Health Communication Commons^™

Give Me A Choice: Perceptions Of Freedom And The Anti-Vax Movement In Maine, Louisa Goldman

Honors Theses

While vaccination has proven to be an incredibly effective method of disease prevention, the growing ‘anti-vax’ movement threatens the population-level benefits conferred by widespread immunization. Recent findings indicate that anti-vax beliefs are not, as had been previously assumed, necessarily the result of scientific illiteracy but rather, are likely produced by intertwining social and situational contexts. With these considerations in mind, the goal of this study was to identify potential motivations underlying anti-vax behavior by performing a deep examination of anti-vax rhetoric, coupled with demographic and situational analyses. I focused specifically on the anti-vax community in Maine, with a special interest …

Conversation Goals, Communication Satisfaction, And Relational Dynamics While Navigating Alzheimer’S Disease: A Pre- And Post-Diagnosis Dyadic Examination Of Family Communication, Elizabeth A. Spencer

Theses and Dissertations--Communication

Currently there are more than 16 million unpaid Alzheimer’s disease and dementia caregivers in the United States. These caregivers are often family members of the person living with dementia, and as they navigate the process of giving care to the patient, they must also maintain relationships with each other. Families enter the dementia experience with a history of their relational experiences, and their relational experiences potentially change as they navigate family experiences after the dementia diagnosis. Much existing scholarship examining family communication in the context of progressive Alzheimer’s disease and other related dementias has focused on the perspectives of one …

Boundaries And Infomediaries: A Qualitative Study Of The Information Practices Of Community Health Workers, Robert M. Shapiro Ii

Theses and Dissertations--Communication

Despite successful efforts to treat and manage diseases, public health officials have recently begun a campaign to refocus efforts toward initiatives to alleviate the pressures that are often referred to as social determinants of health. In eastern Kentucky, and in other geographical regions labeled as health professional shortage areas or medically underserved areas, issues stemming from social determinants are compounded with health care systems that are often lacking the human resources to meet basic medical needs. One strategy has been to utilize volunteers and paraprofessionals such as community health workers to lessen the burden on the primary care and hospital …

Encouraging Healthy Eating Among Older Adults Using The Transtheoretical Model: An Evaluation Of A Pilot Intervention, Lauren Brinkman Roberson

Theses and Dissertations--Communication

Older adults, defined as those age 60 and above, are at an increased risk for many health-related complications that are directly related to nutrition (Centers for Disease Control and Prevention, 2015). This study highlights the lack of nutrition education material developed for older adults in Kentucky. Such material has great potential to influence the health of older adults (Chernoff, 2001). This study evaluated an intervention developed, by means of formative research, to teach older adults nutrition basics. Both direct and indirect measures related to stages of change for healthy eating behaviors were collected six weeks pre-intervention and then immediately post-intervention. …

Analysis Of Information Value Chains For Gout Self-Care Management, Maranda Russell

Theses and Dissertations--Communication

This value chain analysis study sought to identify information needed by gout patients to successfully manage their disease, leading to a model for information extraction from patient health records. A scoping review was conducted to identify the types of information needed by gout patients. The findings of each included study were divided and analyzed according to the stages of the care delivery value chain. The results of the review were then used to create a gout information value chain as criteria for annotating the information deemed important for gout patients contained in publicly available patient education materials according to the …

Communication Patterns Between Physicians And Physician Assistants, Joey Valentini

Senior Honors Theses

Communication is imperative to the success of any team-based organization. In healthcare, it is common for patient outcomes to be affected by variables including but not limited to the quality of extraprofessional communication. Physicians and physician assistants are two meaningful and valued members of the medical care team, and the need for collaboration amongst each other is irrefutable. Physicians are the trusted leaders of any medical team, having completed the most amount of schooling and training. Physician assistants are versatile, economically advantageous, and skill-proficient mid-level practitioners that are required by law to be supervised by a collaborating physician. The working …

Against The "Safety Net", Matthew B. Lawrence

Faculty Articles

Then-Representative Jack Kemp and President Ronald Reagan originated the “safety net” conception of U.S. health and welfare laws in the late 1970s and early 1980s, defending proposed cuts to New Deal and Great Society programs by asserting that such cuts would not take away the “social safety net of programs” for those with “true need.” Legal scholars have adopted their metaphor widely and uncritically. This Article deconstructs the safety net metaphor and counsels against its use in understanding health and welfare laws. The metaphor is descriptively confusing because it means different things to different audiences. Some understand the safety net …

Communication Apprehension About Death, Religious Group Affiliation, And Religiosity: Predictors Of Organ And Body Donation Decisions, Heather J. Carmack, Jocelyn M. Degroot

SIUE Faculty Research, Scholarship, and Creative Activity

Communication willingness has previously been identified as an important communication factor in influencing individuals’ decisions to become an organ donor. Missing from this conversation is the role of communication apprehension about death and its impact on donation decisions. The purpose of this study was to examine the relationships between communication apprehension about death, religiosity, and religious affiliation, and donation decisions. Three hundred and thirty-three individuals participated in an online survey. Findings suggest that communication apprehension about death, especially communication avoidance about death, negatively impact donation decisions. Additionally, religiosity and affiliation with a specific religion also negatively impact donation decisions. These …

2020 Icrcc Proceedings Table Of Contents, Conference Organizers

International Crisis and Risk Communication Conference

These proceedings are a representative sample of the presentations given by professional practitioners and academic scholars at the 2020 International Crisis and Risk Communication Conference (ICRCC) held March 9-11, 2020. The ICRCC is an annual event that takes place the second week in March in beautiful sunny Orlando, Florida. The conference hosts are faculty and staff from the Nicholson School of Communication and Media. The goal of the ICRCC is to bring together prominent professional practitioners and academic scholars that work directly with crisis and risk communication on a daily basis. We define crisis and risk broadly to include, for …

Using The Idea Model To Analyze Messages Used In Hepatitis B Vaccination In Uganda, Ann Mugunga, Angella Napakol

International Crisis and Risk Communication Conference

This research analyzed the messages that both the Government of Uganda and the National organization of persons living with Hepatitis B use to communicate to at-risk populations in order to enable them take up the vaccination against Hepatitis B. Content analysis was carried out on two electronic fliers circulated from the ministry of health’s program in charge of Hepatitis control and treatment, and one hard copy flier from the National organization of persons living with Hepatitis B. The study assessed how the publications made use of the IDEA concepts of internalization, distribution, explanation and action in getting the audience to …

Simulating Medical Isolation: Communicatively Managing Patient And Medical Team Safety, Elizabeth L. Spradley, R. Tyler Spradley

International Crisis and Risk Communication Conference

Reducing hospital acquired or associated infections (HAIs) is a national public health priority. HAIs pose risks to patients, visitors, and medical personnel. To better understand how to communicatively manage safety in medical isolation, data was collected with nursing students simulating medical isolation in a high-fidelity simulation with a medical mannequin with C. difficile. Observations of nursing students and faculty revealed four distinct communication practices: social support, patient education, humor, and storytelling. Conclusions include recommendations to intentionally design these communication practices into high-fidelity medial isolation simulations and scale up these communication practices in routines of safety.

Recherche Formative Exhaustive Sur Les Croyances, Les Pratiques Et Les Comportements En Matière De Santé Au Mali, Breakthrough Research

Reproductive Health

Breakthrough RESEARCH, in conjunction with the Centre d’Etudes et de Recherche sur l’Information en Population et Santé (CERIPS), designed and conducted a mixed method formative study to inform USAID Mali’s health and nutrition programming for the next five years. This project aimed to increase demand for and use of health, nutrition, water and sanitation services; increase individual and household adoption of healthy behaviors; and improve household and community capacities to plan, finance, and manage their own health and health systems. This formative research comprised three phases of data collection to reveal the contexts of health behaviors and determinants, motivators, and …

Comprehensive Formative Research On Health Beliefs, Practices, And Behaviors In Mali, Breakthrough Research

Reproductive Health

Breakthrough RESEARCH, in conjunction with the Centre d’Etudes et de Recherche sur l’Information en Population et Santé (CERIPS), designed and conducted a mixed method formative study to inform USAID Mali’s health and nutrition programming for the next five years. This project aimed to increase demand for and use of health, nutrition, water, sanitation and health services; increase individual and household adoption of healthy behaviors; and improve household and community capacities to plan, finance, and manage their own health and health systems. This formative research comprised three phases of data collection to reveal the contexts of health behaviors and determinants, motivators, …

Use Your Head: A Frame Analysis Of Digital Media On Concussions In The National Football League Using The Health Belief Model And The Extended Parallel Process Model, Harrison Stow Witwer-Dukes

Senior Independent Study Theses

Over the past decade, the topic of concussions in the National Football League has increased in discourse as more information about the long term effects of head injuries has come out. The way the media portrays the topic has a significant impact on how the general public perceives the issue, as well as how solutions to the issue are proposed. The purpose of this study is to perform a frame analysis on 30 digital media news articles from 2009-2019. The frames presented in the study are based on elements from the Health Belief Model and the Extended Parallel Process Model. …

Addiction Or Disorder? Using The Bias Map Model To Explain The Stigmatizing Effects Of News Media Labels For Opioid Use Disorder, Kylie J. Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The stigma surrounding opioid use disorder is often reinforced by the language that the general public and institutions use to talk about people with the disorder. Consistent with labeling theory, contending that labels are vehicles for social categorization and stereotypes, triggering bias, (e.g., Ashford, Brown, Ashford, & Curtis, 2019; Corrigan, Kuwabara, & O’Shaughnessy, 2009; Goodyear, Haass-Koffler, & Chavanne, 2018; Link & Phelan, 1999) but the ingroup based cognitive and emotional process through which these affect public stigma has not been explored in detail. This dissertation employs the Stereotype Content Model (SCM) and the Behaviors from Intergroup Affect Stereotypes (BIAS) Map …

Listening To The Voices Of Community Health Workers: A Multilevel, Culture-Centered Approach To Overcoming Structural Barriers In U.S. Latinx Communities, Angela L. Palmer-Wackerly, Virginia Chaidez, Caitlyn Wayment, Jonathan Baker, Anthony Adams, Lorey A. Wheeler

Department of Nutrition and Health Sciences: Faculty Publications

Community Health Workers (CHWs) are often incorporated into efforts to reduce health disparities for vulnerable populations. However, their voices are rarely the focus of research when considering how to increase their job effectiveness and sustainability. The current study addresses this gap by privileging the voices of 28 CHWs who work with Latinx communities in Nebraska through in-depth, semi-structured interviews. Using a multilevel, Culture-Centered Approach (CCA) to Health Communication, we identified two key structural communication issues: (a) increasing language accommodation and (b) increasing (and stabilizing) network integration across three ecological levels of health behavior (individual, microsystem, and exosystem …

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 …

The Relationship Between Social Media Engagement And Psychological Well-Being In College Students At The University Of New Hampshire, Emily G. D'Antonio

Honors Theses and Capstones

Social media use has increased substantially in recent years, and for the college-aged population, social media is often the leading method of communication. Research indicates this reliance on digital connection could have a negative impact on the health of young adults (Bagroy et al., 2017). The college years are a time of personal growth and defining actions, yet can also be burdened by mental health issues related to stress, anxiety, and depression (Hunt & Eisenberg, 2010). Acknowledging these trends, the current study explores how college students’ specific frequency and intentionality while interacting on social media relates to their psychological well-being. …

Appraisal Of Free Online Symptom Checkers And Applications For Self-Diagnosis And Triage: An Australian Evaluation, Michella Gaye Hill

Theses: Doctorates and Masters

The internet has impacted society and changed the way companies and individuals operate on a daily basis. Seeking information online via computer or mobile device is common practice. The phrase ‘Google it’ is now part of modern vernacular and is a resource increasingly utilised by young and old alike. Around 80% of Australian’s search health-related information online as it is convenient, cheap, and available 24/7. Symptom checkers are one tool used by consumers to investigate their health issues. Symptom checkers are automated online programs which use computerised algorithms, asking a series of questions to help determine a potential diagnosis and/or …

Investigating The Impact Of Explanation On Repairing Trust In Ai Diagnostic Systems For Re-Diagnosis, Lamia Alam

Dissertations, Master's Theses and Master's Reports

AI systems are increasingly being fielded to support diagnoses and healthcare advice for patients. One promise of AI application is that they might serve as the first point of contact for patients, replacing routine tasks, and allowing health care professionals to focus on more challenging and critical aspects of healthcare. For AI systems to succeed, they must be designed based on a good understanding of how physicians explain diagnoses to patients, and how prospective patients understand and trust the systems providing the diagnosis, as well as the explanations they expect. In this thesis, I examine this problem across three studies. …

Sources Of Health Information Affecting Awareness In Using Latrine Among Riverside Inhabitants Of Rural Indonesia, Ima Hidayati Utami, Susanne Dida, Purwanti Hadisiwi, Bambang Dwi Prasetyo

Library Philosophy and Practice (e-journal)

Open defecation (OD) has devastating consequences for public health (UNICEF, 2018). In Indonesia, despite OD practice has been steadily decreasing in the last ten years, about 25 million people continue to practice OD in 2019. The study aimed to identify sources of sanitation and hygiene information received by riverside villagers, to identify defecation practiced by riverside villagers, and to examine the correlation between sources of information received with their defecation practice. Using a descriptive quantitative approach, data was collected from Sumberjaya village, a village under a sub-district having the highest OD rate in Malang Regency. A set of questionnaire was …

Minimizing The Dangers Of Air Pollution Using Alternative Facts: A Science Museum Case Study, David H. Lee

Publications and Research

A science museum exhibition about human health contains an exhibit that minimizes health impacts of air pollution. Relevant details, such as the full range of health risks; fossil fuel combustion; air quality statutes (and the local electrical utility’s violations of these statues), are omitted, while end users of electricity are blamed. The exhibit accomplishes this, not through outright falsification, but through selected “alternative facts” that change the focus and imply misleading alternate explanations. Using two classical rhetorical concepts (the practical syllogism and the enthymeme) allows for the surfacing of missing evidence and unstated directives underlying multimodal rhetoric. By stating multimedia …

Barriers And Opportunities For Concussion Communication And Management In Youth Sports: A Qualitative Study, Kelly Sarmiento, Zoe Donnell, Elizabeth Bell, Rosanne Hoffman

Journal of Athlete Development and Experience

To identify opportunities to improve coach-athlete communication, this study examined young athletes’ perceptions and concerns about concussion, as well as their information needs. A qualitative data collection approach, based on the grounded theory methodology, was utilized. Six virtual focus groups were conducted with 17 male and female athletes’ ages 12 to 18 years. Results indicated that athletes were concerned about the potential long-term effects of a concussion. Athletes described multiple barriers that interfere with concussion reporting, including: being unfamiliar with concussion signs and symptoms, perceived pressure from teammates, concerns of interference that concussion reporting can have on gameplay, and a …

The Never-Ending Lap, Ennica D. Jacob, Alexis Reese

Capstones

This personal film documents the journey of a Haitian-American woman dealing with sexual trauma in a culture that doesn’t speak candidly on the topic. How can women of the African- American diaspora break the cycle of sexual trauma and what are coping mechanisms to navigate their life choices with awareness?

The Never-Ending Lap will follow Ennica’s own healing process, delving delve into the cycles of sexual trauma. The film will explore past experiences through journal entries, therapy sessions and her love for track and field as she is on the road to search for coping mechanisms and healing.

Link: https://ennicajacob.myportfolio.com/videos

Not Manly Enough: Femmephobia’S Stinging Impact On The Transmasculine Community, Tat Bellamy - Walker

Capstones

My capstone project is about femmephobia in the transmasculine community. In interviews with at least six trans men and non-binary people, they explained the struggles they faced accessing health care and the discrimination they faced within their families for having a femme gender presentation. In the story, I speak to Rhea Hoskin, one of the leading researchers on femmephobia in Canada who details why this issue is harmful to the transmasculine community. Additionally, the director of the National Center for Transgender Equality talks about how femmephobia can rear its head and contribute to suicidality and depression in the transmasculine community. …

Narcan Can Save Your Loved One: Designing Messages For The Opioid Crisis Using The Extended Parallel Process Model, Braden Bagley

Dissertations

In 2017, the United States Department of Health and Human Services (HHS) declared the opioid epidemic a public health emergency. The opioid epidemic has become widespread because of over prescription and extreme addiction. In recent years, the crisis has become dire because of the staggering annual death toll from overdoses. Although the number of opioid-related deaths has risen, so too have the innovations designed to combat opioid abuse and overdoses. The use of naloxone is a safe and reliable option for treating overdose victims. In fact, many first responders are primarily relying on the medication in such emergencies. This study …

La Priorización De Comportamientos Para Mejorar Programas De Cambio Social Y De Comportamiento Durante Una Emergencia De Salud Pública: Un Llamado A La Acción, Breakthrough Research

Poverty, Gender, and Youth

A medida que los especialistas en desarrollo internacional continúan trabajando en los desafíos de la salud pública y nuevas enfermedades emergentes, es de suma importancia la priorización de comportamientos. Este breve informe tiene como objetivo argumentar por qué es importante la priorización de comportamientos para fortalecer los programas de cambio social y de comportamiento (CSC). El documento finaliza con un llamado a la acción a que diferentes actores interesados aboguen por y participen en procesos que prioricen comportamientos como parte del diseño, planificación y adaptación de programas de cambio social y de comportamiento.

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As the international development community continues …

Drill Emergency Simulation As An Increase In Information And Skills Of Midwives In Carrying Out Assistance To Mothers And Newborns A Case Study In Karawang Regional Hospital, Siti Nursanti, Susanne Dida, Irvan Afriandi, Mien Hidayat

Library Philosophy and Practice (e-journal)

Health professional’s skillin helping maternal emergency cases isa critical factor contributing to maternal and sudden infant death. Expanding Maternal and Neonatal Survival programs, therefore,initiateda training so-called emergency drill simulation. This research aims to find the effectivity of midwiferycommunication strategy in the emergency drill simulation forsharpening partnership and expertise of the midwifery in a groupdealing with childbirth emergency. This research uses qualitative methodand a case study as an approach. The informants of this research are the head division of customer care, head of the delivery room, and the paramedic mentor of Expanding Maternal Neonatal Survival in Karawang Regional Hospital. The research …

Implications Of Digital Health Information On Therapeutic Communication: A Case Study In Bandung, Indonesia, Siti Karlinah, Atwar Bajari, Wawan Setiawan, Ika Merdekawati Kusmayadi

Library Philosophy and Practice (e-journal)

The current phenomenon, patients visiting doctors generally have health information from the internet. So the study aimed to reveal the implications of the patient's health knowledge on the therapeutic communication of the doctor with the patient. This research used an interpretive approach with a case study method. Data collection techniques used interviews with 13 specialist doctors, 66 patients, and three Health Media Online Managers. The study was conducted in the city of Bandung for six months. The results showed that most patients obtained inaccurate health information from the Internet, so the doctor's attitude provides education. The doctor appreciated and supported …

Behavior Prioritization To Improve Sbc (Social And Behavior Change) Programming During A Public Health Emergency: A Call To Action, Breakthrough Research

Poverty, Gender, and Youth

As the international development community continues to manage public health challenges and emerging diseases, the need for behavior prioritization is critical. The information in this brief provides rationale for why behavior prioritization is instrumental to improve social and behavior change programming, and ends with a call to action for advocacy for behavior prioritization processes as part of social and behavior change program design, planning, and adaptation. During the Zika outbreak in Latin America, a review of USAID-supported programming in 2017 revealed more than 30 Zika preventive behaviors and messages promoted by different implementing partners, and messaging on desired behaviors was …