Health Communication Commons^™

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

Theses & Dissertations

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

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

Dartmouth Scholarship

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

Illness Narratives Of Women With Systemic Lupus Erythematosus And Family Communication: A Mixed Methods Study, Katherine M. Castle

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

Systemic lupus erythematosus (SLE) is a prominent, yet under-studied autoimmune condition that is both life limiting and potentially life threatening and affects more than one million Americans, primarily women. Despite this, the disease continues to go undiagnosed and unmanaged, leading to more severe outcomes of the disease process. Though there is growing recognition of the importance of social behaviors in improving health outcomes, particularly family communication and sense-making, there is a paucity of research aimed at understanding the experience of SLE and how women make sense of the disease in family contexts. This exploratory sequential mixed methods project is framed …

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

Master's Theses (2009 -)

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

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

Dept. of Management & Enterprise Conference Material

No abstract provided.

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

Seton Hall University Dissertations and Theses (ETDs)

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

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

Communication Studies

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

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

School of Media and Communication Faculty Publications

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

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

Doctor of Nursing Practice Final Manuscripts

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

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

Senior Honors Projects, 2010-2019

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

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

Masters Theses, 2010-2019

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

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

Masters Theses, 2010-2019

Abstract

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

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

Honors College Theses

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

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

Masters Theses, 2010-2019

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

Mental Illness Stigma In The Media, Brian Smith

The Review: A Journal of Undergraduate Student Research

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

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

Political Science Honors Projects

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

National Collegiate Athletic Association Head Coaches' Satisfaction With Athletic Training Services 2015, Whitney Larson

Master's Theses

Athletic trainers and coaches have a significant amount of interaction regarding the care of an athlete. This communication and cooperation is necessary to providing effective care. The purpose of this study was to determine the level of satisfaction that head coaches have with those providing athletic training services across all three NCAA Divisions. Overall satisfaction and four satisfaction categories (professionalism, communication, knowledge/ability, and accessibility) were examined. A total of 40 head coaches from NCAA Division I, II, and III schools participated in the study. The instrument used was originally developed by Beer (2004) and was modified to fit the current …

The Use Of Exemplars In Audio-Based Media To Increase Behavioral Intent In Adopting Preventive Skin-Cancer Behaviors, Christine M. Lemme

Master of Arts in Communication

Skin cancer is a growing concern in the young-adult population due to the popularity of indoor ultraviolet (UV) tanning and the acceptance of numerous myths that skin cancer is not a major health concern. This thesis aims to look at the use of media exemplar perceived to be similar and credible to the target population in order to persuade the target population to adopt preventative skin-cancer behaviors. College students of both genders and various ethnicities (N = 170) were surveyed after listening to different radio exemplars on skin cancer. Results indicated that similarity and credibility play a key role in …

Intraprofessional Nursing Communication And Collaboration: Apn-Rn-Patient Bedside Rounding, Rita M. Herm-Barabasz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Executive Summary

Leading advisory agencies have long advocated that health care must be safe and effective (Institute of Medicine [IOM], 2001). In order for health care to be safe and effective, good communication and collaboration are essential. Research has found that in health care, poor communication and teamwork failures are the major contributors to adverse events (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014; The Joint Commission, 2011; O’Leary, 2012). Such communication-related adverse events can cause avoidable injury, loss of life, and financial devastation. In light of advanced practice nurses’ (APN) increasing contribution in care management, and in order to ensure delivery …

Utilization Of Workplace Health Promotion (Whp) Programming To Improve Health Literacy, Lyric Hayden-Lanier

Symposium of Student Scholars

Organization

The organization is a municipal workplace in metro Atlanta, GA with an authorized strength of 1,500 individuals in a variety of job descriptions.

Summary of the primary program

The organization’s WHP provides knowledge and skills that seek to improve outcomes on several levels: promotion, prevention, treatment, management, and diagnostic, all of which require a certain level of health literacy for acquisition, application, and adherence.

Explanation of the evaluation plan

Health literacy has been identified as a priority area by the Department of Health and Human Services, and the workplace offers an opportunity for improvement with program dissemination of knowledge …