Health Communication Commons^™

The War At Home, Joseph A. Altobelli Mr.

Capstones

This site was made to show how the cuts to and politics behind the Veterans Affairs Hospital in New York affects the veterans it is set up to care for.

Patient-Reported Outcomes Screening For Improved Patient Wellness: A Cancer Center Initiative, Alison Morris

Doctor of Nursing Practice (DNP) Projects

Background: People experiencing serious illness have significant unmet physical, emotional, social and spiritual needs. The Quality Oncology Practice Initiative (QOPI) requires patients to be screened for emotional wellbeing and pain by their second oncology visit. This project details one cancer center’s quality improvement initiative to (a) implement electronic screening of every cancer patient by their second oncology visit, (b) design processes for ongoing assessment and intervention of need(s), and (c) develop measurable and sustainable evaluation metrics to ensure that palliative care needs are met. Methods: In June 2015, we launched electronic collection of patient-reported outcomes (PROs) using the Patient Reported …

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” …

Meet Me Monday: Case Study On A Community Health Program Through The Lens Of The Elaboration Likelihood Model, Joshua Schlaich

Boise State University Theses and Dissertations

This case study employs the Elaboration Likelihood Model as a framework for understanding one Idaho/Oregon Health System's community health program and weekly walking event. Meet Me Monday, a program started in 2013 due to many organizational and federal goals to improve patient population and community health, has been perceived to have struggled with influencing increased and sustained participation. This study focuses on the communicative efforts of the Meet Me Monday community health program, and looks to gain a fuller understanding of the influences and moderating variables to participation.

Utilizing data sources such as semi-structured interviews with program organizers, surveying of …

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

Laurier Undergraduate Journal of the Arts

No abstract provided.

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.

Should I Stay Or Should I Go? Patient Understandings Of And Responses To Source-Isolation Practices, Mary Wyer, Rick Iedema, Christine Jorm, Gary Armstrong, Su-Yin Hor, Claire Hooker, Debra Jackson, Clarissa Hughes, Matthew V.N. O'Sullivan, Gwendolyn L. Gilbert

Patient Experience Journal

Isolation of patients, who are colonised or infected with a multidrug-resistant organism (source-isolation), is a common practice in most acute health-care settings, to prevent transmission to other patients. Efforts to improve the efficacy of source-isolation in hospitals focus on healthcare staff compliance with isolation precautions. In this article we examine patients’ awareness, understandings and observance of source-isolation practices and directives with a view to understanding better the roles patients play or could play in transmitting, or limiting transmission, of multidrug-resistant organisms (MRO). Seventeen source-isolated adult surgical patients and two relatives participated in video-reflexive ethnography and interviews. We learned that, although …

Metaphorical Framing Of Obesity, Ryan Paul Hofer

Dissertations and Theses

The study of metaphor has moved from abstraction and poetics into the realms of cognitive science and cultural studies. Rather than being seen as purely figurative and secondary to literal meaning, investigation of metaphors reveals a close relationship to our processes of reasoning, a capacity to both reveal and cover, and a plasticity that forms within surrounding cultural values. I reviewed current metaphor theory, including its concerns and justifications, and designed a simple survey experiment through the Qualtrix webpage. The survey was distributed via the Amazon Mechanical TURK system. The experiment, in two different versions, briefly described obesity and then …

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, …

A Theory-Grounded Measure Of Adolescents' Response To Media Literacy Interventions, Kathryn Greene, Itzhak Yanovitzky, Amanda Carpenter, Smita C. Banerjee, Kate Magsamen-Conrad, Michael L. Hecht, Elvira Elek

Journal of Media Literacy Education

Media literacy interventions offer relatively new and promising avenues for the prevention of risky health behaviors among children and adolescents, but current literature remains largely equivocal about their efficacy. We propose that (a) much of this ambiguity stems from the lack of conceptual clarity in the literature regarding the cognitive process through which media literacy interventions influence their target audience, and (b) that the ability to track this cognitive process by means of valid and reliable measures is necessary to evaluating the effects of media literacy programs on their audience. Accordingly, the primary objective of this study was to develop …

Information Scanning And Vaccine Safety Concerns Among African American, Mexican American, And Non-Hispanic White Women, Meghan Bridgid Moran, Lauren B. Frank, Joyee S. Chatterjee, Sheila T. Murphy, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

Objective: A significant number of parents delay or refuse vaccinating their children. Incidental exposure to vaccine information (i.e., scanned information) may be an important contributor to anti-vaccine sentiment. This study examines the association between scanned information, trust in health information sources and vaccine safety concerns among African American, Mexican American, and non-Hispanic White women.

Methods: Women (N=761) in Los Angeles County were sampled via random digit dial and surveyed regarding use of and trust in health information resources and vaccine safety concerns.

Results: Analyses indicate that the sources of information associated with vaccine safety concerns varied by …

Implementation Of A Debrief “Takeaway” Board, Carly A. Skeath

Master's Projects and Capstones

Abstract

My original focus of my project was to implement Team STEPPS, to help improve the communication and teamwork within our entire perinatal service department. However, as I started I ran into barriers with time and with other projects put out by our management that needed to take president. It is then that I decided to narrow my focus on one aspect of Team STEPPS which we are already implementing, and that is debriefs. As a member of the Perinatal Patient Safety Program (PPSP), I was able to learn about all the takeaway’s we received from debriefs that had occurred, …

Understanding Access To Health Information: The Role And Measurement Of Social Location, Megan S. Kelley

Theses & Dissertations

The purpose of this research is to explore how application of social location theory may improve data collection on health information access in order to better inform and improve the effectiveness of health communication and messaging. This dissertation proposes a framework to understand how people obtain health information based on the idea of social location, Ritzer and Bell’s (1981) levels of social reality, and Dahlberg & Krug’s (2002) social ecological model. This research addressed the extent to which three studies of health information access support the use of such a framework, and if so, how its application could improve our …

Implementing Shared Decision-Making: Consider All The Consequences, Glyn Elwyn, Dominick L. Frosch, Sarah Kobrin

Dartmouth Scholarship

The ethical argument that shared decision-making is “the right” thing to do, however laudable, is unlikely to change how healthcare is organized, just as evidence alone will be an insufficient factor: practice change is governed by factors such as cost, profit margin, quality, and efficiency. It is helpful, therefore, when evaluating new approaches such as shared decision-making to conceptualize potential consequences in a way that is broad, long-term, and as relevant as possible to multiple stakeholders. Yet, so far, evaluation metrics for shared decision-making have been mostly focused on short-term outcomes, such as cognitive or affective consequences in patients. The …

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 …

Risk Information Seeking And Processing About Hpv Among Chinese Female Students In The United States, Shiyao Li

Master's Theses (2009 -)

The present study aims to examine the information seeking and processing behaviors about Human Papillomaviruses (HPVs) among Chinese female college students in the United States. HPV is the most prevalent sexually transmitted virus in the United States and all around the world. It is closely associated with cervical cancer, which is a major cause of death among women in developing countries. However, knowledge of the virus among women worldwide remains at low level despite of its severity and prevalence. Due to the fact that HPV vaccine is still going under clinical trials in China, the Chinese student body in the …

Cigarette Packaging In Ireland: The Plain Future, Maurice Murphy, Wesley Connolly Tong

Dept. of Management & Enterprise Conference Material

No abstract provided.

Understanding How Patients Perceive Their Medical Providers’ Communication In A Hospital Based Emergency Department Setting, Balpreet K. Grewal-Virk

Seton Hall University Dissertations and Theses (ETDs)

Background: In recent years, a chief patient complaint has been that there is a breakdown in communication with their healthcare provider. This is concerning because poor provider-patient communication can lead to reduced medication adherence, misdiagnosis, increased healthcare costs, and even death. Furthermore, the implementation of the Affordable Care Act has availed healthcare insurance to more individuals, which will increase the insured patient population. This will lead to a rise in patient visits, but also means that there are not enough physicians to support this new volume of patients. Other healthcare providers, like nurse practitioners and physicians assistants are more …

The Movie "Wild": In Search Of A Lost Soul, Jerry Duane Gibson

Communication Studies

The Pacific Crest Trail is a 2,600 mile area that begins at the border of San Diego and Mexico and finishes near the Washington and Canadian border. Cheryl Strayed wrote her memoir about her journey along this trail in 1995 at the age of 26. Her book was then made into a motion picture and released on December 25^th, 2015. The director, Jean-Marc Vallee, was suggesting the idea that the Pacific Crest Trail was a very effective psychological therapeutic tool for grieving the loss of a parent while discovering one’s true authentic self. The traditional western methods of …

I Know I Can: Feeling Confident About Discussing Cancer May Help Couples' Cancer Management, Kate Magsamen-Conrad, Maria K. Venetis, M. G. Checton, K. Greene

School of Media and Communication Faculty Publications

Managing chronic illness, especially something like cancer, affects more than the diagnosed person. Cancer also affects partners, families, and loved ones. In our study, we were interested in how cancer affects communication patterns between survivors and their partners. We wanted to apply a model that explains chronic illness management in couples to see if we could determine how parts of a relationship, uncertainty about cancer prognosis, and the confidence people have in talking with partners about the cancer affect couples’ ability to manage the disease.

Promoting Completion Of Advance Directives In A Hispanic Religious Congregation: An Evidence-Based Practice Project, Luis Daniel San Miguel, Mary Jo Clark

Doctor of Nursing Practice Final Manuscripts

Background: Hispanics utilize more aggressive medical treatment at the end of life and are less likely to receive end-of-life care consistent with their wishes than nonHispanic Whites. Hispanics are less likely than nonHispanic Whites to have an advance directive (AD). Increasing AD completion among Hispanics can promote end-of-life care consistent with their wishes, diminish healthcare disparities, and eliminate unnecessary healthcare spending. Objectives: To promote completion of advance directives by increasing knowledge, positive attitudes, and comfort with advance care planning (ACP) among Hispanics through culturally sensitive interventions. Intervention: The project was conducted in Spanish and implemented among a …

Listening Fatigue And Response Time In Normal Hearing Listeners, Rachel E. Pittard

Senior Honors Projects, 2010-2019

Individuals with hearing loss undergo exertion with the change in the auditory environment they are exposed to throughout the day. This fatigue causes individuals with hearing loss to expend more effort in order to achieve the level of speech understanding that a normal hearing individual would under the same environmental circumstances (Gosselin and Gagné, 2011). Because of this, hearing aid users experience listening fatigue by the end of the day, especially in the presence of background noise (Rabbitt, 1991). This listening fatigue affects school aged kids and their ability to perform and succeed on grade level in the classroom. Older …

Identity Disclosure In Lesbian, Gay, And Bisexual Patient-Provider Communication, Nicole Hudak

Masters Theses, 2010-2019

Lesbian, gay, and bisexual individuals have encountered barriers in accessing healthcare. Barriers to accessing medical care can stem from discrimination within healthcare, which includes the medicalization of homosexuality. Literature demonstrates that both providers and LGB patients recognize that there are inefficiencies in the current healthcare system for LGB patients. This thesis sought to find how LGB individuals navigated the disclosure of their sexual identities with their providers and what types of communication barriers existed between them. Qualitative, in-depth interviews were conducted with 20 LGB identified participants. The recorded interviews were transcribed and analyzed using a constant comparative method. Four themes …

Let’S Chat: Willingness To Communicate And The Development Of A Destigmatizing Campaign, Ethan D. Smith

Masters Theses, 2010-2019

Abstract

Low treatment rates for depression are commonly observed among young adults of typical college age in particular. Fear of social judgement makes stigma a commonly identified barrier to depression treatment. What is unclear is how the willingness of university students to communicate about depression may influence or be influenced by stigma. Guided by the Theory of Planned Behavior and the Health Belief Model, the present thesis investigates the stigma attitudes of students toward depression, as well as their willingness to communicate about depression. To do this, an online survey was conducted with depression stigma scales and adapted willingness to …

The Effects Of Social Status On The Quality And Affordability Of Healthcare, Robert O. Burns

Honors College Theses

Access to healthcare is very important in today's society, as is the quality of said healthcare. The socioeconomic status (SES) of an individual is the most important factor when it comes to determining both the accessibility and quality of said care, and as such has been studied extensively. Across different countries, lower SES has been linked to the decreased affordability and success rates of medical treatments such as coronary heart disease medication or health risk prevention regimes. In many cases, low SES patients were found to be less likely to seek treatment than higher SES patients as the debt they …

The Sentence Continues: Breaking Silences And Becoming Authors Through The Semicolon Project, Brooke E. Covington

Masters Theses, 2010-2019

Through its many digital platforms, The Semicolon Project, a suicide and self-harm prevention initiative, offers its users a creative means of using writing to heal. As its name suggests, the semicolon is an essential mark for this group—grammatically a semicolon represents a place in the sentence that an author could have ended and for the members of this prevention initiative, the semicolon acts in a similar way. By tattooing or drawing a semicolon on the body, the semicolon bearer embody a sense of authorial agency, positioning herself as author and using the semicolon as a representation of her dedication to …

Mental Illness Stigma In The Media, Brian Smith

The Review: A Journal of Undergraduate Student Research

The aim of this paper is to explore mental illness stigma and one of its primary causes, the media. Essentially the paper looks at various forms of media (e.g., prime time television, children’s programming, news media) and how they create negative perceptions of both mentally ill individuals, and those who help treat them. Previous research has shown that those with a mental illness are often depicted as violent and socially undesirable by the media. Other previous research has shown that those who treat mental illness are often depicted as unprofessional and untrustworthy by the media, creating a strong negative stigma …

Swords Into Stethoscopes: How The U.S. Military Could Conduct Medical Diplomacy, Oliver Kendall

Political Science Honors Projects

Since the early 1960’s, Cuba and China have won international appreciation by sending doctors abroad to help where they are needed. While there was surprise in some quarters when U.S. military personnel were deployed to combat Ebola in the last months of 2014, the Department of Defense actually has a long history of medical activity. In its current form, DoD medical outreach cannot likely garner soft power in the way that the Chinese and Cuban programs can, but with a few modifications, the U.S. military could be a serious conductor of medical diplomacy that would save countless lives and benefit …

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 …