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Health Communication

Tuuli Kuosmanen, Theresa M Fleming, Margaret M Barry
Computerized cognitive behavioral therapy (cCBT) programs have been shown to be both acceptable and effective with youth. However, their use with more vulnerable youth, such as early school leavers, remains relatively unstudied. This study explored student and staff attitudes toward the use of cCBT in an alternative education setting. METHODS: Student and staff needs were assessed using the Requirements development approach (Van Velsen, Wentzel, & Van Gemert-Pijnen, 2013). An online staff survey (n = 16) was conducted to provide information on the context of delivery, and stakeholder requirements were further explored in four student workshops (n = 32) and staff group discussions (n = 12)...
April 20, 2017: Health Communication
Bo Yang
Based on the theory of normative social behavior (Rimal & Real, 2005), this study examined the effects of descriptive norms, close versus distal peer injunctive norms, and interdependent self-construal on college students' intentions to consume alcohol. Results of a cross-sectional study conducted among U.S. college students (N = 581) found that descriptive norms, close, and distal peer injunctive norms had independent effects on college students' intentions to consume alcohol. Furthermore, close peer injunctive norms moderated the effects of descriptive norms on college students' intentions to consume alcohol and the interaction showed different patterns among students with a strong and weak interdependent self-construal...
April 19, 2017: Health Communication
Catherine L Bachleda, Leila El Menzhi
In light of the chronic shortage of health professionals willing to care for HIV/AIDS patients, and rising epidemics in many Muslim countries, this qualitative study examined susceptibility and resistance to courtesy stigma as experienced by nurses, doctors, and social workers in Morocco. Forty-nine in-depth interviews provided rich insights into the process of courtesy stigma and how it is managed, within the context of interactions with Islam, interactions within the workplace (patients, other health professionals), and interactions outside the workplace (the general public, friends, and family)...
April 19, 2017: Health Communication
Katharine J Head, Jennifer J Bute
Street's ecological model has shaped the research-examining communication during medical encounters for over a decade. Although the model accounts for the variety of contexts that shape the conversations in which patients and health-care providers engage, the model does not adequately address the way that everyday conversations about health carry over into patient-provider interactions. In this essay, we propose an extension of Street's model that adds the context of everyday communication about health as a contributing factor in the medical encounter...
April 13, 2017: Health Communication
Kimberly Field-Springer, Deleasa Randall-Griffiths, Carol Reece
Our study aims at understanding multigenerational communication among grandmothers, mothers, and daughters experiencing reproductive health transitions from menarche to menopause. Thirty women, 10 triads of grandmothers, mothers, and daughters, participated in narrative interviews to recount their menarche and menopause experiences. Analysis was read using a multilayered approach to interpret discourse positioned from self, reflexive others, and those stories informed by societal meanings. Four dialectical themes informed by generational discursive shifts in talk included (1) covert versus overt talk, (2) recollection of versus indifference to menarche, (3) bound to versus freedom from menstruation, and (4) controlling versus managing bodily changes...
April 12, 2017: Health Communication
Jennifer A Kam, Debora Pérez Torres
Utilizing primary socialization theory (PST) and longitudinal survey data from 381 Latina/o sixth- through eighth-grade students, we hypothesized that four types of parent anti-substance use messages (i.e., parents' own past substance use, religious beliefs, respect for family, and peer resistance) would discourage Latina/o students' substance use, particularly when the students perceived their parents' anti-substance use messages were legitimate. The results supported moderation. For Latina/o students who thought that their parents' anti-substance use messages were legitimate, many of the anti-substance use messages were negatively related to substance use, but the associations were positive or nonsignificant for Latina/o students who thought that their parents' anti-substance use messages were not legitimate...
April 12, 2017: Health Communication
Kyalo Wa Ngula, Ann Neville Miller, Hellen K Mberia
Research on the influence of media on youths' sexual behavior in sub-Saharan Africa has focused almost entirely on the effects of multimedia health communication campaigns and edutainment programming. Scholarly literature is nearly silent about the influence of the multiple hours that young people in many sub-Saharan nations spend immersed in increasingly sex-heavy entertainment programming. We surveyed a stratified cluster sample of 437 Nairobi public high school students about motivational and parental mediation factors associated with their exposure to sexual radio and TV content...
April 12, 2017: Health Communication
Lori Wozney, Ashley D Radomski, Amanda S Newton
Online parent-focused informational resources play a vital step in parent decision-making about initiating child and adolescent mental health care, but their usefulness may depend on how easily the resource content can be understood. The purpose of this cross-sectional study was to examine the readability and reliability of parent-focused mental health resources provided on Canadian websites. After meeting inclusion criteria, 50 documents retrieved during the search in September 2016 from websites using online health information searching strategies that would be typically employed by parents underwent analysis...
April 12, 2017: Health Communication
Souraya Sidani, Scott Reeves, Christina Hurlock-Chorostecki, Mary van Soeren, Mary Fox, Laura Collins
There is limited evidence of the extent to which Healthcare professionals implement patient-centered care (PCC) and of the factors influencing their PCC practices in acute care organizations. This study aimed to (1) examine the practices reported by health professionals (physicians, nurses, social workers, other healthcare providers) in relation to three PCC components (holistic, collaborative, and responsive care), and (2) explore the association of professionals' characteristics (gender, work experience) and a contextual factor (caseload), with the professionals' PCC practices...
April 12, 2017: Health Communication
Kimberly Field-Springer, Katie Margavio Striley
We advance a new theoretical approach for interpreting health communication from an embodied, intersubjective perspective. We propose individuals experience the world as bodied beings and must make sense of their embodied experiences by managing meanings of who they are in the world (being), the actions they perform (doing), and who they want to become (directed becoming). We call this theory managing meanings of embodied experiences (MMEE). Guided by the philosophies of phenomenology, pragmatism, and feminism, we provide a three-fold framework for exploring individuals' management of health meanings during interactions with others in society...
April 12, 2017: Health Communication
Jinyoung Kim, Xiaoxia Cao, Eric Meczkowski
Stigmatization against smokers characterizes many of today's anti-smoking campaigns in the United States. It is believed that stigmatization motivates people to quit smoking by arousing a state of emotional distress, such as shame, in viewers. However, stagnant cessation rates among socioeconomically disadvantaged smokers imply that stigmatizing campaigns might be ineffective in promoting cessation among those low in socioeconomic status. To understand the effectiveness of stigmatizing campaign messages, we proposed a moderated mediation model and experimentally tested it among current smokers (n = 136)...
April 11, 2017: Health Communication
Martina Cernikova, David Smahel, Michelle F Wright
Previous research has focused on the associations between technology use and children's health, using mainly quantitative designs. This qualitative study describes technology's impact on physical and mental health from children's perspectives. The differences between children's experiences and awareness of the health-related consequences associated with digital media use were examined. Focus groups and interviews were conducted with children between the ages of 9 and 16 in nine European countries (N = 368)...
March 29, 2017: Health Communication
Erin D Basinger
The communal coping model argues that people cope with stress in the context of their relationships and that coping responses are both cognitive and behavioral in nature. However, the cognitive dimension of the model (appraisal) has not been explicated in extant research. The purpose of this study is to fill that gap by conceptualizing the appraisal dimension of communal coping in the context of families managing one member's type 2 diabetes. Analysis of interviews with individuals with type 2 diabetes and their family members (N = 28) revealed that appraisal consists of problem ownership and perceived problem influence and that appraisals are influenced by knowledge of the disease and changing health status...
March 29, 2017: Health Communication
Mohan J Dutta, Sarah Comer, Daniel Teo, Pauline Luk, Mary Lee, Dazzelyn Zapata, Arudhra Krishnaswamy, Satveer Kaur
Economic migration is integral to processes of globalization, with large numbers of the global poor moving across borders in search of employment in the face of structural adjustment programs and large-scale displacement of the poor from traditional forms of livelihood. One such group are foreign domestic workers (FDWs). In this culture-centered study, we listen to the voices of FDWs in Singapore to understand the key meanings of health held by this group of migrant workers as they negotiate living and working in Singapore...
March 29, 2017: Health Communication
Emily T Cripe
In this article, I explore my own journey with delivering my first child via Caesarean section. I discuss the discourse in society surrounding childbirth and the stigma associated with giving birth via C-section, as well as the impacts that this discourse has for women whose births don't go according to plan and who end up requiring medical intervention.
March 29, 2017: Health Communication
Michele Abbott, Rajeev Ramchand, Margaret Chamberlin, William Marcellino
A social marketing campaign was introduced in California in 2012, promoting media adherence to consensus-based guidelines on reporting about suicide. We examine adherence to these guidelines by applying quantitative scores to articles in California and a national control group in two six-month intervals prior to and following campaign implementation. Utilizing a difference-in-difference approach, we found no significant effect of the campaign, though the type of article content was a significant indicator of the overall score...
March 29, 2017: Health Communication
Lu Tang, Mengfei Guan
The physician-patient relationship in China is highly strained. This study examined the professional identity of physicians and their perceptions of the physician-patient relationship against the backdrop of the rise of health consumerism in China. Structured interviews with 29 physicians found that the marketization of medical care and the rise of health consumerism caused physicians to have a conflicted professional identity. The traditional bureaucratic relationship between physicians and patients based on implicit trust was gradually replaced by an arm's length relationship characterized by self-interest, opportunism, and mistrust...
March 10, 2017: Health Communication
Molly E Atwood, Aliza Friedman, Brad A Meisner, Stephanie E Cassin
Bariatric surgery patients often experience physical and psychosocial stressors, and difficulty adjusting to significant lifestyle changes. As a result, social support groups that provide patients with support, coping skills, and nutritional information are valuable components of bariatric care. Support group attendance at bariatric centers is associated with greater post-surgery weight loss; however, several barriers hinder attendance at in-person support groups (e.g., travel distance to bariatric centers)...
March 10, 2017: Health Communication
Maria K Venetis, Skye Chernichky-Karcher, Patricia E Gettings
Within the context of mental illness disclosure between friends, this study tested the disclosure decision-making model (DD-MM; Greene, 2009) to comprehensively investigate factors that predict disclosure enactment strategies. The DD-MM describes how individuals determine whether they will reveal or conceal non-visible health information. Processes of revealing, called disclosures, take various forms including preparation and rehearsal, directness, third-party disclosure, incremental disclosures, entrapment, and indirect mediums (Afifi & Steuber, 2009)...
March 10, 2017: Health Communication
McKenzie M Vorpahl, Janet Z Yang
Human papillomavirus (HPV) is a prevalent sexually transmitted infection (STI) among college students. Although previous research has studied HPV-related health communication strategies using various framing techniques, the goal of this study is to test how two unique message frames-whether mentioning HPV as an STI and whether to attribute the cause of infection as external or internal-would influence young adults' intentions to receive the recommended HPV vaccine. Results indicate that gender and causal attribution framing influenced participants' intentions to receive the HPV vaccine...
March 10, 2017: Health Communication
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