Health Communication Commons^™

Advancing Integrated Social And Behavior Change Programming, Breakthrough Research

Sexual and Reproductive Health, Rights, and Choices

In recent years, social and behavior change (SBC) programming has experienced a notable shift away from a vertical approach focusing on one health or development topic to integrated approaches concerning multiple health or development issues or outcomes under the same program. To help address important evidence gaps in SBC programming, Breakthrough RESEARCH worked with a range of SBC experts to generate a research and learning agenda that includes a core set of consensus-driven, prioritized implementation science questions. Implementation science research is well-suited to the challenges of SBC because it assesses interventions taking place in real-world contexts and factors in various …

Conocimiento, Actitudes Y Prácticas Sobre El Zika: Implicancias Programaticas Para La Prevencion Del Zika En Honduras, Breakthrough Research

Poverty, Gender, and Youth

This brief provides key insights for implementers of social and behavior change activities for Zika prevention in Honduras, based on data from a representative sample of people living in selected USAID Zika program implementation communities, supporting an evidence-based approach to increase Zika and other Aedes aegypti-transmitted virus prevention behaviors.

Zika-Related Knowledge, Attitudes, And Practices: Programmatic Implications For Zika Prevention In Honduras, Breakthrough Research

Poverty, Gender, and Youth

This brief provides key insights for implementers of social and behavior change activities for Zika prevention in Honduras, based on data from a representative sample of people living in selected USAID Zika program implementation communities, supporting an evidence-based approach to increase Zika and other Aedes aegypti-transmitted virus prevention behaviors.

Enhancing Respectful Maternal Care During Labor And Delivery, Breakthrough Research

Reproductive Health

This brief informs national ministries of Health, health system officials, staff and clients, implementing partners, and donors of innovative ways to improve women's experiences during labor and delivery. ideas42, in partnership with Safe Motherhood 360+ and the Chipata District Health Office in Zambia, under the Breakthrough RESEARCH project, used behavioral design to analyze contextual features and behavioral barriers to respectful maternal care in urban and rural health care settings. Behavioral design revealed new insights into why health care providers may not follow best practices for respectful maternal care, and resulted in a set of simple, adaptable low cost solutions to …

Family Planning And Youth In West Africa: Mass Media, Digital Media, And Social And Behavior Change Communication Strategies, Sarah Castle, Martha Silva

Reproductive Health

This review presents evidence about the impact of mass media and digital media on young people’s family planning attitudes and behaviors. It primarily focuses on the Ouagadougou Partnership countries, but also describes lessons from other initiatives implemented more widely in Africa and elsewhere. Due to the paucity of family planning evidence, the review also includes material from higher income countries where mass and digital media have been used in communication initiatives to prevent non-communicable diseases. In addition, it draws on studies from low- and middle income countries where such media have been used to create demand for maternal and child …

Beneath The Surface Of Talking About Physicians: A Statistical Model Of Language For Patient Experience Comments, Taylor Turpen, Lea Matthews Md, Senem Guney Phd, Cpxp

Patient Experience Journal

This study applies natural language processing (NLP) techniques to patient experience comments. Our goal was to examine the language describing care experiences with two groups of physicians: those with scores in the top 100 and those with scores in the bottom 100 among all physicians (n=498) who received scores from patient satisfaction surveys. Our analysis showed a statistically significant difference in the language used to describe care experiences with these two distinct groups of physicians. This analysis illustrates how to apply NLP techniques in categorizing and building a statistical model for language use in order to identify meaningful language and …

Socio-Demographic Predictors Associated With Capacity To Engage In Health Care, Ran Sun, Linden Wu, Scott Barnett, Patsy Deyo, Ellen Swartwout

Patient Experience Journal

Patient engagement is essential to improve outcomes and reduce healthcare costs. This study aimed to examine the socio-demographic factors associated with one’s capacity to engage in their health care. An observational, cross-sectional study was performed including patients from five medical/surgical units of four health systems. Patients’ engagement capacity was assessed using the person engagement index (PEI) instrument which contains four subscales: engagement in health care, technology use in health care, proactive approach to health care, and psychosocial support for health care. Separate general linear models were applied for the PEI total score and each of the four subscale scores. Our …

West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton

Journal of Appalachian Health

Introduction: Framing is an important aspect of the policy process that helps the public and decision makers sort through and resolve highly charged claims about an issue. Through slight changes in the presentation of issues, a framing effect may alter public support. The way a proposed sugary drink tax is discussed in public discourse and by the media significantly influences policy acceptance. Given the public health significance of obesity and diabetes in West Virginia (WV) the study of media frames employed to represent a sugary drink tax policy is useful.

Methods: Using quantitative content analysis, this study assessed news articles—published …

"Is There Really A Way To Prevent Cancer?": Exploring Cancer Prevention Information Seeking Among Cancer Patients And Their Caregivers, Kaitlin M. Magee

Communication ETDs

This thesis investigated cancer prevention information (CPI) seeking among cancer patients and their caregivers. Interviews that were conducted in 2011 were analyzed thematically to deconstruct perceptions and sources of CPI among 47 participants. The thematic narrative analysis of the predominantly Hispanic, low-income and low-education sample revealed differences in CPI seeking related to ways cultural practices and socioeconomic status impact information seeking. The digital divide, Spanish language and perceived high cost presented barriers to information yet created opportunities for patients and family members to emerge as health champions to share information interpersonally and intergenerationally. Understanding CPI processes of racial and ethnic …

Adding Soul To The Message: Applying African American Jeremiad Rhetoric As Culturally Competent Health Communication Online, Wilbert Francisco Laveist

English Theses & Dissertations

This study examines whether online health communications targeting African Americans could be more effective by structuring the message in the format of African American jeremiad rhetoric, a culturally unique version of the American jeremiad literary form. Health disparities (also known as health inequality) persist among African Americans despite increased health knowledge, improved communication practices, and access to health facts online. The problem is systemic, and thus a predictable outcome that requires change in societal structures that produce and maintain inequality. Individual behavior changes to improve health is also necessary. Information alone does not change behavior. Altering environmental factors is also …

Health Information Literacy On The Risks Of Using Skin Bleaching Products, Olufemi K. Aramide Phd, Olusoji S. Olatunji, Olusola Ayandele

Library Philosophy and Practice (e-journal)

Information enables individuals to develop knowledge which can influence their health behavior and attitude while inadequate literacy about health information is associated with poor understanding of medical advice and negative health outcomes among the population. Skin bleaching is a health practice involving the (mis)use of chemical solutions to change one’s complexion to a lighter tone. This paper investigated the viability of using the concept of health information literacy to reduce skin bleaching by reviewing previous empirical studies on skin bleaching with emphasis on health information. Finding showed that skin bleaching is driven by a self-destructive, unattainable beauty standard. It also …

#Whyididntreport: Using Social Media Analysis To Inform Issues With Sexual Assault Reporting, Jordyn Warren

LSU Master's Theses

The #MeToo movement allowed victims of sexual assault to go public with their stories. When Dr. Christine Blasey Ford came forward with allegations against Supreme Court nominee Brett Kavanaugh in September of 2018, she was scrutinized by President Trump for not reporting the incident to authorities “when it happened nearly 30 years ago.” Promptly, #WhyIDidntReport came to fruition on Twitter, uncovering the shame victims feel and the complexities behind why so many individuals didn’t and still don’t report their assaults. Victim-service agencies “provide victims with support and services to facilitate their physical and emotional recovery, offer protection from future victimizations, …

Illness And The American Workplace: Issues And Implications For Employers And Employees, Victoria R. Dolan

Student Theses and Dissertations

This project aims to identify American employee experiences and existing workplace policies and cultures surrounding illness, disability, and sick leave. This approach was taken in order to closely examine what looks to be working well for companies and workers, and what could benefit from a more human centric approach in regards to workplace policy and employee support programs. The study of employee experiences in particular represents a gap in the current scholarly literature regarding illness and illness policy in the American workplace, and more accurately represents the experiences for both employees and employers. Furthermore, it assists with distinguishing the types …

Readability Of Online-Patient Based Information On Bariatric Surgery, Zoë Meleo-Erwin, Corey Basch, Joseph Fera, Danna Ethan, Philip Garcia

Publications and Research

Background: Web-based patient education literature has been shown to be written at reading levels far above what is recommended. Little is known about the overall readability of current internet-based bariatric surgery information. The purpose of this study was to assess the readability of current bariatric material on the internet.

Methods: The term “weight loss surgery” was searched using the Chrome browser on the first 15 pages of URLs that appeared with content written in English. Using five readability measures, scores were generated using Readable.io for written content on a sample of 96 websites. Scores were sorted into the readability categories …

Science For All: Exploring Science Communication For Public Engagement In Culturally Diverse Scenarios In The Americas, Denisse Helena Vasquez-Guevara

Latin American Studies ETDs

Universities in the United States and Ecuador must meet various policy guidelines concerning research and teaching that address the needs of their local communities. In Ecuador, the higher education law requires that universities undertake research and public outreach projects that respond to societal needs. In the United States, Carnegie Research Classifications motivate universities to serve their publics by carrying out community-engaged research. However, evaluations of public outreach projects and community-engaged research have consistently demonstrated that the segments of society that are ostensibly served by these initiatives are not meaningfully engaged in them; members of the public are treated as, and …

Preparing Students For The Real World: Analyzing Public Relations (Pr) Education For Entry-Level Practice In The Health Industry, Olivia Maria Lason

Seton Hall University Dissertations and Theses (ETDs)

Public relations (PR) agencies are often called upon to service the needs of niche industry areas of practice. These areas include healthcare communication which generates over 15% of firm revenue alone. Agencies are also top-employers of PR graduates, yet literature shows students are not meeting the skills and abilities expected of an entry-level practitioner. This study examined whether entry-level foundational skills and abilities (FSAs) are taught to PR students interested in the health field. Through a content analysis of undergraduate health communication syllabi in PR programs, the study found most FSAs were addressed; however, some areas were lacking. As such, …

Empowering The Plus Size Body Using Dance As Therapy, Ashley Sampson

Expressive Therapies Capstone Theses

In Western society, having the “ideal” body image and size is a societal issue. It is advertised throughout media outlets that the “ideal” body is what should be desired, and any other body type is “abnormal”. This capstone thesis focused on the effectiveness of dance as therapy and changing the perspectives of all body types, to support and empower all bodies including plus-sized bodies. The use of individual interviews, in an open dialogue model, with a select few members (3) of Soul thru Sole, including the CEO of the dance company; which focuses on empowering women no matter their age, …

How Internalized And Externalized Behaviors In Adolescents Impact Academic Achievement In Faith-Based Institutions, Subira Brown, Chioma Tait, Jade Callahan, Deyana Cox

Adventist Human-Subject Researchers Association

The purpose of this literature review is to address how internalized and externalized behaviors in adolescents impact academic achievement in faith-based institutions. This research intends to bring awareness to the prevalence of mental health concerns faced by adolescents, as well as the need for mental health services in the education system. This research will also identify the relationship between internalizing and externalizing behaviors, and academic achievement. Based on the findings, the next steps will be to evaluate the deficits within the Adventist school system and begin developing programs and resources necessary to support the mental health needs of children and …

Impact Of Tobacco-Pack Pictorial Warnings On Youth And Young Adults: A Systematic Review Of Experimental Studies, Diane B. Francis, Nia Mason, Jennifer Cornacchione Ross, Seth M. Noar

Communication Faculty Publications

Introduction:
We conducted a systematic review of the experimental literature on the impact of tobacco-pack pictorial warning labels (PWLs) on youth and young adults.

Methods:
We systematically searched computerized databases and the reference list of relevant articles. We included studies that used an experimental protocol to assess PWLs. Studies had to report findings for youth or young adult samples (aged < 30 years). Thirty-one studies met the inclusion criteria, with a total sample size of 27506. Two coders independently coded all study characteristics and outcomes.

Results:
Twenty-eight studies experimentally evaluated PWLs for cigarette packs while three studies evaluated PWLs for smokeless tobacco packs. Generally, PWLs led to higher attention, stronger cognitive and affective reactions, more negative pack attitudes and smoking attitudes, and increased intentions not …

Improving Nurse Anesthetist Intraoperative Handoff Process By Developing And Implementing An Evidence-Based, Facility-Specific Cognitive Aid, Jason Silva, Myron Arnaud

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Miscommunication or non-transfer of pertinent patient information during intraoperative handoffs between anesthesia providers creates patient safety risks. An evidence-based facility-specific cognitive aid was developed and introduced to nurse anesthetists in an anesthesiology department of a large academic hospital with the aim of improving the intraoperative patient handoff process. The program used a handoff cognitive aid that addressed five pertinent patient information points. A secondary measure was evaluation of provider satisfaction. Twenty-four nurse anesthetists utilized the handoff cognitive aid during handoffs in the course of a 4-week pilot program. Eighty-eight nurse anesthetist handoffs were observed (23 with and 65 without the …

The Sweet Tale: A Pilot Study Of An Interactive Narrative Health Communication Intervention Using Positive Deviance To Highlight Communicative Acts That Lead To Effective Management Of Diabetes Among Hispanics, Claudia M. Boyd

Communication ETDs

In this dissertation, I conducted a pilot study that applied positive deviance (Singhal, 2011; Pascale, Sternin, & Sternin, 2012) findings from my master’s thesis (Boyd, 2015) to an entertainment-education (Singhal & Rogers, 1999) driven intervention in a Hispanic community (Baezconde-Garbanti et al., 2014; Murphy et al., 2013; Wang & Singhal, 2016), using an interactive narrative (Green & Jenkins, 2014) to develop achildren’s book. In the current pilot study, I created a children’s book The Sweet Taleusing extensive formative research and created a framework to aid in the development offuture Hispanic children’s books on diabetes. To evaluate The Sweet Tale, I …

An E-Learning Adaptation Of An Evidence-Based Media Literacy Curriculum To Prevent Youth Substance Use In Community Groups: Development And Feasibility Of Real Media, Anne E. Ray, Kathryn Greene, Michael L. Hecht, Sarah C. Barriage, Michelle Miller-Day, Shannon D. Glenn, Smita C. Banerjee

Communication Faculty Articles and Research

Background: There is a need for evidence-based substance use prevention efforts that target high school-aged youth that are easy to implement and suitable for dissemination in school and community groups. The Youth Message Development (YMD) program is a brief, four-lesson, in-person curriculum that aims to prevent youth substance use through the development of youth media literacy. Specifically, YMD aims to increase understanding of advertising reach and costs, along with the techniques used to sell products; develop counterarguing and critical thinking skills in response to advertisements; and facilitate application of these skills to the development of youth-generated antisubstance messages. Although …

Health Literacy Challenges And Opportunities: Bringing Children’S Mercy And Kansas City Together, Jennifer A. Lyon, Angie Knackstedt, Barbra Rudder, Mamta Reddy Md, Courtney R. Butler

Posters

BACKGROUND: A multidisciplinary group at Children's Mercy Kansas City applied for and received the NNLM MCR's Immersive Workshop Grant in December, 2017, and used the funding to organize and host a two-day immersive, interprofessional workshop in April, 2018, that 1) brought together health literacy-invested groups and individuals within the Kansas City community to learn about health literacy including cultural, language, numeracy and digital inclusion factors; and 2) provided specialized training to targeted CM participants to improve the provision of bedside health information to patients and caregivers. Objectives included: increasing community-wide collaboration, sharing resources, encouraging participants to become change agents, and …

The Relationship Between Health Literacy And Self-Management, Carli A. Zegers

Theses & Dissertations

Health literacy is an evolving concept, impacting all areas of health care. There is a need for improved understanding of the concept and its relationship with self-management especially in the United States (US) where health literacy has been limited to functional health literacy consisting of basic reading and writing. Health literacy is defined as the “ability to obtain, understand, and apply health information for healthcare decisions” (Nielsen, 2004, p. 32) and has been expanded into three sub-concepts of functional, communicative, and critical health literacy. The purpose of this dissertation is to explore and better understand the relationship between health literacy …

Increasing Understanding Of Professor’S Adhd Knowledge And Perception Of Adhd And How This Informs Their Behavior Towards Students With Adhd, Rebecca Rosen

Masters Theses, 2010-2019

Attention deficit hyperactivity disorder (ADHD) is a prevalent learning disability experience by 5.3% of students. The behaviors associated with ADHD (hyperactivity, impulsivity, and inattention) can impact a students’ ability to learn and their behavior and relationships in the classroom. Teachers can help to create a supportive or unsupportive learning environment for students with learning disabilities, specifically ADHD. Unfortunately, these needs are not always met for students in college. Previous research has uncovered primary and secondary teacher’s knowledge, perception, and behavior regarding children with ADHD, but little work has focused on college professors. College professors are likely to have significantly less …

Effects Of Social Media On Patient Perceptions And Compliance, Annmarie Butare, Adarsh Gupta

Rowan-Virtua Research Day

It is the physician’s responsibility to ensure that their patients are collecting credible and accurate information. Considering the significant proportion of patients using social media to assist with medical decision making, physicians should incorporate this into their patient education in order to ensure patient understanding of the information gathered both outside and inside the medical office, thereby improving compliance and outcomes.

The goals of this study were to examine the influence of social media on patient perceptions of healthcare and use this infomration to improve physician understanding of patient health information-seeking behaviors to improve patient compliance. The three-part survey included …

The Road To Recovery: Injured Athlete's Perspectives On Recovery Through Social Support, Brooke Kuhn

Master's Theses

Injured athletes’ perspectives on different aspect of their recovery process were analyzed using concepts such as social support, responsiveness, and self-disclosure based on three different sources: coaches, trainers, and teammates. 39 participants were used for this study. With an age range from 18-44 years old, the participants are both current college and former college athletes. Many of them ranged from the different types of sports played and at different divisional levels. 82.1% of participants were Caucasian, 12.8% were African American, and 5.1% selected other as their ethnicity. The results exemplify, through linear regression, that trainers are the most effective source …

A Bilingual Approach To Pediatric Occupational Therapy: The Importance Of Communication Between Providers & Spanish-Speaking Families In Northwest Arkansas, Emily Ann Davidson

World Languages, Literatures and Cultures Undergraduate Honors Theses

Due to the demographic demands of Northwest Arkansas and the prevalence of disparities in health care, this study aims to assess the current practices, perceived need, and willingness to provide bilingual Spanish-English outpatient pediatric occupational therapy options in Northwest Arkansas. The hope of this study is to better inform pediatric occupational therapy providers of the growing need for bilingual services so that they may respond appropriately in order to better serve Latino and Spanish-speaking patients and their families or caregivers.

The Importance Of Responsiveness: Improving Health-Related Outcomes Among Ostomates, Carrie Reif

Dissertations

More than 750,000 individuals in the United States live with an ostomy appliance, and additional 130,000 patients undergo ostomy surgery each year (United Ostomy Association of America, 2018). Although a life-saving procedure, patients confront significant physical (e.g., bowel routine and activity levels) and emotional (e.g., poor body image and depression) challenges that impede the adjustment process. When faced with health-related threats, the transactional action model of stress and coping argues that patients use strategies, such as seeking support, to effectively cope. However, because of perceptions of felt and enacted stigma and health-related uncertainty, some patients conceal ostomy-related issues and limit …

Crumbling Foundations: The Case For Prioritizing Self-Care Among Educational Leaders, Joshua Brent Ray

Graduate Theses and Dissertations

There is a potentially dangerous disassociation between human behavior, decision-making, and ethics and the notion that these fundamental aspects of what it means to be human originate simply as the functions of an organ. A deeper knowledge of the operation and limitations of the brain suggests biological input could possess the ability to unknowingly alter human behavior and effectiveness. This study utilizes a research-based understanding of the implications of human health and self-care habits on neurological, psychological, and behavioral function to examine the current practices of educational administrators across Arkansas while exploring systemic and job-based factors within the profession that …