A Tool To Cost Environmental Health Services In North Carolina Local Health Departments, Nancy L. Winterbauer, Simone Singh, Ashley Tucker, Lisa M. Harrison

Frontiers in Public Health Services and Systems Research

Introduction: The cost of providing a basic set of public health services necessary not been well-described. Recent work suggests public health practitioners are unlikely to have the empirically-based financing information necessary to make informed decisions regarding practice. The purpose of this paper is to describe the development of a costing tool used to collect primary data on the number of services provided, staff employed, and costs incurred for two types of mandated environmental health services: food and lodging inspections and onsite water services.

Methods: The tool was iteratively reviewed, revised, and piloted with local health department (LHD) environmental health and …

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 …

Glu: An Online Type 1 Diabetes Information Community, Stefanie Witt

School of Information Student Research Journal

This research paper examines the online health community Glu (MyGlu.org), a type 1 diabetes social media site. Type 1 diabetes is a chronic medical condition that requires constant and specialized medical attention. Online health communities like Glu, are an important part of maintaining a healthy lifestyle for many of its members. This study discusses the composition of this information community, the motivations of its members, and the benefits members gain through their participation. It describes the major characteristics of the community and focuses on the information needs of type 1 diabetics. It concludes with reflections on how libraries and LIS …

A Public Health-Based Approach To German Gaming Regulation, Knut Walter, Gerhard Buehringer

International Conference on Gambling & Risk Taking

The current situation of the German gambling market can be characterized by an unrelated framework of different legal systems, different regulatory authorities and different control principles, and has led to (1) an increasing number of court decisions and information requests by European Commission questioning parts of that regulatory system, (2) public tolerance of illicit gambling, and consequently (3) a lack of consumer protection.

Taking RENO Model 1.0 and 2.0 seriously, a new and comprehensive regulatory framework based on common consumer protection standards for all types of gambling – land-based and online, state-owned and private operated – has been developed and …

A Systematic Review Of Dual-Sensory Impairment In Older Adults, Abby F. Malawer

Dissertations, Theses, and Capstone Projects

The elderly population (ages 65 years and older) in the United States is estimated to double between 2000 and 2030 to approximately 72 million people. Among this population, sensory impairment is a chronic disability. The combination of both hearing and vision impairment, referred to as dual-sensory impairment (DSI) is a chronic condition on the rise. The prevalence of DSI ranges from a low of 1.6% to as high as 22.5% depending on the population (Appollonio et al., 1995). Higher prevalence rates tend to emerge in populations receiving rehabilitative and hospital care. DSI impacts independent physical function and verbal communication, along …

Development Of A Patient-Centered Health Literacy Toolkit For Audiology And Hearing Loss (The 'Hh Lit Kit'), Jennifer L. Gilligan

Dissertations, Theses, and Capstone Projects

The Patient-Centered Health Literacy Toolkit for Audiology & Hearing Loss (‘HH Lit Kit’) represents four years of inquiry into health literacy and Patient-Centered Care (PCC) in audiology. While awareness of health literacy continues to gain momentum in medicine and public health, there is a paucity of information on PCC and health literacy in audiology.

Low health literacy is linked to poorer health and poorer quality of life. Patients with hearing loss are at high risk for low health literacy. This presents a major concern because hearing loss affects the way information is processed, retained, and applied. Gaps have been identified …

Effect Of An Internet-Based Education Program On Self-Care Agency In People Living With Human Immunodeficiency Virus, Darcel M. Reyes

Dissertations, Theses, and Capstone Projects

Both low health literacy and insufficient electronic health literacy (ehealth) impede access to reliable internet health information for people living with chronic illnesses such as HIV/AIDS. Use of reliable internet health information has been shown to improve self-care through increased understanding of symptoms, disease processes, and improvements in adherence with treatment plans.

This study examined the effectiveness of two interventions that taught people living with HIV/AIDS (PLWH) how to recognize reliable internet based HIV health information. Orem’s Self-Care Theory was the framework for this quasi-experimental study that used a non-equivalent two-group design with two experimental interventions (MEDLINE and E-HELP). Participants …

Jumpin’ Jacks: Social Marketing Campaign Aimed To Increase Awareness Of Healthful Behavior In South Dakota Fourth Grade Students, Megan N. Olesen, Kendra Kattelmann, Jessica Meendering, Suzanne Stluka

Health and Nutritional Sciences Faculty Publications

This study investigated the influence of utilizing a collegiate mascot as a marketing tool for the promotion of fruit and vegetable intake and physical activity among 4th grade students. The program utilized service learning and formative research for the development of a social marketing campaign comprised of nutrition education and brand marketing. A pre-test/post-test design was used to measure fruit and vegetable intake and physical activity in participants in intervention and control schools. Awareness and understanding of the campaign was assessed post-intervention. There were no changes in fruit and vegetable intake or physical activity. However, 91% of the intervention students …

Sunsafe Health Campaign: Rationale And Planning, Jennifer Gonzales, Michelle Merritt

Communication Studies

In Spring 2016, a team of Communication Studies students researched, planned, and conducted a health campaign on the Cal Poly campus. The goal of the health campaign was to educate fellow students about the dangers of sun overexposure and provide information on how to take preventive measures to protect their skin. Communication theories and concepts were applied while the messages of the campaign were created and distributed.

Prep Advocacy Project: Increasing The Adoption Of Pre-­Exposure Prophylaxis (Prep) In San Luis Obispo County, Leona Rajaee

Journalism

The following study investigates the need for Pre­exposure Prophylaxis (PrEP) in San Luis Obispo (SLO) County in order to develop an effective health outreach and advocacy program that could increase the adoption of PrEP treatment and in turn decrease new HIV transmissions in the community studied. The sponsor of this study is the Access Support Network (ASN), a non­profit organization that provides supportive services for individuals living with HIV/AIDS. ASN launched this study after observing the effectiveness of PrEP in metropolitan cities. At the same time, ASN also noticed a rise in new HIV transmissions, particularly among injecting drug users …

Teaching Communication Skills To Medical And Pharmacy Students Through A Blended Learning Course, Rick Hess, Nicholas E. Hagemeier, Reid Blackwelder, Daniel Rose, Nasar Ansari, Tandy Branham

ETSU Faculty Works

Objective. To evaluate the impact of an interprofessional blended learning course on medical and pharmacy students’ patient-centered interpersonal communication skills and to compare precourse and postcourse communication skills across first-year medical and second-year pharmacy student cohorts.

Methods. Students completed ten 1-hour online modules and participated in five 3-hour group sessions over one semester. Objective structured clinical examinations (OSCEs) were administered before and after the course and were evaluated using the validated Common Ground Instrument. Nonparametric statistical tests were used to examine pre/postcourse domain scores within and across professions.

Results. Performance in all communication skill domains increased significantly for all students. …

A Collaborative Approach To Addressing Health Information Literacy Among High School Students, Sharon A. Weiner, Lalatendu Acharya, Kathryn Dilworth, Laura Henzl, Lisa Kirkham, Clare Lutgen, Bethany Mcgowan, David R. Walker

Purdue P-12 Networking Summit & Poster Session

No abstract provided.

If Our Gatekeepers Can't Function Properly, We Are Doomed, Barry Mauer

UCF Forum

Andrew Wakefield, a British doctor who lost his medical license in 2010, falsely claimed in a 1998 scientific paper published in The Lancet that measles, mumps and rubella vaccines cause autism and Crohn’s disease. His claims, though bogus, were widely reported and led to a decline in vaccination rates and new outbreaks of measles and mumps.

“Knee High To A Grasshopper”: An Exploration Of Appalachian Youth, Family Communication Patterns, And Depression, Cori Howard

Masters Theses, 2010-2019

This thesis examined factors related to family communication and the prevalence of depression in Appalachian youth. Two quantitative studies were utilized to gather data. The first study tested the measures on Virginia college students to determine if family communication and depressive symptomology were related. Study two took place in one Virginia high school and one North Carolina high school that were identified to be in the Appalachian region. Utilizing a conformity orientation family communication style was positively correlated with depressive symptomology in both the college sample and in the Appalachian samples.

Achoo! Three Major Us Newspapers Reporting On The Flu Before And After H1n1, Philip A. Harris

Masters Theses, 2010-2019

The flu is the most common and also the most preventable health risk and crisis in the United States. This research is a quantitative content analysis of flu coverage appearing in 102 articles from The Washington Post, USA Today, and The New York Times. It examines the differences in the coverage three years before and after the H1N1 pandemic and evaluates them for the use of fundamental constructs in health, risk, and crisis communication theories such as severity, susceptibility, efficacy, excuse, justification, intention, expertise, and trustworthiness. Most significant differences were found between excuse and justification as well as with …

Padded Assumptions: A Critical Discourse Analysis Of Patriarchal Menstruation Discourse, Kathryn M. Lese

Masters Theses, 2010-2019

In 2015, Rupi Kaur’s photography project featuring a menstruating woman was censored on Instagram, a photo sharing social media platform. The menstruation censorship created a surge in public media discourse about what is and is not appropriate to discuss about menstruation. Menstruation communication is often discrete or invisible in dominant discourse and focuses of medicalization rather than the social norms of “performing menstruation”. This thesis explores menstruation communication in public media discourse and examines how it empowers and disempowers the menstruating female body. Themes including the everyday language of menstruation, patriarchal censorship of women’s bodies, shame and stigma in menstruation …

Contesting “Obligation”: Memory, Morality, And The (Re)Construction Of Divestment Narratives, Christina Quint

Masters Theses, 2010-2019

Leaders in the medical field representing organizations abroad such as the British Medical Association (BMA) and MedAct have called for health care organizations to divest from fossil fuels, on the grounds that it is hypocritical for health care leaders to take the Hippocratic Oath and be implicated in the health impacts for which the burning of fossil fuels is responsible. The emerging discourse highlighting the imperative to divest draws parallels to the health care sector’s leadership in divesting from tobacco in the 1990s on the grounds of its health implications. Even before the current fossil fuel divestment movement and the …

My Body, Our Illness: Negotiating Relational And Identity Tensions Of Living With Mental Illness, Erin E. Casey

Masters Theses, 2010-2019

This thesis uses an autoethnographic methodology informed by narrative theory to interrogate my experiences of relational and identity tensions as both a consumer of mental health services and an advocate for the care, autonomy and acceptance of those who identify with concepts of mental illness recovery. In doing so I am using my personal diaries and medical records from the past seven years as archival data to assist me in recovering and reconstructing narratives that represent meaningful truths about these experiences. I also call on heavily what Carolyn Ellis (2004) calls "relational ethics" because I know that while I am …

Advocacy Campaign For Women's Reproductive Health And Access On Social Media, Rachel Crist, Jules Montes, Lauren Frank

Student Research Symposium

Advocacy organizations increasingly rely on social media (e.g. Twitter hashtags) to foster issue awareness. Social media platforms can be promising communication channels to reach diverse audiences; however, it is unclear how effective these campaigns are at reaching audience members whose views do not align with the campaign. Using diffusion of innovations as a theoretical framework, this study examines the #BirthControlHelpedMe campaign to better understand the response to an advocacy campaign promoted via Twitter. Focus groups were conducted separately for men and women. The moderator led participants in a semi-structured discussion of perceptions of birth control. Participants were then shown example …

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 …

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents: An Educational Intervention, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Dissertations, Masters Theses, Capstones, and Culminating Projects

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

The Ebola Crisis: A Communicative Response From Samaritan's Purse, Bailie Porter

Masters Theses

Crisis does not discriminate. It can strike without warning, at any time or place. Managers, organizations, and leaders alike, must be ready at all times to respond to them, whether they are planned for or not. An efficient and quick response is especially necessary when health crises or natural disasters strike, because human life may be at stake. Crisis communication has become more and more important in a world that is daily filled with catastrophes. This study uses W. Timothy Coomb’s situational crisis communication theory as a lens to view the Ebola crisis. The purpose of the research is to …

A One Health Message About Bats Increases Intentions To Follow Public Health Guidance On Bat Rabies, Hang Lu, Katherine A. Mccomas, Danielle E. Buttke, Sungjong Roh, Margaret A. Wild

Research Collection Lee Kong Chian School Of Business

Since 1960, bat rabies variants have become the greatest source of human rabies deaths in the United States. Improving rabies awareness and preventing human exposure to rabid bats remains a national public health priority today. Concurrently, conservation of bats and the ecosystem benefits they provide is of increasing importance due to declining populations of many bat species. This study used a visitor-intercept experiment (N = 521) in two U.S. national parks where human and bat interactions occur on an occasional basis to examine the relative persuasiveness of four messages differing in the provision of benefit and uncertainty information on intentions …

Preference-Sensitive Decisions Of Patients With Metastatic Breast Cancer: The Need For Decision Support, Julie Van De Haterd, Helene Voogdt-Pruis, Ilse Raats, Rianne Van Den Brink, Haske Van Veenendaal

Patient Experience Journal

Because of disease progression and the increasing number of treatment options, patients with metastatic breast cancer face multiple decisions over time. Our aim was to identify the multiple decisions patients with metastatic breast cancer face in order to decide which decision aids will be developed. First, we analyzed the clinical practice guidelines to identify decisions encountered by patients with metastatic breast cancer and healthcare professionals. Furthermore, an online questionnaire for patients, a focus group interview with patients and interviews with healthcare professionals were performed. In addition, we performed a systematic literature research and internet search to identify relevant decision support …

Let’S Move! Campaign: A Social Discourse In Relation To Family Communication, Kao Chang, Shelby Groen, Gina Santella

Celebrating Scholarship & Creativity Day (2011-2017)

The Let’s Move! campaign is a social discourse for nutritional education that impacts families and they ways they communicate. Families are affected by the outside in terms of the systems approach concept of openness as the entire family is impacted due to the wholeness component. Family members experience dialectic struggles as some family members desire to be autonomous and others want to be connected. Another dialectic struggle presented by relational dialectics is the dialectic of predictability and novelty. This dialectic stresses the importance of repetition and the contradicting idea of newness. The roles of family members are established to hierarchical …

Discourses Of Madness And Me: Critical Examinations Of Western Discourses Of Madness And Psychiatry, Erin E. Casey

Showcase of Graduate Student Scholarship and Creative Activities

This paper is a critical examination of western medical paradigms alongside histories of psychiatry that argues for a culturally situated approach to mental health advocacy that maintains the importance of the physiological foundations of traditional biomedical approaches to disease. In doing so, I examine the discourses of madness, and society’s attempts to control and “fix” what is deemed “mad” through a historical lens. My position and critique utilizes a reflexive narrative process embracing my identities both as a consumer of mental health services and as an advocate for those with mental illnesses.

An Analysis Of Kaiser Permanente’S Crisis Communication Strategy, Ingrid Greene

Seaver College Research And Scholarly Achievement Symposium

Issues management in today’s quickly changing world can be a very delicate, and in the case of the spread of Ebola, with legal implications. Kaiser Permanente (KP) became deeply involved due to the involvement of its medical staff during the spread of the disease in the United States. All hospitals and medical staff in the U.S. are under the direction of the U.S. Department of Health and Human Services Center for Disease Control (CDC), including KP. In addition, KP needed to ensure the safety of the patients it serves. This case study examines how the corporate communications team at KP …

Development And Implementation Of A Culturally Tailored, Community-Based Intervention To Raise Awareness Of Brain Health Among African Americans, Mary Ann K. Hall, Ashani Johnson-Turbes, Felicia T. Fuller, Petra Niles, Shileah Cantey-Mcdonald

Journal of Health Disparities Research and Practice

African Americans bear a disproportionate burden of age-related cognitive impairment in the United States compared to Whites or Hispanics. African Americans experience greater prevalence, higher risk, and lower rates of treatment and diagnosis for dementia. In response to these health disparities the Alzheimer’s Association developed and implemented the Healthy Brain Initiative (HBI) demonstration project, the first community-level intervention to help reduce health disparities related to cognitive impairment among African Americans. The HBI promotes awareness of brain health, understanding of the heart-brain connection, and seeks to increase African American baby boomers engagement in health-protective behaviors to promote brain and overall health. …

An Identification Of The Social And Emotional Needs Of People Living With Post-Lingual Hearing Loss, Dianne Briffa, Fiona Davidson, Danielle Ferndale Ms

JADARA

Hearing loss is associated with challenges in achieving effective communication which can constrain an individual’s ability to participate in social and work environments, affecting their social and emotional well-being. Through a thematic analysis of focus groups, interview and survey responses from 41 people experiencing post-lingual hearing loss, we identified an overarching theme of adjusting to impaired communication and three sub-themes in which we were able to identify the unmet social and emotional needs of people who are hard of hearing. In light of our analysis we discuss and offer recommendations specific to meeting the needs of this population.

The Role Of Spokesperson In Ambiguous And Complex Crises: The Cdc And Anthrax, M. Scott Barrett, Kathryn C. Hasbargen, Anthony Ocana, Vern Markey, Matthew P. Berg, Scott Grand, Timothy L. Sellnow

Speaker & Gavel

This study evaluates the role of spokespersons in complex organizations facing ambiguous crises. Specifically, the Centers for Disease Control and Prevention’s (CDC) response to the anthrax crisis in 2001 is offered as a case study. A content analysis of the print media coverage of the anthrax crisis reveals that many claiming affiliation with the CDC spoke on behalf of the organization, resulting in what appeared to be a fragmented CDC message. The study concludes that the CDC’s failure to provide a central spokesperson contributed to the ambiguity of the situation.