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Health Communication

Yansheng Mao, Xin Zhao
Despite a multitude of previous research focusing on doctors' identities which have been constructed through traditional face-to-face communication, their identities on online medical consultation websites are still underrepresented in research. This paper sketches out how Chinese doctors construct their online identities by analyzing 1,000 pieces of conversations between patients and doctors retrieved from The analysis showed that Chinese doctors create professional identities online through the use of medical jargon, independent vocatives, and diagnostic questioning, while their authoritative identity is constructed by using collective vocatives to situate themselves as members of hospital communities and using a high modality to carve out their authoritative identities...
September 21, 2018: Health Communication
Tamara D Afifi, Walid A Afifi, Michelle Acevedo Callejas, Ariana Shahnazi, Amanda White, Najib Nimah
Most research suggests that communal coping, where a group of people own and act upon a shared stressor or uncertainty together, enhances mental health and fosters coping efficacy. The majority of this research, however, has been conducted in the United States in contexts where stress and uncertainty are relatively short-lived and with samples that are economically secure and moderately to highly educated. The purpose of this study was to understand how socio-emotional conditions, such as exposure to trauma and interparental conflict, influence the functionality of communal coping for adolescents in Palestinian refugee camps in Lebanon, where chronic uncertainty is normative...
September 21, 2018: Health Communication
Karlena Lara-Otero, Jon Weil, Claudia Guerra, Janice Ka Yan Cheng, Janey Youngblom, Galen Joseph
Cancer genetic counseling (CGC) combines psychosocial counseling and genetic education provided by genetic counselors to patients and families who have a history of cancer and are considering or have undergone genetic testing for hereditary cancer syndromes. The quantity and complexity of information provided can be challenging for any patient, but is even more so for those with limited English proficiency (LEP). This exploratory study investigated healthcare interpreters' and genetic counselors' perspectives on the role of interpreters in providing care to LEP patients during CGC...
September 19, 2018: Health Communication
Guillermo Carbonell, Dar Meshi, Matthias Brand
Physician rating websites allow users to check physicians' profiles, write reviews, or rate their performance. The opinion of other users regarding a physician can affect our decision to visit her/him. To investigate the specific role of the number of users rating a physician when choosing a physician with support of these platforms, we used a Judge-Advisor System in which participants answered their likelihood to visit a physician before and after seeing the recommendations of others. Within the experiment, three conditions were presented: high and low number of reviewers recommending a physician, and no recommendations...
September 17, 2018: Health Communication
Bradley J Adame, Steven R Corman
Concussion injuries among young athletes are a growing public health concern; concussion injuries pose threats to both short-term and long-term brain health. Significant, multidisciplinary efforts are underway to improve detection, diagnosis and treatment. Concussion symptoms are ambiguous and not outwardly visible; successful detection and diagnosis efforts depend on veridical athlete communication with health practitioners. To date, education programs to enhance reporting behaviors have not been successful...
September 14, 2018: Health Communication
Marcia Howell, Diana Stark Ekman, Anthony Almond, Paul Bolls
This study investigates how timing of the introduction of unpleasant emotional tone in a traffic safety video impacts the intensity of the viewer's emotional experience. Traffic safety advertising is a multi-million-dollar business in the United States. In many instances, 30-60 s ads are produced to raise awareness of the consequences of unsafe behaviors with the expectation that simply providing information will motivate safer behaviors. Producing videos intended to generate behavior change requires a complex understanding of what motivates behavior...
September 12, 2018: Health Communication
Emma Kaminskiy, Mick Finlay
Decisions concerning psychiatric medication are complex and often involve a protracted process of trial and error. We examine three recorded meetings for power-sharing and power-taking discourse strategies employed by both the psychiatrist and mental health service-user, when discussing psychiatric medication. We identify examples of good practice, as well as missed opportunities to engage service-users in co-constructed dialogue, and highlight that participation and active involvement in decisions is not best seen as a fixed pattern, but is a complex interplay that changes both between and within interactions...
September 12, 2018: Health Communication
Bo Yang, Xiaoli Nan
This study examined the influence of norm-based messages on U.S. college students' binge drinking intentions, focusing on norm type, locomotion and assessment regulatory modes, and level of alcohol consumption as possible moderators. Results of an online experiment (N = 519) revealed significant three-way interactions among regulatory mode (assessment/locomotion), level of alcohol consumption, and norm type (i.e., descriptive vs. injunctive norms) on binge drinking intentions. The relative persuasiveness of descriptive vs...
September 10, 2018: Health Communication
Christopher Hajek
This study utilizes interview data and a communication accommodation framework to explore how early midlife gay men negotiate HIV infection risk vis-à-vis a younger gay male sexual culture that has evolved in terms of its regard for dangers associated with HIV infection. Analysis of face-to-face interviews with 33 gay men (aged 40-53) in four U.S. cities revealed a model of gay intergenerational sexual (non)accommodation. The model includes forms of communicative convergence and nonaccommodating behavior that serve some men's achievement or continuation of sexual vitality and/or positive generational distinctiveness...
September 10, 2018: Health Communication
Shaohai Jiang
China is facing the problem of having health care that is difficult to access. Online patient-provider communication (OPPC) may bring a new option to deliver health services. However, online communication with doctors is still novel to many people in China. Little research has been conducted to examine how OPPC could improve health outcomes. With an integrated model that incorporates social cognitive theory into the three-stage model of health promotion using interactive media, this study tested the social mechanism underlying the impact of OPPC...
September 10, 2018: Health Communication
Nick Carcioppolo, Victoria Orrego Dunleavy, Jessica Gall Myrick
Indoor tanning is a risky behavior that dramatically increases skin cancer risk. Researchers from multiple disciplines aim to better understand this behavior to develop interventions and messages to curtail it. As such, we investigated the role of social norms and outcome expectations as predictors of tanning behavior as part of a larger test of constructs included in the Theory of Normative Social Behavior. In addition to offering additional empirical results to support theoretical claims for the importance of social norms and outcome expectations in predicting health behaviors, we offer indoor tanning-specific operationalizations in a conditional process model with the aim of assessing how content-specific measurements predict indoor tanning intentions...
September 10, 2018: Health Communication
Lynn M Harter
Health Communication launched the "Defining Moments" feature of the journal in 2009, including essays that showcase the social and material power of storytelling. Over the past 10 years, essays have enlarged academic conventions and offered diverse entry points for refiguring the experience of living well in the midst of inescapable illness, trauma, and disability. Health Communication builds on this legacy by introducing a podcast by the same name. In this essay, I position podcasting as embodied and engaged scholarship that connects health communication scholars, physicians and other care providers, patients and families, and general publics interested in illness and healthcare, vulnerability and well-being...
September 5, 2018: Health Communication
Elizabeth A Hintz
This manuscript uses Goldsmith's (2004) normative model of social support to explore conversations women have with a romantic partner about vulvodynia. Twenty-six women with vulvodynia participated in semi-structured interviews in which they described conversational goals, discussed challenges, and offered advice to others managing vulvodynia. As this study was concerned with interactions with romantic partners both present and past, women with vulvodynia, not their partners, were the targets of recruiting efforts...
September 5, 2018: Health Communication
Alexandra Tate
Although oncology is a major site for clinician‒patient treatment negotiation requiring a careful balance of potentially competing viewpoints, little is known about how clinicians promote their treatment recommendations to patients and what the manner of promotion tells us about the oncologist‒patient relationship. Utilizing an already-established schema of coding treatment recommendations, I draw on 61 treatment recommendations to examine treatment decision-making in oncology. This paper investigates how physicians balance asserting their authority while at the same time attending to patient agency and involvement in decision-making...
September 5, 2018: Health Communication
Kimberly Bissell, Kim Baker, Sarah E Pember, Xueying Zhang, Yiyi Yang
The relationship between media use, family dynamics, and school environments on a child's likelihood to be overweight or obese is an area of research with limited empirical evidence; however, reports have indicated that children are increasingly developing more negative habits related to their health. The purpose of the present study was to employ a social ecological perspective in determining the effectiveness of a longitudinal health literacy/health intervention program on children's nutritional knowledge, attitudes toward healthy eating and exercise, food preferences, and eating behavior...
August 24, 2018: Health Communication
Amanda D Boyd, Chris M Furgal
Indigenous populations are recognized as a group who are potentially vulnerable to environmental health hazards due to their intimate relationship with and reliance on local environments for aspects of culture, health, and well-being. In many circumstances barriers to effective communication and health risk management are linked to cultural, economic, and geographic factors. A systematic literature review was conducted to consolidate peer-reviewed research on the communication of environmental health risks with Indigenous populations...
August 17, 2018: Health Communication
John Gastil, Robert Marriott
The biomedical literature describes clearly the direct mechanisms influencing weight gain, but broader public discourse on the subject is rife with misleading claims about the factors that cause people to gain or lose weight. We examine how such misleading claims can dilute accurate information to the point that people arrive at poor judgments about the direct causes of weight gain. We adapt the conventional experimental paradigm used in dilution research (Nisbett, Zukier, & Lemley, 1981) to measure the effect of different information levels of dilution...
August 10, 2018: Health Communication
Liang Chen, Xiaodong Yang
The current study aims to examine the influence of fear appeal messages across different media outlets on Chinese women's intention of breast self-examination using the Extended Parallel Processing Model (EPPM). A two-by-two-by-two factorial experiment is designed to examine the effect of threat and efficacy level of stimulus on different media outlets on behavioral intention. The sample includes 488 Chinese women who are between 25 and 50 years old. The results revealed that there were significant main effects of both threat and efficacy on the intention to performing breast self-examination...
August 6, 2018: Health Communication
Nan Zhao Martin, Sheila T Murphy, Sandra Ball-Rokeach, Lauren B Frank, Meghan B Moran
This study examines the importance of urban ethnic neighborhoods as the context of everyday life, where normative influences on health are formed, modified, and maintained. Built on communication infrastructure theory, this study investigates the role of women's connections to their neighborhood storytelling network-consisting of residents, local/ethnic media, and community organizations-in shaping their descriptive normative perceptions regarding cervical cancer screening. Specifically, we explore the communication mechanisms that underlie Latinas' exposure and attention to media information about Pap tests, their discussions with health-care professionals about Pap tests, their perceptions about how normative Pap tests are among "women like them", and their compliance with cervical cancer screening guidelines...
August 6, 2018: Health Communication
Valerie Rubinsky, Angela M Hosek, Nicole Hudak
This study investigated the content of memorable body messages that college women recall receiving in their childhood, and the relationship of those messages to state body image satisfaction, self-esteem, rape myth acceptance, and likelihood to report rape or sexual assault. Memorable messages were mostly about body size, body type, body parts, haptic messages, body positivity, and development. Mothers were the most frequent source of memorable body messages during childhood. Although there was no difference in any of the dependent variables based on the content of the message, there was a relationship between perceived message valence with body image, self-esteem, and rape myth acceptance...
August 1, 2018: Health Communication
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