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Health Communication

Ashley M Hesson, Heike Pichler
Barriers to effective provider-patient communication take many forms that can be difficult to recognize and appropriately address. This paper offers probabilistic indicators for one such form, patient-produced "I don't know" (IDK), distinguishing its use as a cognitive claim and its use as a strategy for resisting discussion of sensitive topics. A total of 95 audio-recorded psychiatrist-child interactions are drawn from a US-wide corpus of physician-patient consultations. From these, 376 patient-produced IDKs are extracted and coded for linguistic/social factors, including form, function, prosody, age, gender, and primary diagnosis...
July 13, 2017: Health Communication
David Córdova, Frania Mendoza Lua, Lauretta Ovadje, Kathryn Fessler, José A Bauermeister, Christopher P Salas-Wright, Michael G Vaughn, Youth Leadership Council
Effective clinician-patient communication is linked to positive patient health outcomes in adults, yet the research on adolescent populations remains limited. We describe adolescent experiences of clinician-patient HIV/STI communication through qualitative interviews with predominantly African-American adolescent women from a youth-centered primary care clinic. Participants described acknowledging clinicians are professionals, the importance of confidentiality to foster clinician-adolescent communication, and calling for clinician-initiated HIV/STI communication...
July 7, 2017: Health Communication
Francesca Pallotti, Paola Tubaro, Antonio A Casilli, Thomas W Valente
Body image issues associated with eating disorders involve attitudinal and perceptual components: individuals' dissatisfaction with body shape or weight, and inability to assess body size correctly. While prior research has mainly explored social pressures produced by the media, fashion, and advertising industries, this paper focuses on the effects of personal networks on body image, particularly in the context of internet communities. We use data collected on a sample of participants to websites on eating disorders, and map their personal networks...
July 6, 2017: Health Communication
Mark L Cabling, Jeanine W Turner, Alejandra Hurtado-de-Mendoza, Yihong Zhang, Xinyang Jiang, Fabrizio Drago, Vanessa B Sheppard
A better understanding of the breast cancer online narrative is important for a clearer conceptualizing of the role of online platforms in mediating health-related support. Sentiment analysis was conducted on a breast cancer online support group regarding Tamoxifen to understand users' emotions and opinions. This analysis was then contextualized within online social support literature. Out of the 498 users, the most active users were 80% more positive than least active users, while least active users were 48% more negative than most active ones; both differences were statistically significant...
July 5, 2017: Health Communication
Cody M Clemens
The author is currently living with a chronic autoimmune disease known as Hashimoto's Thyroiditis, which caused his hypothyroidism. Although this disease is most common in middle-aged women, he was diagnosed at age 23. This disease is unique, because it is not entirely visible to others. In this piece, he presents a personal narrative of his diagnosis process and utilizes poetic inquiry to demonstrate to readers what "they," meaning individuals without an invisible chronic autoimmune disease, don't see.
July 5, 2017: Health Communication
Victoria A Shaffer, Laura D Scherer, Elizabeth S Focella, Amanda Hinnant, María E Len-Ríos, Brian J Zikmund-Fisher
Health journalists frequently use narratives to bring news stories to life, with little understanding about how this influences the health behavior of readers. This study was designed to examine the effect of a New York Times health news article about a person who developed a life-threatening illness after using ibuprofen on readers' future use of ibuprofen. We recruited an Internet sample (N = 405) to participate in a longitudinal study examining ibuprofen use before, immediately following, and two weeks after reading the story...
June 28, 2017: Health Communication
Beth Sundstrom, Merissa Ferrara, Andrea L DeMaria, Colby Gabel, Kathleen Booth, Jeri Cabot
Preventing sexual assault on college campuses is a national priority. Bystander intervention offers a promising approach to change social norms and prevent sexual misconduct. This study presents the implementation and evaluation of a theory-based campaign to promote active bystander intervention. The theory of planned behavior (TPB) served as a conceptual framework throughout campaign development and evaluation. Formative research published elsewhere was used to develop campaign strategies, communication channels, and messages, including "It is your place to prevent sexual assault: You're not ruining a good time...
June 28, 2017: Health Communication
Arunima Krishna
The last few decades have seen growing concerns among parents regarding the safety of childhood vaccines, arguably leading to the rise of the anti-vaccine movement. This study is an effort to understand situational and cross-situational factors that influence individuals' negative attitudes toward vaccines, referred to as vaccine negativity. In doing so, this study elucidated how situational and cross-situational factors influence vaccine negativity. Specifically, this study tested how knowledge deficiency, or acceptance of scientifically inaccurate data about vaccines, and institutional trust influenced negative attitudes toward vaccines...
June 21, 2017: Health Communication
Tilicia L Mayo-Gamble, Charles Mouton
Health literacy plays a vital role in patients' understanding of their prescribed medication instructions. To inform strategies to assist providers in communicating in a manner that is easily understood by patients, it would be beneficial to determine the relationship between health literacy and the day-to-day aspects of medication adherence. This study identified: 1) differences of health literacy levels in medication adherence; 2) the association between health literacy and medication adherence; and 3) and factors associated with medication adherence score...
June 21, 2017: Health Communication
Leticia Bode, Emily K Vraga
Social media are often criticized for being a conduit for misinformation on global health issues, but may also serve as a corrective to false information. To investigate this possibility, an experiment was conducted exposing users to a simulated Facebook News Feed featuring misinformation and different correction mechanisms (one in which news stories featuring correct information were produced by an algorithm and another where the corrective news stories were posted by other Facebook users) about the Zika virus, a current global health threat...
June 16, 2017: Health Communication
Lewis Donohew, Michelle DiBartolo, Xun Zhu, Chelsie Benca, Elizabeth Lorch, Seth M Noar, Thomas H Kelly, Jane E Joseph
This study examined the neural basis of processing high- and low-message sensation value (MSV) antidrug public service announcements (PSAs) in high (HSS) and low sensation seekers (LSS) using fMRI. HSS more strongly engaged the salience network when processing PSAs (versus LSS), suggesting that high-MSV PSAs attracted their attention. HSS and LSS participants who engaged higher level cognitive processing regions reported that the PSAs were more convincing and believable and recalled the PSAs better immediately after testing...
June 16, 2017: Health Communication
Seungwoo Chun, Joon Woo Park, Nathan Heflick, Seon Min Lee, Daejin Kim, Kyenghee Kwon
Do graphic pictorial health warnings (GPHWs) on cigarette packaging work better for some people than others? According to the Extended Parallel Process Model (EPPM), fear appeals should heighten positive change only if a person believes he or she is capable of change (i.e., self-efficacy). We exposed 242 smokers and 241 nonsmokers (aged 18-29) in the Republic of Korea to either a GPHW or a text-only warning in a between-subjects experiment. Results indicated that the GPHW increased intentions and motivations to quit smoking (for smokers) and intentions and motivations to not start smoking (for nonsmokers)...
June 16, 2017: Health Communication
Elizabeth L Cohen, David Alward, Danielle Zajicek, Sarah Edwards, Ryan Hutson
Entertainment persuasion theory was applied to investigate how an epilogue to a dramatic episode with an educational subtext about bipolar disorder affected viewer processing and response. In an experiment, viewers (N = 89) were randomly assigned to watch the episode either with or without an epilogue. Exposure to the epilogue increased recognition of the subtext. It also increased counterarguing against the subtext, but only among viewers less involved with the episode's story. The epilogue decreased social distance for people with bipolar disorder and decreased their belief that bipolar disorder is not treatable...
June 16, 2017: Health Communication
Kathleen R Case, Allison J Lazard, Michael S Mackert, Cheryl L Perry
As there are many conflicting sources of e-cigarette information, research is needed to determine the impact of these sources on e-cigarette attitudes to inform future communication campaigns. Source credibility is important in shaping attitudes toward other health topics; however, no study has examined its role in influencing e-cigarette attitudes. Data from the 2015 Health Information National Trends Survey-FDA (HINTS-FDA) were utilized to assess differences in trust in different sources by e-cigarette user status and to investigate the associations between trust in sources and e-cigarette attitudes (n = 3,738)...
June 16, 2017: Health Communication
Angela L Palmer-Wackerly, Phokeng M Dailey, Jessica L Krok-Schoen, Nancy D Rhodes, Janice L Krieger
When patients are diagnosed with cancer, they begin to negotiate their illness identity in relation to their past and future selves, their relationships, and their group memberships. Thus, how patients view their cancer in relation to their other identities may affect how and why they make particular decisions about treatment options. Using the Communication Theory of Identity (CTI), the current study explores: (1) how and why illness identity is framed across identity layers in relation to one particular cancer treatment: participation in a cancer clinical trial (CT); and (2) how and why patients experience identity conflicts while making their treatment decisions...
June 16, 2017: Health Communication
Bonnie McCracken Nickels, Thomas Hugh Feeley
The patient-provider relationship in the context of veterinary medicine represents a unique opportunity for studying how bad news is communicated to pet owners by conducting structured interviews with veterinarians. A sample of 44 veterinarians' responses was recorded and content-analyzed in an effort to identify themes among providers in their clinical experience of breaking bad news (BBN). Two coders revealed several themes in the data that were organized by three overarching areas: (1) breaking bad news in general, (2) euthanasia, and (3) social support...
June 16, 2017: Health Communication
Solveig L Hansen, Marthe I Eisner, Larissa Pfaller, Silke Schicktanz
Organ transplantation is a well-established practice in modern medicine. However, many countries, especially those with an opt-in regulation, face the problem of low donation numbers. Respective public campaigns attempt to increase the number of donors by swaying public opinion with the use of carefully selected bits of information. Germany serves as a case study for an opt-in country investing approximately €7.5 million/year in the distribution of respective campaigns. To address diverse populations, large-scale posters in various public spaces still display a multitude of moral messages for organ donation...
June 16, 2017: Health Communication
Michelle Jeong
While interpersonal communication has been shown to influence smoking-related outcomes, mostly in the context of interventions, there is not much research showing what drives young people to talk about tobacco or e-cigarettes. Additionally, the changing media environment calls for research that expands the scope of what is included as interpersonal communication to include not just conversations but also online forms of communicating information. This study puts forth sharing as such a concept, and examines its prevalence and predictors in the context of tobacco and e-cigarette information...
June 16, 2017: Health Communication
J Paige Pope, Luc Pelletier, Camille Guertin
Health promotion programs represent a salient means through which physical activity promoters can cultivate positive health behavior change and maintenance. The messages communicated within these programs serve as an essential component as they are often used to convey valuable information, resources, or tools that facilitate health behavior initiation and sustained engagement. Identifying the most effective way to communicate health promotion information is, therefore, of considerable importance to ensuring that people not only attend to these messages, but also connect with and internalize the information conveyed within them...
June 16, 2017: Health Communication
Minhao Dai, Kevin Wombacher, Jacob J Matig, Nancy Grant Harrington
Guided by the integrated model of behavioral prediction, this study explored the attitudinal, normative, and perceived control beliefs that predict college student hookup intentions and behavior. We first conducted elicitation research with six focus groups of undergraduate students to identify salient beliefs to inform questionnaire development, and then we collected and analyzed questionnaire data from 268 undergraduate students to explore the direct and indirect determinants that drive hookup behaviors. We compared proposed models that tested separate paths from determinants to intention and behavior to theoretical models that treated intention as a mediator of the determinant-behavior relationship...
June 16, 2017: Health Communication
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