Health Communication Commons^™

Electronic Health Records: Eliciting Behavioral Health Providers’ Beliefs [Brief Reports], Nancy C. Shank, Elizabeth Willborn, Lisa M. Pytlik Zillig, Harmonijoie Noel

Nancy Shank Publications

Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers. Barriers involving privacy and security concerns were mentioned by 100% of providers, and benefits by 22%. Barriers to delivery of services were mentioned by 97% of providers, and benefits by 66%. Most providers (81%) expressed overall positive support for electronic behavioral health records.

Age, Attention, And Ots In A Constrained Vs Unconstrained Task, Courtney Leann Jensen

Theses and Dissertations--Rehabilitation Sciences

The discourse of older healthy adults is commonly described as lengthy and off-topic and thought to be associated with a general cognitive decline that occurs in healthy aging. This study investigated the overall decline in attention associated with healthy aging and its relationship to instances of off-topic speech (OTS) in a constrained and unconstrained language production task. Ninety cognitively healthy adults participated and comprised three age cohorts (40 – 75+). Participants completed cognitive measures of attention and two discourse tasks that included recounting personal events and describing a procedure. Older adults exhibited poorer scores on measures of selective and shifting …

Navigating Family Cancer Communication: Communication Strategies Of Female Cancer Survivors In Central Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Sadie P. Hutson

ETSU Faculty Works

In a multiphasic study, the stories of 29 female Appalachian cancer survivors were collected through either a day-long modified story circle event (n=26) or an in-depth interview (n=3). Qualitative content analysis was used to identify emergent themes in the data. The analysis revealed 5 types of family cancer communication including both pre-diagnosis and postdiagnosis cancer communication strategies

Personal Identity Changes Of Female Cancer Survivors In Southern Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Sadie P. Hutson

ETSU Faculty Works

Navigating personal identity changes through the cancer journey can be challenging, especially for women in a culture that places emphasis on traditional gender roles and values close-knit families. Drawing on a story circule approach, this study examined the intersecting identities of female cancer survivors in southern Appalachia. Stories of 29 female Appalachian cancer survivors from Northeast Tennessee and Southwest Virginia were collected via a mixed methods approach in either a day-long story circule (N-26) or an in-depth interview (N=3). Transcripts from both phases were audio-recorded and transcribed verbatim; NVivo 8.0 facilitated qualitative content analysis of the data. Inductive analysis revealed …

Critical Analysis Of Hiv/Aids Communication Messages, Charli Marie Wilson

Communication & Leadership Dissertations and Theses

For the last thirty years HIV/AIDS has affected the lives of many people in the United States. Since the first introduction of the disease to America, healthcare officials have implemented several methods in various disciplines to prevent new cases. The information in this thesis examines how public health campaigns have contributed to the prevention of HIV. The research method in this thesis assumes a critical discourse analysis (CDA) of three HIV/AIDS prevention campaigns and how these media educate men who have sex with men (MSM) about prevention. The CDA method is useful in identifying consistent emerging themes in the campaigns …

A Study Of Expressed Emotion In Psychiatric Nurses And Its Relation To The General Role And Effects Of Emotions In Nursing, Lauren A. Buck

Senior Honors Theses

Nurses play a vital role in the health and care of a patient. Through that care, the nurse has the ability to improve the patient’s experience or ruin it. A vital component influencing the care provided are the emotions the nurse displays toward her coworkers, patients, and patients’ family members. The emotions of a nurse may positively or negatively impact a patient. The studies that examine the impact of the nurse’s emotions on patient’s outcomes are varied and few. The communication and emotion of nurses are likely to impact their care and, from that, the patient’s outcome; however, there is …

Certifying Medical Interpreters; Need For Public Policy, Bonni Wagner

Professional Projects

No abstract provided.

Communicating Crisis: How Culture Influences Image Repair In Western And Asian Governments, Yvonne Siew‐Yoong Low, Jeni Varughese, Augustine Pang

Research Collection Lee Kong Chian School Of Business

Purpose: The purpose of this paper is to seek to understand the differences in image repair strategies adopted by two governments that operate in the Western and Asian societies when faced with similar crises. Design/methodology/approach: Textual analyses are presented of communication of Hurricane Katrina and Typhoon Morakot by the Taiwanese and US governments, respectively. Findings: Faced with similar accusations of slow response, the Asian culture, represented by the Taiwanese Government, used predominantly mortification and corrective action strategies. The Western culture, represented by the US Government, used predominantly bolstering and defeasibility and a mixed bag of other strategies such as shifting …

Assessing Medicare Beneficiaries’ Strength‐Of‐Preference Scores For Health Care Options: How Engaging Does The Elicitation Technique Need To Be?, Trafford Crump, Hilary A. Llewellyn-Thomas

Dartmouth Scholarship

The objective was to determine if participants’ strength‐of‐preference scores for elective health care interventions at the end‐of‐life (EOL) elicited using a non‐engaging technique are affected by their prior use of an engaging elicitation technique.

Decision Quality Instrument For Treatment Of Hip And Knee Osteoarthritis: A Psychometric Evaluation, Karen R. Sepucha, Dawn Stacey, Catharine F. Clay, Yuchiao Chang

Dartmouth Scholarship

A high quality decision requires that patients who meet clinical criteria for surgery are informed about the options (including non-surgical alternatives) and receive treatments that match their goals. The aim of this study was to evaluate the psychometric properties and clinical sensibility of a patient self report instrument, to measure the quality of decisions about total joint replacement for knee or hip osteoarthritis.

Women As Consumers Of Reproductive Technology: Media Representation Versus Reality, Shirley Shalev, Dafna Lemish

Journal of Interdisciplinary Feminist Thought

In light of the growing role of media as a central source of health information, this article evaluates the contribution of television representations to the dissemination of information and social conceptions of women regarding new reproductive practices. The study reported here examined a case study of media representations of surrogacy in a popular television series in Israel, entitled A Touch of Happiness, which has been broadcast repeatedly over the last decade. The analysis compared the televised content with the legal framework and social reality of surrogacy, and found major discrepancies between the two. Thus, this study demonstrates the role media …

The Effects Of Message Framing And Denotative Specificity On Students' Opinions Of The Hpv Vaccination, Arielle Tenaya Marie Gout, Katherine Marie Kays

Communication Studies

The purpose of our project is to use various persuasive techniques in order to determine the most effective method to persuade students about the HPV vaccination and the negative effects of the HPV virus. An important component of public health message design is determining the most effective types of messages for a particular audience. The results of this study are intended to be an aid to the creators of health messages regarding HPV and the HPV vaccination, with the ultimate goal of increasing the effectiveness of public health messages to adolescents in regards to these issues.

The Economics Of University Sexual Health Programs, Margaret Brooks

Bridgewater Review

No abstract provided.

Student Lunch Nutrition, Kathryn Leigh Scholte

Communication Studies

No abstract provided.

Different Means To The Same End: A Comparative Contingency Analyses Of Singapore And China’S Management Of The Severe Acute Respiratory Syndrome (Sars) Crisis, Yan Jin, Augustine Pang, Glen T. Cameron

Research Collection Lee Kong Chian School Of Business

For months in 2003, the world lay under siege by a strain of virus that masqueraded as pneumonia but inflicted a far more lethal effect. By all accounts, the mystery of how the severe respiratory acute syndrome (SARS) virus came to be has remained largely unsolved (Bradsher & Altman 2003). What began as routine fever and cough in a Chinese physician, later identified as a super-carrier, rapidly spread to people who had cursory contacts with him, spiralling into a worldwide crisis that spanned Asia and the North Americas (Rosenthal 2003).

Physician Perceptions Of Risk Regarding Mood Disorders And Pharmacological Management During Pregnancy: What Is Current Practice?, Laura G. Hendon

Dissertations and Theses (Open Access)

Mood disorders are the most common form of mental illness and one of the leading causes of morbidity worldwide.  Major depressive disorder and bipolar disorder have a lifetime prevalence of 16.2% and 4.4%, respectively.  Women comprise a substantial proportion of this population, and an estimated 500,000 pregnancies each year involve women with a psychiatric condition.  Management with psychotropic medications is considered standard of care for most patients with mood disorders.  However, many of these medications are known human teratogens.  Because pregnant women with mood disorders face a high risk of relapse if unmanaged, the obstetrician faces a unique challenge in …

Deadly Silence: An Assessment Of Emergency Alert Systems For Lincoln County, Georgia, Gretchen B. Keneson,

Georgia Journal of Public Policy

Rural counties have a predisposition to sustaining catastrophic losses during natural emergencies. These counties tend to have poorer economic conditions that exacerbate attempts at hazard mitigation.  Emergency Alerts Systems (EAS) are the most efficient and effective ways to provide information of impending danger.  This study will compare and contrast different EAS to determine which would accommodate the needs of a community. The most successful way for most counties to alert citizens is through the use of a combination of redundant systems. For pastoral Lincoln County, Georgia the optimal systems are an alert siren and auto call capabilities.  Both of these …

Trends In Authorship Order In Biomedical Research Publications, Suzetta Burrows Mls, Mary Moore Phd

Faculty Research, Publications, and Presentations

As research teams have grown larger, authorship lists of resulting publications have become longer. Organizations and journals have issued statements about ethical authorship, nature of contribution, and author responsibility, but author order is less frequently addressed. Unless the contribution of a co-author is specified, readers make their own assumptions about author contributions because practices on author order in the byline vary by discipline, journal, editor, publisher, scientific society, institution, country, and the authors themselves. Because contributions are often subject to misinterpretation and publications have become proof of scientific productivity and impact, it is increasingly important that authors themselves specify to …

Legal Impediments To The Diffusion Of Telemedicine, Diane E. Hoffmann, Virginia Rowthorn

Faculty Scholarship

No abstract provided.

Patient Perspectives Of Physicians' Compliance Gaining Strategies, Margaret Malinda Lambert

Theses, Dissertations and Capstones

This research examined strategies used by physicians for compliance gaining and patient responses to those strategies. Respondents were surveyed regarding their expectations about strategies physicians would use to gain compliance with requests related to changing lifestyle behaviors and how the respondents anticipated they would respond to physicians. Findings revealed that patients did anticipate specific persuasive strategies from physicians and anticipated responding in specific ways. Most respondents expect expertise strategies from physicians and plan to comply. Expertise strategies, however, were also linked with patients who planned to defy or ignore their physicians’ requests. Findings suggest that future research into why patients …

An Analysis Of The Structure And Evolution Of Networks, Guangying Hua

2011

As network research receives more and more attention from both academic researchers and practitioners, network analysis has become a fast growing field attracting many researchers from diverse fields such as physics, computer science, and sociology. This dissertation provides a review of theory and research on different real data sets from the network perspective. The focus is primarily on the structure and dynamics of social networks.

This dissertation is divided into three essays. The first essay examines a professional online community, and to the best of our knowledge, it is the first paper to address the social network of physicians. The …

The Poetics Of Professionalism Among Dialysis Technicians, Laura L. Ellingson

Gender and Sexuality Studies

The vast majority of care for end-stage renal disease (ESRD) patients is provided by skilled (but not formally educated) paraprofessional technicians. Using Goffman's (1959) framing of the performance of self in everyday discourse, this study examines discourse from dialysis technicians and technical aides to explore these paraprofessionals' construction and performance of professional identity and professional communication within the context of an outpatient dialysis clinic. Themes of professionalism—individualized care, vigilance, teamwork, and emotion management—are illustrated via poetic transcription of interviews with technicians. I contend that such representation offers validity equal to that of traditional research accounts while embodying alternative representational strengths.

Smart Health For Autism In Northwest Ohio Survey Summary [Slides], Louisa Ha, Lynne Elizabeth Hewitt, Linell Weinberg

School of Media and Communication Faculty Publications

Slides from a presentation given by Louisa Ha, Lynne Hewitt and Linell Weinberg in 2011.

Evaluating Mediated Perception Of Narrative Health Messages: The Perception Of Narrative Performance Scale, Jeong Kyu Lee, Michael L. Hecht, Michelle Miller-Day, Elvira Elek

Communication Faculty Articles and Research

Narrative media health messages have proven effective in preventing adolescents’ substance use but as yet few measures exist to assess perceptions of them. Without such a measure it is difficult to evaluate the role these messages play in health promotion or to differentiate them from other message forms. In response to this need, a study was conducted to evaluate the Perception of Narrative Performance Scale that assesses perceptions of narrative health messages. A sample of 1185 fifth graders in public schools at Phoenix, Arizona completed a questionnaire rating of two videos presenting narrative substance use prevention messages. Confirmatory factor analyses …

Physical Activity And Cognitive-Health Content In Top-Circulating Magazines, 2006–2008, Anna E. Greer, Sara J. Corwin, Daniela B. Friedman

All PTHMS Faculty Publications

Physical activity may promote cognitive health in older adults. Popular media play an important role in preventive health communication. This study examined articles discussing associations between physical activity and cognitive health in top-circulating magazines targeting older adults. 42,753 pages of magazines published from 2006 to 2008 were reviewed; 26 articles met inclusion criteria. Explanations regarding the link between physical activity and cognitive health were provided in 57.7% of articles. These explanations were generally consistent with empirical evidence; however, few articles included empirical evidence. Physical activity recommendations were presented in 80.8% of articles; a wide range was recommended (90–300 min of …

Labor Pains In The Academy, Lisa M. Tillmann Ph.D.

Faculty Publications

This piece offers autoethnographic reflections on crossroads to which many academics come: whether to seek (or postpone or avoid) parenthood and when. The author deeply explores the personal (her own trajectories from daughter and sister to potential mother and from graduate student to full professor) in order to reflect on structural constraints associated with graduate education, the academic job market, and institutional policies and politics.

The Scenario-Oriented Method For Recording And Playing-Back Healthcare Information, Yi Ding, Bing Wu, Erqiang Zhou, Jianfeng Wu

Conference papers

This paper proposes a new method, called the scenario-oriented method, to support the idea of recording and replaying the healthcare information such that the reporting and decision-support capabilities can be enhanced. In order to play back the changing history of certain information units, the scenario- oriented method attempts to organize related information and knowledge elements as a context so that the history of real medical activity can be recorded, and then be queried as a continuous, on-the-fly, understandable and playing-back information scenario through replay operations.

Roundtable On The National Health Security Strategy And At‐Risk Individuals, Behavioral Health, And Community Resilience, Daniel B. Fagbuyi, +Conference Participants

GW mHealth Collaborative

No abstract provided.

Contesting Sphere Boundaries Online: Private/Technical/Public Discourses In Polycystic Ovarian Syndrome Discussion Groups, Kittie E. Grace

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

The internet is fast becoming a means for people to obtain information, creating a unique forum for the intersection of the public, technical, and private spheres. To ground my research theoretically, I used Jürgen Habermas’s sphere theory. Habermas (1987) explains that the technical sphere colonizes the private sphere, which decreases democratic potential. In particular, the internet is a place for altering technical colonization of the private and public spheres.

My research focuses on women’s health because it is a particularly useful case study for examining sphere tensions. Historically, the biomedical health establishment has been a powerful agent of colonization, resulting …

Formative Research Regarding Kidney Disease Health Information In A Latino American Sample: Associations Among Threat, Efficacy, Frame, And Behavioral Intent, Katheryn C. Maguire, Jay Gardner, Pradeep Sopory, Guowei Jian, Marcia Roach, Joe Amschlinger, Marcia Moreno, Garey Pettey, Gianfranco Piccone

Communication Faculty Publications

Using prospect theory and the extended parallel process model, this study examined the effect of gain/loss message framing on perceptions of severity, susceptibility, response efficacy, and self efficacy (derived from the extended parallel process model), as well as perception of message effectiveness and behavioral intention in a community based Latino American sample. Results indicated no significant differences between a gain- and loss-frame for any of the outcome variables. In addition, message effectiveness, susceptibility, and response efficacy were the best predictors of intention to engage in early testing behavior.