Open Access. Powered by Scholars. Published by Universities.®

Health Communication Commons

Open Access. Powered by Scholars. Published by Universities.®

Theses and Dissertations--Communication

Discipline
Keyword
Publication Year

Articles 1 - 27 of 27

Full-Text Articles in Health Communication

A Descriptive Analysis Of Health Influencer Videos On Youtube In The Ostomy Community, Sarah Irenke Sophia Bell Jan 2019

A Descriptive Analysis Of Health Influencer Videos On Youtube In The Ostomy Community, Sarah Irenke Sophia Bell

Theses and Dissertations--Communication

The expansion of YouTube into the mainstream media and its place as the second most-used website in the world makes it a prime place for health information seeking. However, content can be created and uploaded by anyone and thus, the threat of misinformation on YouTube is high. Medical researchers have established that videos created by health professionals on YouTube promote accurate information whereas videos by non-professionals promote generally inaccurate or misleading information. Yet, videos created by non-professionals have more views and higher relevance rankings on YouTube. To begin to understand this phenomenon, a descriptive study is used to lay a ...


“Standing On The Front Lines And Down In The Trenches With Her”: An Exploration Of The Dialectical Tensions And Competing Goals Of Adult Children Of Mentally Ill Parents, Kelley Hodgson Jan 2019

“Standing On The Front Lines And Down In The Trenches With Her”: An Exploration Of The Dialectical Tensions And Competing Goals Of Adult Children Of Mentally Ill Parents, Kelley Hodgson

Theses and Dissertations--Communication

Mental illness is a pervasive health epidemic in the United States and worldwide, and available data suggest that mentally ill adults are statistically more likely to be parents than non-parents. The prevalence and continued growth of parental mental illness means that millions of children in the United States have a parent with some form of mental health issues.

This dissertation contributes to and extends existing literature on children of mentally ill parents by exploring 15 adult children’s subjective perspectives on how they navigate the tension-wrought experience of having a mentally ill parent, and how this has implications for the ...


Navigating The Michelle P. Waiver: A Narrative Examination Of The Impact Of Parent Caregiver-Related Uncertainty And Decision Making For Children With Disabilities, Whittney H. Darnell Jan 2019

Navigating The Michelle P. Waiver: A Narrative Examination Of The Impact Of Parent Caregiver-Related Uncertainty And Decision Making For Children With Disabilities, Whittney H. Darnell

Theses and Dissertations--Communication

The Michelle P. Waiver (MPW) is the primary means of health insurance for more than 10,000 people in the state of Kentucky. The waiver is especially popular among families with young children with disabilities because it is robust in its benefit offerings and also one of the few Medicaid resources that does not include parental income as a qualifying factor in eligibility. Through the waiver, children receive a medical card as well as additional coverage for medical expenses that fall beyond the scope of traditional health insurance. For these young children to gain access to the comprehensive offerings of ...


“I Want To Feel What They Feel”: Evaluating The Effectiveness Of Emotional Flow In Narrative Health Blogs, Sarah Elizabeth Sheff Jan 2019

“I Want To Feel What They Feel”: Evaluating The Effectiveness Of Emotional Flow In Narrative Health Blogs, Sarah Elizabeth Sheff

Theses and Dissertations--Communication

Emotion has long been implemented in persuasive messages and campaigns to influence attitudes and health behavior. Research demonstrates that messages often evoke more than one emotion during and after exposure, and this was previously viewed as an undesirable outcome; however, the literature suggests that the intentional inclusion of multiple emotions, or emotional flow, could positively impact persuasive outcomes, such as attitudes and behavioral intention.

The proposed study employs the concept of emotional flow, the intentional inclusion of more than one discrete emotion, in the context of narrative health blogs addressing mental health topics relevant to college students. The study specifically ...


“It’S Hard To Get Your Head Around Something Like This”: Figurative And Intense Language For Sensegiving During Severe Weather Coverage, Robert W. Prestley Jan 2019

“It’S Hard To Get Your Head Around Something Like This”: Figurative And Intense Language For Sensegiving During Severe Weather Coverage, Robert W. Prestley

Theses and Dissertations--Communication

During high-impact weather events like Hurricane Harvey, broadcast meteorologists take on the role of sensegiver, as they develop frameworks to help their viewers make sense of the storm. These frameworks are communicated through rhetorical choices evident in the language the meteorologists use to describe the storm’s threat and impact. This study investigates the rhetorical choices of KHOU broadcast meteorologists during Hurricane Harvey in order to make sense of the disaster, using an inductive thematic analysis. The results indicate that the KHOU broadcasters framed Harvey figuratively as an all-encompassing monster and a heat-seeking machine. The meteorologists used emotionally intense language ...


Using The Integrative Model Of Behavioral Prediction To Understand Gay Men’S Beliefs, Intention, And Behavior On Prep Uptake, Minhao Dai Jan 2018

Using The Integrative Model Of Behavioral Prediction To Understand Gay Men’S Beliefs, Intention, And Behavior On Prep Uptake, Minhao Dai

Theses and Dissertations--Communication

Antiretroviral treatment pre-exposure prophylaxis (PrEP) is an effective daily prevention medicine to reduce risks of HIV infections in high-risk populations. The current study examined PrEP uptake among gay men using the integrative model of behavioral prediction (IMBP) as the theoretical framework. Briefly, the IMBP states that attitude, norms, and behavioral control predict intention, which then predicts behavior. The intention-behavior relationship is moderated by actual control variables: skills and environmental constraints. To examine how IMBP variables affect PrEP uptake among gay men, I first conducted formative elicitation interviews with gay men; then I used the results from the interviews to construct ...


Quitting Together: Formative Research To Develop A Social Marketing Plan For Smoking Cessation Among Women In A Residential Treatment Facility For Substance Abuse Recovery, August D. Anderson Jan 2018

Quitting Together: Formative Research To Develop A Social Marketing Plan For Smoking Cessation Among Women In A Residential Treatment Facility For Substance Abuse Recovery, August D. Anderson

Theses and Dissertations--Communication

Both smoking addiction and illicit substance abuse are prevalent issues in the United States today. Furthermore, these are issues that have significant impact on women’s health and mental state. Despite research that shows that smoking cessation coupled with substance abuse recovery can decrease likelihood of relapse post-recovery, few substance abuse recovery facilities today offer smoking cessation programming options. To address the issue of smoking addiction on top of substance abuse recovery, formative research was conducted through this study to determine the underlying causes of smoking habits coupled with recovery efforts and the attitudes. Through focus group sessions with women ...


Message Effects And The Communication Theory Of Identity: Does Making Message Recipients Mindful Of Identity Gaps Influence Their Health Behavior Decisions?, Jacob J. Matig Jan 2018

Message Effects And The Communication Theory Of Identity: Does Making Message Recipients Mindful Of Identity Gaps Influence Their Health Behavior Decisions?, Jacob J. Matig

Theses and Dissertations--Communication

Situated within the context of college students’ excessive drinking behaviors, the current study drew from dissonance theory, self-consistency theory, and hypocrisy induction methodology to evaluate the utility of the Communication Theory of Identity within persuasive health message design. Specifically, it examined whether hypocrisy induction manipulations that focused participants on salient identity layers made them mindful of corresponding identity gaps, which in turn caused them to experience cognitive dissonance that they sought to resolve by reporting intentions to change their excessive drinking behavior.

Participants (N = 279) completed an online experiment in which they were randomly assigned either to one of four ...


Not Your Grandma’S Iud: Identifying Memorable Messages About Larcs, Carina Mazariegos Zelaya Jan 2018

Not Your Grandma’S Iud: Identifying Memorable Messages About Larcs, Carina Mazariegos Zelaya

Theses and Dissertations--Communication

Reducing the percentage of unwanted pregnancies has been one of the top objectives of the national health promotion "Healthy People" since the early 1980s. As the increase of unwanted pregnancies continues, research is necessary to uncover factors that influence the decisions women make about their contraceptive methods. The current study examines the topics and the sources of memorable messages regarding LARCs. To address the research questions, this study will analyze interviews conducted with young women about memorable messages regarding LARC methods. This study is a formative research of memorable messages in the context of contraceptive methods, specifically long-acting reversible contraceptives ...


Black Women’S Perspectives On Breast Cancer Detection Messaging, Denise M. Damron Jan 2017

Black Women’S Perspectives On Breast Cancer Detection Messaging, Denise M. Damron

Theses and Dissertations--Communication

A qualitative approach was used to explore the influence of mass media campaigns on Black women’s perceptions of breast cancer. The primary purpose of this study was to address the high breast cancer mortality rate among young Black women, thus informing strategies to increase awareness of risk and encourage prevention activities. Black women have higher incidence rates before age 45 and are more likely to die from breast cancer at every age. Although the breast cancer mortality variance has been linked to socioeconomic status, studies have shown that differences in cancer knowledge and beliefs persist even when educational and ...


Using Social Cognitive Theory To Understand Child And Adolescent Psychiatrists’ Discussions Of Substance Abuse With Their Patients, Kevin A. Wombacher Jan 2017

Using Social Cognitive Theory To Understand Child And Adolescent Psychiatrists’ Discussions Of Substance Abuse With Their Patients, Kevin A. Wombacher

Theses and Dissertations--Communication

This study investigates factors that influence the conversations that child and adolescent psychiatrists have with their patients about substance use. The goal of the study is to gain a better understanding of salient psychological and communication constructs in this context using social cognitive theory as a guide. The study consisted of a national online survey of child and adolescent psychiatrists (n = 170) focused on understanding factors that affect self-efficacy and communication competence related to discussing substance use with adolescent patients. Results show that communication apprehension has a strong negative association with perceptions of self-efficacy. Results also show that past positive ...


Managing Multiple Goals In Opioid Prescription Communication: Perspectives From Trauma Physicians, Elizabeth T. Adams Jan 2017

Managing Multiple Goals In Opioid Prescription Communication: Perspectives From Trauma Physicians, Elizabeth T. Adams

Theses and Dissertations--Communication

Prescription opioids and heroin account for more than half of all drug overdose fatalities, claiming an estimated 91 American lives every day (Rudd, Seth, David, & Scholl, 2016). The ongoing opioid epidemic represents a tremendous burden to the national economy and healthcare system (Rudd, Aleshire, Zibbell, & Gladden, 2016). In 2016, the Centers for Disease Control and Prevention and the White House Office of National Drug Control Policy proposed action to train prescribers on the proper dispensing of opioids, which are indispensable pharmacologic resources for treating acute pain resulting from trauma or surgery. This study examines the prescribing practices of trauma surgeons ...


Using Social Networking Sites During Public Health Crises: Theorizing The Diffusion Of Effective Messages, Sarah Vos Jan 2016

Using Social Networking Sites During Public Health Crises: Theorizing The Diffusion Of Effective Messages, Sarah Vos

Theses and Dissertations--Communication

During a public health crisis, officials need to communicate with the public quickly and accurately. Social networking sites (SNS) have been identified as an appropriate channel for this type of communication; however, few studies have examined what makes SNS messages effective. Further limiting research in this area is a lack of attention to theoretical constructs that may explain message effectiveness in SNS.

In this dissertation, I propose that diffusion of innovations (DOI) be used to understand SNS and message success on SNS. In doing so, I compare traditional message success (persuasion) to message success on SNS platforms (amplification) and provide ...


College Students’ Use Of Social Media To Communicate About Alcohol And Drinking Behaviors, Jenna E. Reno Jan 2015

College Students’ Use Of Social Media To Communicate About Alcohol And Drinking Behaviors, Jenna E. Reno

Theses and Dissertations--Communication

Social networking sites (SNSs) are an increasingly popular channel for communication among college students. Often students disclose more freely via social networking sites than they would in other situations. These disclosures commonly include information about engaging in risky health behaviors (e.g., binge drinking). Study 1 examined students’ impression management goals and self-presentation tactics specifically related to self-disclosures of drinking behavior on SNSs. Findings suggest that students use differing self-presentation tactics across various SNSs in order to achieve their impression management goals and to avoid consequences associated with disclosing about risky health behaviors to certain audiences. Study 2 sought to ...


Adolescent Perceptions Of Nutrition: Identifying Memorable Messages, Audrey S. Bachman Jan 2015

Adolescent Perceptions Of Nutrition: Identifying Memorable Messages, Audrey S. Bachman

Theses and Dissertations--Communication

Research is necessary to uncover ways to improve adolescent nutrition and reduce obesity rates, particularly in the Appalachian region, which has high rates of food insecurity and adolescent obesity. The current study examines rural cultural norms about food, memorable messages adolescents received about nutrition, and the sources of identified memorable messages. Adolescents shared memorable messages during comprehensive, semi-structured, small group interviews in which participants revealed their individual experiences. Thematic framework analysis is used to present the range and nature of memorable messages about nutrition and to develop strategies for future health campaigns and interventions. This qualitative method of sequential inductive ...


“It’S A Very Tricky Communication Situation": A Comprehensive Investigation Of End-Of-Life Family Caregiver Communication Burden, Sara Lynn Shaunfield Jan 2015

“It’S A Very Tricky Communication Situation": A Comprehensive Investigation Of End-Of-Life Family Caregiver Communication Burden, Sara Lynn Shaunfield

Theses and Dissertations--Communication

Family caregivers encounter immense negative consequences including decreased quality of life and increased rates of morbidity and mortality that stem from physical burdens, emotional distress, depression, social isolation, and loss of financial security. Although communication is an important aspect of caregiving, communication tasks are reportedly difficult for end-of-life family caregivers. The goal of this study was to explore the variety of communication stressors experienced by end-of-life family caregivers to gain insight into the communication tasks caregivers perceive as most difficult and the reasons why.

Qualitative data was achieved through in-depth, face-to-face interviews with 40 caregivers currently providing care for a ...


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 Jan 2014

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 hearing ...


Increasing Compliance With A Tobacco-Free Policy Via A Campus Campaign, Rachael A. Record Jan 2014

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 ...


Communication During First-Time Multidisciplinary Clinic Visits: Navigating Parental Decision Making And Uncertainty Management In Pediatric Chronic Illness, Anna M. Kerr Jan 2014

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 ...


Testing The Message: Making Sense Of Converging Multimodal Messages In A Foodborne Illness Outbreak, Bethney A. Wilson Jan 2014

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 instructing information related to a foodborne illness event including a hypothetical E. coli contamination in ground beef affecting the state of Kentucky. Foodborne illness outbreaks are unique in that they must address those at risk of contamination while simultaneously addressing the needs of those experiencing the crisis (i.e. those already contaminated). The research tested the ability of participants to make positive sense of risk message related to the E. coli outbreak; specifically exploring the effect of augmenting traditional video warning messages with converging Twitter messages and positive sensemaking on behavioral intentions and self-efficacy. Results indicate ...


Dimensions And Validation Of Perceived Message Sensation Value Scale For Print Messages, Lisanne F. M. Grant Jan 2014

Dimensions And Validation Of Perceived Message Sensation Value Scale For Print Messages, Lisanne F. M. Grant

Theses and Dissertations--Communication

The purpose of this research project was to develop a reliable and valid scale to assess the perceived message sensation value (PMSV) of print messages. The goal of this project was accomplished by conducting two studies. Study one involved collecting 397 undergraduate students’ responses to one high and one low sensation value anti-smoking message, while for study two, 284 undergraduate students’ responses to one high and one low sensation value anti-crystal meth message were collected. The results of the studies highlighted that the PMSV of a print message can be assessed using three dimensions (emotional arousal, novelty, and dramatic impact ...


Social Support In Young Adult Cancer Survivors And Their Close Social Network Members, Nicholas Thomas Iannarino Jan 2014

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 ...


A Message-Centered Approach To Understanding Young Women’S Decision-Making About Hpv Vaccination, Katharine J. Head Jan 2013

A Message-Centered Approach To Understanding Young Women’S Decision-Making About Hpv Vaccination, Katharine J. Head

Theses and Dissertations--Communication

The HPV vaccine represents an important step in the primary prevention of cervical cancer, yet uptake rates for the vaccine remain below what is needed to establish "herd immunity" from the virus. While many studies have examined both psychosocial and communication factors affecting HPV vaccination decisions, this study adopts a unique approach to understand the communication environment within which this health decision happens, such as the many and sometimes conflicting messages about vaccine efficacy and safety guiding young women's decisions. Using the message convergence framework, this project identifies how further study of converging and diverging messages in the communication ...


Marijuana Behaviors In The Arabian Gulf (Gcc): Applying Theory Of Planned Behavior, Nola Almageni Jan 2013

Marijuana Behaviors In The Arabian Gulf (Gcc): Applying Theory Of Planned Behavior, Nola Almageni

Theses and Dissertations--Communication

The theory of planned behavior is a great tool for understanding predictors of drug use, specifically marijuana. Although the theory has been applied in the U.S. and European context, research on the predictors of behavioral intention for marijuana use within the Arabian Gulf context is limited. This thesis provides an overview of the theory of planned behavior as used in the U.S. and European context. An argument for the need to better understand predictors of behavioral intentions to use drugs, in the Arabian Gulf Region, prior to developing interventions and preventions is presented. Data was collected from 95 ...


An Exploratory Study Of Social Support For Health-Related Purposes On Weibo In China, Chen Chen Jan 2013

An Exploratory Study Of Social Support For Health-Related Purposes On Weibo In China, Chen Chen

Theses and Dissertations--Communication

This study explores how people with medical concerns seek and perceive social support via Weibo—a social network site in China. The study conducts both a content analysis and an in-depth interview for a comprehensive understanding of the nature of social support on Weibo. Altogether 2548 postings and replies from four Weibo support groups—the Breast Cancer Group, the Arthritis Group, Baby Eczema Group and Children’s Health Group—were categorized into 9 types with a deductive thematic analysis; twenty participants from these four Weibo groups were recruited in the in-depth interview to explore how people seek and perceive social ...


Getting To 40 Weeks: Constructing The Uncertainty Of Due Dates, Sarah Cornelia Vos Jan 2012

Getting To 40 Weeks: Constructing The Uncertainty Of Due Dates, Sarah Cornelia Vos

Theses and Dissertations--Communication

In the United States as many as 15% of births occur before 39 weeks because of elective inductions or cesarean sections. This qualitative study employs a grounded theory approach to understand the decisions women make of how and when to give birth. Thirty-three women who were pregnant or had given birth within the past two years participated in key informant or small group interviews. The women’s birth narratives and reflections reveal how they construct the uncertainty of their due dates and how this construction influences their birth decisions. Problematic integration theory is used to analyze this construction and identify ...


Effects Of Image Congruency On Persuasiveness And Recall In Direct-To-Consumer Prescription Drug Advertising, Kristen M. Kiernicki Jan 2012

Effects Of Image Congruency On Persuasiveness And Recall In Direct-To-Consumer Prescription Drug Advertising, Kristen M. Kiernicki

Theses and Dissertations--Communication

Although direct-to-consumer (DTC) prescription drug advertising is regulated by the U.S. Food and Drug Administration, content analyses (Baird-Harris, 2009; Frosch, Krueger, Hornik, Cronbolm, & Berg, 2007; Kaphingst, DeJong, Rudd, & Daltroy, 2004; Wilkes, Bell, & Kravitz, 2000) and other studies (Davis, 2000, 2007) have suggested that advertisers may not disclose drug risks to the same extent that they describe drug benefits. This study builds on previous studies by Baird-Harris and Smith and Shaffer (2000) and aims to test the relationship between image congruency in televised DTC advertisements, recall of risks and benefits, and perceived ad persuasiveness. Advertisements for Nexium, Advair, and Lunesta were shown to college ...