Health Communication Commons^™

Maximizing Doctor-Patient Communication Of A Positive Hiv/Aids Test Result: A Best Practices Approach, Vikki Yashandra Spann

Dissertations

The purpose of this study was to examine healthcare practitioner (HCP) communication of a positive human immodeficiency syndrome/acquired immunodeficiency syndrome (HIV/AIDS) test result in an effort to find best practices. The population of this study included healthcare practitioners who had to disclose a positive HIV/AIDS status to a patient. Data from specific accounts recalled by the healthcare practitioners were analyzed using grounded theory approach. The first research question was concerned with the strategies used by healthcare practitioners. The results indicated that there are two primary strategies used in HIV/AIDS disclosure: strategic interactive facilitation and strategic interactive force. The second and …

An Exploratory Study Of Generational Differences In Health Information Seeking And Smoking Behaviors In Bulgaria, Iva Stoyneva

Communication & Theatre Arts Theses

Smoking is a serious global public health threat that causes more than 6 million deaths annually (WHO, 2013). Smoking is also the single, most preventable cause of death (CDC, 2014). According to a recent study, Bulgaria was ranked as one of onlyl 1 countries in the world, in which half of the adult male population smokes, as well as one of 11 countries in which more than one-quarter of the adult female population smokes. Research suggests that the most significant predictors of smoking behavior in Bulgaria were age and geographic location (Balabanova, Bobak & McKee, 1998). Contributing to these finings, …

Idaho Careline 2-1-1 Data Analysis And Update To Idaho Legislators, Catherine Dickson, Adiya Jaffari

College of Health Sciences Presentations

The Idaho CareLine 2-1-1 Data Analysis and Update to Legislators project has consisted of analyzing and organizing data collected by the 2-1-1 CareLine throughout 2013 regarding Alzheimer’s information. Once significant data trends had been identified, a PowerPoint presentation was developed and presented to the Idaho House Health and Welfare Subcommittee, the Greater Idaho Chapter Alzheimer’s Association, and incorporated into a community education film evening on Alzheimer’s.

Influence Of Family Communication On Organ Donation, Arielle Melino

Honors Projects in Communication

Organ donors are in high demand and although many individuals have a favorable attitude toward organ donation, very few are committed to donating. This study aims to examine the impact of mother-daughter relationships and the conversation that stems from this bond on decisions to donate. Some factors that exist within family communication such as attitudes, willingness to communicate, experience, and knowledge may not just impact the perspectives of adults but also the donation decisions of their college-aged children.

Overcoming The “Dual-Delivery” Stigma: A Review Of Patient-Centeredness In The Costa Rica Medical Tourism Industry, Alicia Mason

Faculty Submissions

Due to the growing globalization of health care and an increase in access to technology many consumers are utilizing the World Wide Web for securing medical services abroad, a phenomenon commonly known as medical tourism. The current investigation employs an emic cultural approach for analyzing the Western concept of patient-centeredness within several public and private medical facilities within Costa Rica. Through a detailed field investigation and personal interviews with directors of Costa Rica’s largest accrediting institutions (AAAAF and ProMed), hospital organizations, and private health clinics an interpretative framework for evaluating patient-centeredness and quality of care is offered. Discussion, implications, and …

Selling Life To Abortion-Seekers: A Content Analysis Of Passive And Active Persuasion In Crisis Pregnancy Center Marketing, Alexander Kocman

Masters Theses

For supporters of the pro-life cause, crisis pregnancy centers (or CPC's) have become the "darlings of the movement," according to the New York Times (Belluck, 2013), offering women with unplanned pregnancies free advice, information, classes, childcare, and needed supplies. For abortion advocates, such establishments are intended to seduce vulnerable abortion-seekers into a situation where they will be counseled out of an abortion and possibly even proselytized. Yet for as much controversy as exists in the news media, medical community, and legal realm about CPC's, there is an unsettling lack of understanding of how--and why--CPC's market themselves the way they do. …

Communication About Hiv In The Black Gay Community: Factors That Influence Willingness To Ask A Partner To Wear A Condom, Ask A Partner's Hiv Status, And Disclose One's Hiv Own Status, Deion Scott Hawkins

Theses, Dissertations and Capstones

The CDC (2013) reported an unparalleled 50 percent increase in HIV infections in young Black MSM from 2003 to 2009. Dense, homogenous sexual networks are believed to be a major contributing factor to unparalleled transmission rates; if so, communication within these networks about HIV status and condom use is essential to fighting this epidemic. Yet there is a dearth of research on how Black gay men communicate about condom use and HIV status. This study explored how perceived risk, HIV knowledge, perceived trust, desire for a masculine partner, and perceived mate value influenced three important HIV risk-reducing communication behaviors: willingness …

Community Engagement As A Process And An Outcome Of Developing Culturally Grounded Health Communication Interventions: An Example From The Decide Project, Angela L. Palmer-Wackerly, Jessica Krok, Phokeng M. Dailey, Linda Kight, Janice L. Krieger

Department of Communication Studies: Faculty Publications

Community engagement is a process often used in developing effective health communication interventions, especially in traditionally underserved cultural contexts. While the potentially positive outcomes of community engagement are well established, the communication processes that result in engagement with cultural groups are less apparent. The focus on the outcomes of engagement at the expense of describing how engagement occurs makes it difficult for methods to be improved upon and replicated by future studies. The purpose of the current manuscript is to illustrate the process of achieving community engagement through the development of a culturally grounded health communication intervention. We offer practical …

Review Of Manon Parry, Broadcasting Birth Control: Mass Media And Family Planning, Rose Holz

Women's and Gender Studies Program: Faculty Publications

As Manon Parry explains in her interesting new book, ‘Many of the women who wrote [to the Birth Control Review] noted that they had read about [Margaret] Sanger’s work in the press, confirming the important role of the mass media in publicizing and building support for the movement’ (p. 13). Therein lies the crux of Parry’s project: the use of publicity was central to the family planning movement and a sustained analysis of its use over time is long overdue. To that end, she challenges several long-standing historiographic assumptions and unearths more than a few fascinating stories. For example, …

Men And Mustangs: From Communicative Messages Within The Wild Horse Inmate Program To A Communicative Theory Of Learning How To Teach, Kristine Larissa Reyes

Electronic Theses and Dissertations

The purpose of this study was to discover the communicative messages within the Wild Horse Inmate Program. This dissertation developed the communicative theory of learning how to teach, a grounded theory based on the communicative messages of the Department of Corrections' officers and Bureau of Land Manager employees who work with inmates in a western state Wild Horse Inmate Program. I approached theorizing the communicative theory of learning how to teach from the applied communication perspective that communication is the enactment and application--symbolic and physical--of communication in daily life. The applied context was the Wild Horse Inmate Program where I …

Vitamin D An Examination Of Physician And Patient Management Of Health And Uncertainty, Keisa Bennett, Brandi N. Frisby, Laura E. Young, Deborah Murray

Scholarship and Professional Work - Communication

Vitamin D has been a topic of much research interest and controversy, and evidence is mixed concerning its preventive effects and health benefits. The purpose of our study was to explore the decision-making strategies used by both primary care providers and community members surrounding vitamin D in relation to uncertainty management theory. We conducted semistructured interviews with primary care providers (n = 7) and focus groups with community members (n = 89), and transcribed and coded using the constant comparative method. Themes for providers included awareness, uncertainty, patient role, responsibility, skepticism, uncertainty management, and evolving perceptions. Community member …

Is Peer Health Education Healthy: Examining The Susceptibility Of Peer Educators To Emotional Contagion, Lucas Joseph Youngvorst

All Graduate Theses, Dissertations, and Other Capstone Projects

This paper examines the role of peer educators within Peer Health Education programs, specifically focusing on their susceptibility to emotional contagion. As various studies have identified the potential effect of emotional contagion within positions similar to PHE (ie. counseling, therapy, etc..), the susceptibility of peer educators to this contagion must be analyzed. The present study seeks to draw connections between PHE and emotional contagion, building our understanding of both topics and how they connect. Peer educators from across the country were contacted and asked to complete an online survey, which examined their general and PHE specific demographics, susceptibility to emotional …

Grounded Theory, Laura L. Ellingson, Kristian G.E. Borofka

Communication

Grounded theory (GT) is a common approach to inductive analysis of qualitative health communication data. GT analysis generates a typology of themes or categories based on "emic" (research participant) perspectives that together constitute a new theory or extension of existing theory. GT is used to analyze data in written form, including researcher-generated data (e.g., interview transcripts, ethnographic field notes), participant-generated data (e.g., journal entries, narratives), or mediated representations (e.g., news coverage, Web site postings). GT contrasts with deductive research designs in which researchers begin with a theory and test ways in which data may (or may not) support its tenants. …

I Can't Hear You But I'M Not Sure I'M Going To Tell You: Perceptions Of Stigma And Disclosure For Individuals Who Are Deaf Or Hard Of Hearing, Brittany Nicole Lash

Theses and Dissertations--Communication

Communication processes can be affected by stigma – a negative evaluation of an individual’s attributes that discredits or identifies the individual as not normal (Goffman, 1963). One such communicative process that is affected by stigma is disclosure. Disclosure is when individuals share personal information that reveals something not previously known (Charmaz, 1991). One such group of individuals who may be forced to choose between disclosing (to get accommodations or social support) and avoiding stigma (by not disclosing) is individuals with disabilities (Braithwaite, 1991; Charmaz, 1991).

This study focuses on one particular population of individuals with disabilities – those with a …

Communication During First-Time Multidisciplinary Clinic Visits: Navigating Parental Decision Making And Uncertainty Management In Pediatric Chronic Illness, Anna M. Kerr

Theses and Dissertations--Communication

Individuals with chronic illnesses must manage long-term uncertainty and decision making as they cope with the ways the illness influences almost every aspect of their lives. In the context of pediatric illnesses, parents assume the burden of uncertainty management and decision making during the diagnosis and treatment of their child’s illness. It is common for children with complex chronic illnesses to see multiple specialists for the treatment of their condition. The first visit to a specialist is often more elaborate than a routine primary care visit. While previous research has explored parents’ decision making and uncertainty management during a child’s …

Testing The Message: Making Sense Of Converging Multimodal Messages In A Foodborne Illness Outbreak, Bethney A. Wilson

Theses and Dissertations--Communication

The goal of risk and crisis communication is to reduce and contain the harm inherent in a threat. In order to achieve this goal, risk and crisis scholars call for continued testing of messages surrounding these events; specifically, messages that address the needs of the at-risk message receiver. Previous scholarship suggests that these messages should include adapting and instructing information (Coombs, 2012), and should be designed using pedagogically sound instructional approaches (Frisby, Sellnow, Sellnow, Lane, & Veil, 2011; Sellnow & Sellnow, 2010). In order to meet this call, this dissertation tested an instructionally sound message that includes both adapting and …

Social Support In Young Adult Cancer Survivors And Their Close Social Network Members, Nicholas Thomas Iannarino

Theses and Dissertations--Communication

A cancer diagnosis often causes biographical disruption in the lives of young adult (i.e., 18-39; YA) survivors and their close social network members (i.e., familial, plutonic, or romantic relational partners with whom the survivor has a salient relationship; SNM). In order to integrate their illness into their lives, normatively regain balance and equilibrium, and achieve a “new normal” following a cancer diagnosis, YA survivors and their close SNMs must work to reconstruct their biographies by engaging in tangible interpersonal communication processes often used to initiate and maintain relationships. However, YA cancer survivors report facing social struggles due to the biographical …

Increasing Compliance With A Tobacco-Free Policy Via A Campus Campaign, Rachael A. Record

Theses and Dissertations--Communication

The implementation of a tobacco-free policy is the leading recommendation among health institutes for reducing the harms associated with tobacco exposure–for both smokers and nonsmokers–on college campuses. Despite the health benefits associated with tobacco-free policies, compliance with these policies remains a serious challenge on college campuses. Interventions aimed at increasing smokers’ willingness to comply with tobacco-free policies are essential for improving public health.

Guided by the theory of planned behavior (TPB), the purpose of this study was to (a) investigate the factors associated with tobacco-free policy compliance among undergraduate students and (b) design and evaluate a theory-based campaign aimed at …

Communication And Effectiveness In A Us Nursing Home Quality-Improvement Collaborative, Priscilla Arling, Kathleen Abrahamson, Edward J. Miech, Thomas S. Inui, Greg Arling

Scholarship and Professional Work - Business

In this study, we explored the relationship between changes in resident health outcomes, practitioner communication patterns, and practitioner perceptions of group effectiveness within a quality-improvement collaborative of nursing home clinicians. Survey and interview data were collected from nursing home clinicians participating in a quality-improvement collaborative. Quality-improvement outcomes were evaluated using US Federal and State minimum dataset measures. Models were specified evaluating the relationships between resident outcomes, staff perceptions of communication patterns, and staff perceptions of collaborative effectiveness. Interview data provided deeper understanding of the quantitative findings. Reductions in fall rates were highest in facilities where respondents experienced the highest levels …

Shots, Everybody? : British Anti-Smallpox Vaccination And The Development Of Multifaceted Anti-Vaccine Rhetoric On Internet Parenting Forums, Marta B. Bean

Scripps Senior Theses

Vaccination is an important public health measure that can help reduce disease at the population level. Substantial evidence exists that vaccines are safe and effective at reducing the incidence of diseases like pertussis, measles and cervical cancer. However, on Internet parenting forums, parents discuss whether or not vaccination is the right choice for their children. In this thesis, I highlight the historical context of the anti-vaccine movement in mid 19^th century to early 20^th century Victorian Britain in the era of compulsory smallpox vaccination. Vaccination in this time was a very different and more overtly dangerous process, and …