Health Communication Commons^™

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 …

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.

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.

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.

Labeling Disability In America, Nicole C. Webster

Communication Studies

This paper explores how labels are used in regard to disabilities in the dominant American culture. Ignorance is the link between language and discrimination and inequalities for people with disabilities. Americans can be educated through disability studies so as to become capable of empathizing with and enabling, rather than disabling, their compatriots.

Narrative Reflection In The Family Medicine Clerkship-Cultural Competence In The Third Year Required Clerkships, Donna Elliott, Pamela Schaff, Theresa Woehrle, Anne Walsh, Janet Trial

Physician Assistant Studies Faculty Articles and Research

This resource cultivates effective cross-cultural communication skills, which requires an understanding of culture that includes both the physician's and the patient's perspectives. Building on a foundation of cultural awareness, knowledge, and skills students have acquired during the preclinical curriculum, this exercise provides an opportunity for students to continue to refine their narrative reflection skills as they interact with patients in the clinical setting. During the family medicine clerkship, students participate in learning activities that provide the opportunity to explore the rich opportunities of thoughtful reflection and narrative practice. Students also participate in a formative narrative reflection exercise during the clerkship …

Conceptions Regarding Children’S Health: An Examination Of Ethnotheories In A Sending And Receiving Community, Maria Rosario De Guzman, Jennifer Deleon, Gloria Gonzalez-Kruger, Rodrigo Cantarero

Department of Child, Youth, and Family Studies: Faculty Publications

Ethnotheories are beliefs that adults hold about children and the factors that impact upon their development. Scholars suggest that “ethnotheories” serve as cultural models that underlie motivations for parenting practices and the way adults organize children’s early experiences. This study examines Mexican adults’ ethnotheories about children’s health in two communities that are linked by transnational migrants and serve as sending and receiving communities for workers. Forty-four Mexican adults in six focus groups discussed well-being issues affecting children in their communities. Qualitative analyses using grounded theory revealed a complex conception of children’s health issues that included physical, psychological, and behavioral components …

Do I Really Need To Have That Test? Understanding Risk And Making Medical Decisions In The Age Of Tmi, Gene Elizabeth Harkless

The University Dialogue

No abstract provided.

Implications Of Skinner's Verbal Behavior For Studying Dementia, Jeffrey Buchanan, Daniel Houlihan, Peter J.N. Linnerooth

Psychology Department Publications

Persons with dementia experience continual declines in a number of abilities. Language abilities are particularly hard hit and become increasingly impaired as the underlying disease progresses. These language impairments make verbal communication very challenging for family and professional caregivers. As a result, caregivers may inadvertently punish verbal behavior, thereby exacerbating the deterioration of verbal repertoires. Although the topography of language impairments associated with dementia have been well described, less empirical work has been conducted concerning how to minimize these impairments and their deleterious effects. In 1957 B.F. Skinner outlined his conceptualization of language and cognition in his book Verbal Behavior. …

Forming Bodies And Reforming Healthcare: The Co-Construction Of Information Technologies And Bodies Through The Imperative For Self Care, Scout Calvert

University of Nebraska-Lincoln Libraries: Faculty Publications

Care work and technological work are markedly striated by sex; the sites where they overlap are few. What happens when the labor of care meets up with information technologies? It makes good methodological sense to look at largely feminized environments that are also increasingly technological. Gender, Health, and Information Technology in Context, edited and with contributions by Ellen Balka, Eileen Green, and Flis Henwood, is a welcome contribution to the body of evidence about the socio-technical co-construction of technology, health, and gender. The volume houses nine studies, bookended by an astute introduction and conclusion by the editors. Each study …

“Applied” Aspects Of The Drug Resistance Strategies Project, Michael L. Hecht, Michelle Miller-Day

Communication Faculty Articles and Research

This paper discusses the applied aspects of our Drug Resistance Strategies Project. We argue that a new definitional distinction is needed to expand the notion of “applied” from the traditional notion of utilizing theory, which we call “applied.1”, in order to consider theory-grounded, theory testing and theory developing applied research. We label this new definition “applied.2” research. We then explain that our descriptive work describing the social processes of adolescent substance use, identity and use, and drug norms, as well as the subsequent development and dissemination of our keepin’ it REAL middle school substance use curriculum are examples of “applied.1” …

Societal, Expert, And Lay Influences, Roxanne Parrott, Michelle Miller-Day, Kathryn Peters, James Dillard

Communication Faculty Books and Book Chapters

Families are influenced by many messages about genetics and health, which then affect communication with health-care practitioners and communication within the family. Using a discourse approach, this chapter identifies the various sources of these messages and explains the influences they might exert.

Intercultural Competence For The Nutrition Professional, Cynthia S. Klement

Senior Honors Theses and Projects

Diversity training for nutrition care professionals is essential in order to provide patients with culture-specific strategies that allow them to succeed with their health program. Nutritionists are faced with the challenge of understanding the dietary preferences of their cross-cultural patients, as well as appreciating a patient's religious beliefs regarding dietary selections by identify foods that will or won't support a prescribed nutritional program. Knowledge of intercultural nonverbal and verbal behaviors is becoming increasingly necessary, as is who ultimately makes medical decisions for the patient.