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1.
Laura E. Miller 《Journal of Applied Communication Research》2013,41(4):429-449
Evidence indicates recent increases in breast cancer diagnoses among young women. Research also suggests that younger women diagnosed with breast cancer may experience more psychological distress than older women. In-depth interviews with 25 breast cancer survivors age 40 and under were conducted to explore the uncertainties young women face throughout survivorship. Results indicate that young women experience unique sources of uncertainty and that communication may facilitate or hinder the management of uncertainty across the survivorship trajectory. Implications of these findings for theorizing on uncertainty, healthcare providers’ interactions with young women, and social networks’ communication with survivors are discussed. These data also have important implications for the practical treatment of young breast cancer survivors and applied, communicative recommendations for providers are proposed. 相似文献
2.
The communicative ecology model of successful aging (CEMSA), which theorizes how people’s communication can influence their experiences of successful aging, takes as axiomatic that aging involves uncertainty. In two studies, with data from the U.S. and the U.K., we compared the viability of two conceptualizations of uncertainty about aging in the CEMSA: the model’s original operationalization, uncertainty discrepancy, and an alternative, the perceived probability of negative experiences (PPNE) associated with aging. In both studies, uncertainty discrepancy and PPNE contributed independently to attitudes toward aging; PPNE emerged as a stronger predictor of people’s affective reactions to aging. These findings underscore the importance of multifaceted views of uncertainty for scholars of communication and aging. 相似文献
3.
《Communication monographs》2012,79(3):370-390
About 113 million Americans have reported seeking health information online; however, little is known about the quality (or qualities) of the information being retrieved. Users have reported seeking information about health issues in an attempt to reduce negatively appraised uncertainties (Brashers, 2007), but less is known about the ability of the retrieved information to increase or produce unwanted uncertainty. A content analysis of online cancer news was conducted and suggests that 65% of Internet-based cancer news contains message features previously linked to the production of uncertainty (e.g., ambiguous or complex information). Though future research is required regarding uncertainty-related content and its effects, this project provides a foundation for such future endeavors. 相似文献
4.
Jeannette Murphy 《Health information and libraries journal》2017,34(4):290-292
This virtual issue (VI) has been assembled to coincide with the 8th Annual Patient Information Conference 2013 organised by the UK Patient Information Forum (PiF). The conference theme ‘Information and support – a service in its own right’ is a response to policy documents and initiatives in both Scotland and England which signal the coming of age of patient/consumer information. The VI consists of a collection of open access articles and addresses the question ‘What can health science librarians do to ensure that the public are able to find, appraise and use health information?’ This material provides research evidence, and examples of the types of initiatives librarians have undertaken to make information a health and care service in its own right. Two recurrent messages are that health science librarians need to form partnerships with healthcare providers and they have a role to play in improving health literacy skills. 相似文献
5.
Eulàlia P. Abril Magdalena Kupczyk Grant L. Zwicke Ginnifer L. Mastarone Tracy Irwin Andrew Dykens 《Journal of Applied Communication Research》2013,41(2):242-262
Cervical cancer is the leading cause of women's cancer deaths in Senegal, but few medical personnel are trained to perform cervical cancer screening. In rural areas, the situation is worse. To remedy this, a collaborative of researchers and stakeholders trained local health-care workers in cervical cancer screening through the “training-of-trainers” method. However, lack of cancer screening knowledge, barriers, and a hard-to-reach population may jeopardize the collaborative's efforts. The purpose of this study is to map the health communication infrastructure by applying communication infrastructure theory to assess general health and cancer screening knowledge, as well as attitudes and barriers toward screening. Results from focus groups and interviews show that women have minimal knowledge of cervical cancer. Moreover, health workers report detrimental attitudes in menopausal women. Our findings identified routes for information dissemination and attitude change including community radio and local health talks. 相似文献
6.
《Communication monographs》2012,79(1):3-26
This study investigated the interplay between relational uncertainty and relationship talk for actors and partners over time. Participants were 135 romantic couples who completed an online survey once per week for six weeks. Between-person and within-person results indicated that people experiencing relational uncertainty appraised relationship talk as more threatening to themselves and to their courtship; they also reported avoiding more and enacting less relationship talk. Lagged analyses demonstrated that individuals who reported avoiding more and enacting less relationship talk in one week experienced more relational uncertainty in the following week. Partner effects, although not as prominent as actor effects, implied mutual influence within couples. The paper concludes by discussing how the findings advance scholarship on relational uncertainty and relationship talk. 相似文献
7.
《Qualitative Research Reports in Communication》2013,14(1):66-74
This study highlights the importance of parent-child communication of sensitive health-related issues, specifically the importance of cancer prevention discussions. For females, communication about breast cancer has been desensitized; yet, testicular cancer is not being discussed among males, even though it is highly curable when caught early. Testicular cancer primarily impacts males ages 15–40, so introducing the conversation early is important. In this exploratory study, mothers (N = 22) participated in three focus group discussions and described communication with their sons about general health issues and testicular cancer. While the mothers discussed a number of health issues with their sons, they did not mention testicular cancer and believed their sons knew very little about testicular cancer. Mothers' communication about testicular cancer with their sons was characterized by uncertainty and ambiguity. Findings from this study shed light on how little mothers know about testicular cancer as well as the need for comprehensive testicular cancer campaigns that target intervening publics. 相似文献
8.
In 2006, Merck introduced Gardasil® through its One Less campaign, highlighting how the vaccine protects against the transmission of human papillomavirus (HPV) and, potentially, cervical cancer. The purpose of this study was to determine how young women learned about Gardasil and if the One Less campaign influenced the patient's decision to receive/decline the vaccines. Participants primarily learned about Gardasil from television advertising, and felt the campaign addressed the psychometric paradigm hazard factors of control and dread associated with HPV. However, participants reported that physicians/physician's assistants and mothers remained the primary sources of influence when choosing to receive/decline the vaccine series. 相似文献
9.
Erina L. MacGeorge Emily P. Caldes Rachel A. Smith Nicole M. Hackman Alyssa San Jose 《Journal of Applied Communication Research》2017,45(3):333-345
‘Watchful waiting’ (WW) involves prescribing antibiotics but advising against use unless the illness fails to improve in a set time. For childhood ear infections, WW can reduce unnecessary antibiotic use, but parents do not necessarily comply with WW advice. This study examines how physician explanation and instruction is related to parental compliance. A national sample of parents (N?=?134) who received WW advice reported what they remembered physicians saying. These responses were coded for explanatory and instructional elements indicated by relevant clinical guidelines. Parents also reported whether they complied with the WW advice or administered the antibiotic immediately. Parental compliance was predicted by explanation of the nature of ear infections, instruction on monitoring, and instruction on managing pain. Few parents reported any explanation about antibiotics’ adverse effects. Findings suggest physicians can improve parent compliance with WW by improving the quality of the explanation and instruction they provide. 相似文献
10.
Women who test positive for a BRCA genetic mutation, but who have not been diagnosed, or 'previvors,' experience intense, chronological risk-related uncertainty. Women’s risk management medical decisions can be a way to manage their uncertainty, but little is known about how uncertainty informs their decision or how uncertainty is impacted by these medical decisions. Using an uncertainty management theoretical lens, we interviewed 46 previvors about their decision-making process. A thematic analysis revealed two uncertainty management (i.e., risk-reducing) decision-making pathways (preventive surgery and increased surveillance) with each pathway encompassing a three-part process of 1) uncertainty appraisal, 2) medical decision (i.e., uncertainty management strategy), and 3) outcomes. The findings advance theoretical thinking about uncertainty and risk management as an ongoing, distressful chronic experience, and highlight the importance of life-span phenomena in women’s decision-making process. Based on the findings, we constructed a translational tool to aid genetic counselors and previvors facing these medical decisions. 相似文献
11.
Do You Know What It Means to Miss New Orleans? Internet Communication, Geographic Community, and Social Capital in Crisis 总被引：1，自引：0，他引：1
Claire H. Procopio - Claire H. Procopio is an Assistant Professor at Southeastern Louisiana University in the 《Journal of Applied Communication Research》2007,35(1):67-87
This study investigated Internet communication and use in a crisis situation, Hurricane Katrina, to explore the role of the Internet in supporting or diminishing geographically-based community during a crisis. The researchers conducted an online survey of Internet users (n=1192) from the dispersed metropolitan New Orleans area. The survey focused on amount, type, function, and importance of Internet use to creating and maintaining social capital, supporting geographically-based communities, activating social networks, reducing uncertainty, and achieving both expressive and instrumental communication goals. The results indicated that Internet users in a crisis situation went online to seek interactive fora specific to their neighborhoods and to activate weak ties in their social networks. They engaged in more uncertainty reduction behavior when experiencing higher degrees of damage. They turned to the Internet in place of other media as a result of disruptions caused by the crisis. Women valued online expressive communication more than men did. The findings suggest that social capital theorists would benefit from a communication perspective on the Internet. The study also led to the formation of suggestions for emergency preparedness agencies, shelter providers, crisis victims, and online news providers that can improve emergency response. 相似文献
12.
Jean P. Shipman Erica W. Lake Jessica Van Der Volgen Darrin Doman 《Journal of the Medical Library Association》2016,104(2):154-158
Purpose
The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.Methods
Thirty-eight patient-provider interactions in two health care outpatient clinics were observed.Results
Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.Conclusions
Providers'' EHR skills and knowledge levels contribute to non-standardized patient education delivery. 相似文献13.
《Communication monographs》2012,79(2):179-200
The purpose of the present study was to apply Berg and Upchurch's (2007) developmental-conceptual model to understand better how couples cope with cancer. Specifically, we hypothesized a dyadic appraisal model in which proximal factors (relational quality), dyadic appraisal (prognosis uncertainty), and dyadic coping (communication efficacy) predicted adjustment (cancer management). The study was cross-sectional and included 83 dyads in which one partner had been diagnosed with and/or treated for cancer. For both patients and partners, multilevel analyses using the actor-partner interdependence model (APIM) indicated that proximal contextual factors predicted dyadic appraisal and dyadic coping. Dyadic appraisal predicted dyadic coping, which then predicted dyadic adjustment. Patients' confidence in their ability to talk about the cancer predicted their own cancer management. Partners' confidence predicted their own and the patient's ability to cope with cancer, which then predicted patients' perceptions of their general health. Implications and future research are discussed. 相似文献
14.
Bethany Figg 《期刊图书馆员》2013,64(3):248-259
Healthcare is reliant on the knowledge of the people responsible for making decisions about our health. Internet searching on sites that are simple to use and navigate may entice them to use less precise resources for their research and has the possibility of being detrimental to a patient’s diagnosis and treatment. Librarians should recognize this, and create steps toward reversal. Methods and tools for finding the most trustworthy facts should be introduced to these healthcare workers. Orientations, training sessions, and marketing of services are all means to moving forward with more accurately informed healthcare providers. 相似文献
15.
ABSTRACTLong-term survivors of cancer (LTS) are a growing population whose needs differ significantly from patients undergoing cancer treatment. Many LTS suffer from late effects of cancer treatments or symptoms that persist after treatment concludes or appear following remission. This study explored the relationship between LTS perceptions of quality of life with late effects and perceptions of patient self-advocacy through quantitative and qualitative analyses. A negative statistical relationship emerged between the variables. LTS median self-advocacy scores were quite high, reflecting their preference for health-care providers who listen actively, understand patient needs, are knowledgeable and compassionate, and utilize joint decision making. 相似文献
16.
Elisia L. Cohen 《Journal of Applied Communication Research》2013,41(4):397-417
This study examines how a sample of African American women understands the uncertainties fundamental to cancer risk communication. Utilizing data from four focus groups, Problematic Integration (PI) theory is applied as an interpretive lens for illustrating their felt difficulties of talking openly about cancer and breast cancer in everyday life. The women describe worry about cancer and its prevalence among African American women; ambivalence and uncertainty; belief that what is not uncertain is certain and awful; fear and avoidance; contradictions in “claiming” and “rebuking” cancer; and hopefulness. 相似文献
17.
Numerous health communication studies have highlighted the importance of factual knowledge as an antecedent to health behavior, but few have explored other dimensions of health knowledge, such as structural knowledge. This study seeks to fill this gap by investigating conceptual differences between these two kinds of knowledge in the context of breast cancer in Singapore, and find out how communication and motivational factors are related to them. Using a nationally representative random-digit-dialing survey of women aged 30–70 (N = 802), results showed that interpersonal communication and elaboration were associated with both knowledge types. Attention to online health news and the level of risk perception were positively associated with structural knowledge but not factual knowledge. Theoretical and practical implications for health communication were discussed. 相似文献
18.
Rebecca Purtell Megan E. Cullinan Heather E. Canary 《Journal of Applied Communication Research》2013,41(4):381-400
Competent communication practices among healthcare providers are a key factor in maintaining patient safety during transfers of patient care. Research shows that the majority of errors in patient care are related to communication problems, and a majority occur during patient hand-offs. This project is a qualitative study exploring the facilitators and barriers of structured hand-off at a pediatric hospital. Our data analysis indicates that while the hand-off process is facilitated by structure, clarity, and adequate time, it is hindered by lack of time, distractions, human factors, and a number of social and organizational factors that complicate physicians’ roles. Using structurating activity theory (SAT) to frame findings, analysis points to a structural tension between worker autonomy and organizational control as the primary cause of poor adherence to structured hand-off among pediatric residents. We draw on constructs of SAT to identify practical strategies for managing this contradiction at a system level. 相似文献
19.
DynaMed Plus® from EBSCO Health is an evidence-based tool that health professionals can use to inform clinical care. DynaMed Plus content undergoes a review process, and the evidence is synthesized in detailed topic overviews. A unique three-level rating scale is used to assess the quality of available evidence. Topic overviews summarize current evidence and provide recommendations to support health providers at the point-of-care. Additionally, DynaMed Plus content can be accessed via a desktop computer or mobile platforms. Given this, DynaMed Plus can be a time-saving resource for health providers. Overall, DynaMed Plus provides evidence summaries using an easy-to-read bullet format, and the resource incorporates images, clinical calculators, patient handouts, and practice guidelines in one place. 相似文献