Health Communication Commons^™

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 …

A Culture-Centered Approach To Exploring The Impact Of Culturallyappropriate Communication On Patient-Provider Communication Satisfaction For Blackfeet Patients With Type 2 Diabetes, Zita K. Ottersbach

Graduate Student Theses, Dissertations, & Professional Papers

This study explores how culturally appropriate communication influences perceived quality of care and communication satisfaction among patients with T2D. Grounded in the Culture-Centered Approach (Dutta, 2008), this study explores how cultural identity, systemic structures, and communication practices shape the ways that Amskapi Pikuni individuals navigate their care, and seeks to ask: How, if at all, does a provider’s culturally competent communication influence a Blackfeet patient’s management of their T2 Diabetes? This project is based on in-depth, qualitative interviews with 13 Blackfeet participants, most living within the exterior boundaries of the Blackfeet reservation and receiving their primary healthcare at the local …

An Endemic Issue: Malawi's Struggle To Prevent Childhood Malaria, Hailey A. Smalley

Graduate Student Theses, Dissertations, & Professional Papers

Malaria is one of the most prolific diseases in the world, generating hundreds of millions of cases and hundreds of thousands of deaths a year. In 2021, the World Health Organization initiated preliminary trials for the first malaria vaccine in three countries, including Malawi. This project explores the impact of the malaria vaccine on community perspectives and health outcomes related to malaria , describes ongoing challenges that health workers face when disseminating the vaccine, and explains how Malawi’s experience implementing the malaria vaccine reflects larger trends in international aid.

Comedy, Camaraderie, And Conflict: Using Humor To Defuse Disputes Among Friends, Sheena A. Bringa

Graduate Student Theses, Dissertations, & Professional Papers

This study sought to examine the role humor plays in defusing conflict between friends from an evolutionary perspective. Although a vast amount of research exists on humor, friendship, and conflict, no single study connects all three of these concepts together. This study attempted to fill this gap by examining how different humor styles used between friends in times of conflict relate to friendship satisfaction and life satisfaction. Specifically, the hypotheses predicted that friends who use affiliative humor to deescalate conflict are more inclined to report higher relational satisfaction and improved individual well-being than friends who use maladaptive humor to deescalate …

Impacts Of Eating Disorder Recovery On Communication Of Identity Through Food, Rosemary Willett Jeter

Graduate Student Theses, Dissertations, & Professional Papers

Using the Communication Theory of Identity as a framework, the purpose of this thesis was to investigate how the experience of eating disorder recovery (EDR) impacts one’s communication of identity through and about food, and perceptions of others’ communication about and through food. Purposive sampling yielded 20 adult participants who self-identified as having been in EDR for at least one year. Results from a phronetic iterative data analysis of semi-structured interviews yielded several themes. When considering how EDR influences personal communication through food, main themes include: (a) the inability to share meals creates a gap between the enacted and relational …

Healthcare Provider Uncertainty And Communicative Management Strategies, Katie Benson

Graduate Student Theses, Dissertations, & Professional Papers

Uncertainty exists ubiquitously within provider-patient interactions. Healthcare providers (HCPs) often face uncertainty during patient-provider interactions, for reasons including inconclusive test results, ambiguous communication, and lacking the resources to make diagnoses. When healthcare providers experience uncertainty, their behavior and communication can be negatively impacted. For example, prior research suggests when HCPs experience uncertainty, they may engage in authoritative, prejudiced and assumption-ridden behavior towards patients (Dietta & Rand, 2007; Drewniak et al., 2017: Portnoy et al., 2013; Poteat et al., 2013). To date, research on HCP uncertainty has been limited to specific health conditions and contexts such as cancer, vascular anomalies, and …

Distal Sibling Grief: Exploring Emotional Affect And Salience Of Listener Behaviors In Stories Of Sibling Death, Margaret C. Brock

Graduate Student Theses, Dissertations, & Professional Papers

Communicated Narrative Sense-Making (CNSM) theory is used as a theoretical framework to understand the storytelling surrounding a sibling’s death years after the loss. Analysis of 174 narratives from individuals whose siblings died five or more years ago revealed that a neutral tone, rather than the use of positive or negative affect, was predominant in this retrospective storytelling. When affect was present, it was more likely to be negative than positive. However, positive affect was associated with an individual’s satisfaction with life when it was present. The neutrality and frequency of retrospective storytelling among distally bereaved siblings in this study may …

The Home As A Site Of Family Communicated Narrative Sense-Making: Grief, Meaning, And Identity Through “Cleaning Out The Closet”, Kendyl A. Barney

Graduate Student Theses, Dissertations, & Professional Papers

This study utilized communicated narrative sense-making theory to explore the process of sorting through a deceased loved one’s belongings and changing the home after loss (referred to as “cleaning out the closet”), as the site of family communication and storytelling. Through storytelling, families make order of the disordered experience that is bereavement by negotiating meaning, identity, and family. The stories told about and within the process of “cleaning out the closet” elicit rich insight on each family’s experience with bereavement, loss, and life with each other. “Cleaning out the closet” narratives shed light on the interactions that occur between family …

Exploring Research-Based Yoga Interventions Targeting Underserved Women And Sexual Trauma: A Descriptive Study, Shannon Steele

Graduate Student Theses, Dissertations, & Professional Papers

BACKGROUND

Racial/ethnic, minority women of low socioeconomic status are disproportionately affected by sexual assault and are more likely to develop PTSD. Women’s social, economic and environmental circumstance may contribute to this disadvantage. Yoga has shown to reduce symptoms of PTSD in underserved women. However, it is unknown whether yoga interventions for underserved women who have experienced sexual trauma in the research literature are theory-based and whether constructs are consistent across interventions. Furthermore, it is unknown whether existing trauma-based yoga training programs incorporate similar constructs found in yoga interventions for underserved women who have experienced sexual trauma.

METHODS

A descriptive research …

Adherence And Uncertainty Management: A Test Of The Theory Of Motivated Information Management, Ryan Thiel

Graduate Student Theses, Dissertations, & Professional Papers

This study examined the main predictors of adherence to a health regimen by patients clinically diagnosed with a heart condition. The theory of motivated information management was used to illuminate salient variables including uncertainty, emotion(s), outcome expectancies, and efficacy assessments. A total of 76 participants completed an online survey, asking about variables related to the theory of motivated information management, adherence, and quality of communication between patient and physician. All together, 90.8% of patients reported properly adhering to their health regimen. The results further indicated that participants had overall low levels of uncertainty regarding their health regimen, and reported positive …

Diabesties: How Diabetic Support On Campus Can Alleviate Diabetic Burnout, Kassandra E. Martin

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this study is to determine what types of supportive communication Type One diabetic students need when entering college to decrease diabetic related distress. A training program for students living with Type One Diabetes was created on the barriers they face to effective disease management on campus. This training plan was developed using Beebe, Mottet, and Roach’s (2013) Needs-Centered Training Model. The main issue that appeared from the Needs Assessment was that students are feeling high distress when it comes to keeping with a strict medical regimen. What they expressed interest in was a need for information from …