporating Human-Centered Design (HCD) methodology is needed to boost informed dietary decision-making.

Objective—This research presents a Behavior Change Wheel (BCW), Human-Centered Design (HCD) approach to develop a novel high-usability video intervention that will increase informed decision-making for whole-grain dietary decisions. The intervention will target college students, improving habits that can carry on throughout later adulthood.

Design—Study 1 consisted of preliminary data …

What Is Your Why? A Qualitative Study About Motivational Differences Of Latinos/Hispanics And African American/Black In A Computerized Cognitive Training Program To Prevent Alzheimer’S Disease, Lizbeth C. Vera Murillo

UNF Graduate Theses and Dissertations

Recruitment of diverse populations is a major barrier in advancing clinical research (Areán & Gallagher-Thompson, 1993; Areán & Alvidrez, 2003). The need to increase racial diversity is imperative due to the substantial growth of historically marginalized racial communities in the United States (Weinstein et al., 2017). Despite researchers’ efforts to increase racial/ethnic representation in clinical trials, there is still a lack of understanding of the best practices to recruit racial/ethnic minorities in clinical trials. The current study explores the qualitative motivations of why research participants (aged 65+ years old) volunteered for an Alzheimer’s Disease (AD) prevention clinical trial. Racial/ethnic differences …

Motivation Differences Of Males And Females In The Pact Study: An Exploratory Study, Maria E. Vander Meulen

UNF Graduate Theses and Dissertations

A cure for Alzheimer’s disease (AD) is not yet a reality, however, research on preventative interventions for AD has demonstrated promise. An issue this research has encountered and will continue to contend with is the recruitment of a generalizable sample. There are several randomized clinical trials (RCTs) in various disciplines that do not reach their target sample or must extend their recruitment period to reach their sample size. Challenges like this will aid in the delay of finding an AD prevention method. That impedes the help it could provide future generations. The current study explores research participants’ (2,617) open-ended responses …

The Toolkit For Social Support And Social Anxiety: S*A*S*S*, Cynthia E. Kmety

Masters Theses

The purpose of this study was to create a toolkit for social support and social anxiety using the Communal Coping method. There was background research conducted on social anxiety and social support, COVID impact, Communal Coping, and resilience and skill building. Before constructing the toolkit, a survey was conducted with 29 Eastern Illinois University students to measure their assessment of their social anxiety and social support. The results of this survey found that students have a need for social support and are affected by their anxiety. Once the toolkit: the workbook and the facilitator’s manual, were completed, a pilot class …

The Ins And Outs Of Undergraduate Research And Leadership: A Student's Perspective, Regina F. Hockert

Kinesiology and Public Health

This manuscript is a reflective write-up of Regina Hockert’s experience in completing KINE 462, Honors Kinesiology Senior Project, during the 2022 Fall Quarter. It describes their experience as an undergraduate research leader, including specific milestones and artifacts related to a broader replication study and the daily activities of Dr. Jafrā Thomas’ lab. This essay was designed to be a written reflection around their senior project presentation and the insights shared through that medium about the senior project experience. It is created to showcase lessons learned in relationship with the tasks and responsibilities required of working in-depth on student-led research. …

Accessibility Rating Form For Websites And Other Online Platforms, Ethan Wu, Jafra D. Thomas, Regina F. Hockert, Jasmine C. Wong, Samantha M. Ross

Kinesiology and Public Health

Background. This file provides a coding form developed to judge how accessible websites and other online platforms are to users. Accessibility may be defined as the ease to which a person can perceive content and navigate material (Ross & Ross, 2021). Users are encouraged to adapt this form for their use.

Purpose. The rating form can be used to judge the pages of online media, using 14 criteria under two areas: Accessible Media and Accessible Design. One of three grades could be assigned to each criterion: Not Accessible (0 point), Somewhat Accessible (1 point), Accessible (2 …

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …

Cyberchondria And Covid-19 Health Threats Related To Attentional Bias And Safety Behaviors, Jacqueline J. Charles

Electronic Theses and Dissertations

Cyberchondria is described as excessively searching online for health information that ultimately increases worry and anxiety about one’s health (Starcevic et al., 2019). Research has demonstrated an increased attentional bias in anxious individuals for threat-related stimuli. Attentional bias for health information exacerbated by the frequent exposure to health threats during the COVID-19 pandemic may contribute to additional health-seeking behavior. The current study aimed to explore the potential relationship between COVID-19 health threats and cyberchondria level on attentional bias toward illness-related stimuli (symptom words) and the intent to perform safety behaviors while controlling for Trait Anxiety and Health Anxiety. Participants ( …

The Lived Experience Of Postpartum Anxiety During Covid-19: A Hermeneutic Phenomenological Study, Walker Ladd Phd, Jenny De Decker

The Qualitative Report

The experience of pregnancy and postpartum anxiety disorders results in adverse birth outcomes and the disrupted development of infants and children. Since the COVID-19 Pandemic, the Centers for Disease Control and Prevention (CDC) has designated pregnant and postpartum women as more vulnerable to COVID-19 (CDC, 2021), and perinatal mood and anxiety disorders rates have increased. However, research regarding the lived experience of women with postpartum anxiety (PPA) during a global pandemic remains lacking. Using van Manen’s hermeneutic phenomenological research method, we interviewed eight women self-identifying as having had PPA during the COVID-19 pandemic. Analysis revealed five themes describing the lived …

Misinformation And Disinformation: Detecting Fakes With The Eye And Ai, Victoria Rubin

Data and Test Instruments

How do we detect, deter, and prevent the spread of mis- and disinformationwith the human eye and AI? How does theory inform the practice, and how do theevidence-based research and best practices in lie-catching and truth-seekingprofessions—inform AI? The book looks into well-established human practicessuch as the routines and processes used in detective work, journalism, and scientificinquiry, and how they contribute toward innovative AI solutions. The book explainsthe principles, inner workings, and recent evolution of five types of state-of-the-artAI technologies suitable for curtailing the spread of mis- and disinformation:automated deception detectors, clickbait detectors, satirical fake detectors, rumordebunkers, and computational fact-checking tools.

Responses To Covid-19 Threats: An Evolutionary Psychological Analysis, Stephen M. Colarelli, Tyler J. Mirando, Kyunghee Han, Norman P. Li, Carter Vespi, Katherine A. Klein, Charles P. Fales

Research Collection School of Social Sciences

Responses to Covid-19 public health interventions have been marginally effective. For example, only 64% of the US population has received at least two vaccinations. Because most public health interventions require people to behave in ways that are evolutionarily novel and are mismatched with evolved human perceptual and decision-making mechanisms, it is imperative that we gain a better understanding of how people respond to public health information—including how they respond under different pandemic conditions and how specific groups may differ in their responses. We conducted two studies using data from primarily public sources. We found that state-level Covid-19 threats (e.g., infection …

Our Stories, Katelyn S. Lopez

Publications and Research

This semester, we participated in the “Our Stories” qualitative research project that involves learning more about students' first year, and first-semester experiences at City Tech during pandemic times. As we organized and read students’ posts, we journaled and practiced reflexivity, a qualitative research process that helps us examine how we are interpreting the data that we are engaging with. T Reflexivity is a process in qualitative research involving frequent examination of one’s position in the project. These positions include one’s assumptions, feelings, and so forth. An essential question for qualitative researchers, according to Leavy (2011), is “Has the researcher engaged …

Moral Matching: Strategic Messaging To Overcome Barriers To Persuasion, Tess M. Buckley

Communication (PhD) Dissertations

Persuasive messages are often met with resistance. Message fatigue is a unique motivational state caused by excessive exposure to redundant messages, which leads to active and passive resistance towards persuasive messages. The consequences of active and passive resistance are particularly harmful when directed towards messages intended to assist individuals in making health decisions. This dissertation investigated a message framing strategy, moral matching, to combat message fatigue resistance in the context of COVID-19. Guided by message fatigue and moral foundation theory literature, there were three main purposes of this dissertation. The first purpose was to identify what features of COVID-19 health …

A Global Experiment On Motivating Social Distancing During The Covid-19 Pandemic, Nicole Legate, Thuy-Vy Nguyen, Andree Hartanto

Research Collection School of Social Sciences

Finding communication strategies that effectively motivate social distancing continues to be a global public health priority during the COVID-19 pandemic. This cross-country, preregistered experiment (n = 25,718 from 89 countries) tested hypotheses concerning generalizable positive and negative outcomes of social distancing messages that promoted personal agency and reflective choices (i.e., an autonomy-supportive message) or were restrictive and shaming (i.e., a controlling message) compared with no message at all. Results partially supported experimental hypotheses in that the controlling message increased controlled motivation (a poorly internalized form of motivation relying on shame, guilt, and fear of social consequences) relative to no message. …

The Value Of Education: School Policy Decisions During The Covid-19 Pandemic, Elika W. Somani

Individually Designed Interdepartmental Major Honors Project

During the COVID-19 pandemic, lacking national U.S. policies, wide variation and conflict over chosen public school policy decisions emerged. What factors and guidelines informed the decision-making process in K-12 public schools during the COVID-19 pandemic and who were the key stakeholders? This study examines three school district types – a large city, medium city, and small-town – across Minnesota as case studies to unpack how policy decisions were made during the pandemic. Stakeholder interviews uncovered that the school decision-making process was a) connected to a district's political opinions, b) made by the superintendent and school board, c) primarily influenced by …

Communicating Comfort In Crisis: A Literature Review On Overcoming The Emergency Room Environment To Foster The Nurse-Patient Relationship, Faith G. Davenport

Senior Honors Theses

The average emergency room patient is not receiving the compassionate nurse-patient communication that patients experience on other hospital floors. Fewer positive nurse-patient interactions prompt patients to state that they feel uncomforted and dissatisfied on hospital exit surveys, inciting hospital management to investigate how to reverse this trend to retain their federal funding. Emergency room nurses cite multiple barriers inherent in their work environment that prevent them from building rapport with their patients, including a layout not conducive to private conversations, strict time constraints, and a fluctuating workload. Working for a prolonged period under these conditions is driving many nurses to …

Extending Psychological Reactance Theory To Include Denial Of Threat And Media Sharing Intentions As Freedom Restoration Behavior, Noel H. Mcguire, Hannah Ball

Communication Faculty Articles and Research

This study extends psychological reactance theory by examining denial of a public health threat and resistance toward media sharing as two novel types of freedom restoration. Participants (N = 220) were randomly assigned to watch a video advocating COVID-19 guidelines and completed an online survey assessing corresponding perceptions and behavioral intentions. Results of structural equation modeling supported the two-step model of reactance: greater perceived freedom threat was related to greater reactance, which in turn was linked to lower intentions to comply with COVID-19 guidelines, lower intentions to share the video with one’s online social network, and greater denial of COVID-19 …

The Importance Of Health Literacy: A Student-Led Workshop On Lay Communication, Sarah Jean Kamp, Jafra D. Thomas

Kinesiology and Public Health

The purpose of this experiential senior project workshop was to advance the knowledge and practice of health communication by (a) delivering a training workshop to Cal Poly undergraduate students and (b) by exploring the relationship between health literacy and effective communication through completion of a rapid review of the literature. The reviewed literature served the purpose of helping the student further design the workshop to elicit a foundational understanding of the elements of effective communication of health information as well as the history and evolution of health literacy as a concept. The workshop revised and delivered by the student was …

Healing Racial Injustice With Mindfulness Research, Training, & Practice, Danielle "Danae" Laura

Mindfulness Studies Theses

This thesis offers a collection of authors and studies in support of improved research, training, and practice connecting mindfulness with racial justice through intergroup applications. The paper identifies barriers at work (e.g., colorblindness, spiritual bypass, white fragility, and implicit bias) in contemplative science, Western Buddhist communities, and secular mindfulness centers, which block the sizeable contributions possible in studying the intergroup application of mindfulness practice—specifically Lovingkindness Meditation, among others—when used as an intervention with anti-racist aims. Through secondary qualitative research, I reviewed six key works from Black authors on mindfulness and race, as well as six sample studies on the prosocial …