首页 > 最新文献

Health Communication最新文献

英文 中文
How Resources Combining Expertise and Social Support Help Breastfeeding Women Address Self-Doubt and Increase Breastfeeding Self-Efficacy: A Mixed-Methods Study. 如何结合专业知识和社会支持资源帮助母乳喂养妇女解决自我怀疑和提高母乳喂养自我效能:一项混合方法研究。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-14 DOI: 10.1080/10410236.2023.2281077
Amy Duchsherer, Carrie Anne Platt, Jackee Haak, Kelsey Earle

Existing research on parental information literacy focuses on parents' ability to evaluate information. This approach does not account for conflicting or unwanted information and obscures the emotional impact of unsought information. We aimed to (1) document the sources women use most frequently for accessing breastfeeding information, (2) explore the reasons women choose some sources over others, (3) test the relationship between source characteristics and breastfeeding self-efficacy, and (4) determine the extent to which four source characteristics - competence, trustworthiness, goodwill, and social support - predict breastfeeding self-efficacy. This study was conducted in two phases. The first phase consisted of interviews and focus groups, which we analyzed inductively using a grounded theory approach. In phase two, we conducted a cross-sectional survey of women who were currently breastfeeding, collecting data on the source credibility and social support associated with the source they use most frequently and the participants' breastfeeding self-efficacy. We used multiple regression to analyze our survey data. The frequency with which our participants encountered conflicting and unsought prompted them to view sources that combine expertise and social support as ideal. However, these sources are often difficult to access, leading to a reliance on online sources. This compromise has implications for breastfeeding tenure, as both competence and social support predicted breastfeeding self-efficacy. This study demonstrates how emotional aspects of information seeking shape women's preferred sources, how accessibility limits the use of preferred sources, and how source competence and social support influence breastfeeding self-efficacy.

现有的关于父母信息素养的研究主要集中在父母评价信息的能力上。这种方法不能解释冲突或不需要的信息,并且模糊了不需要的信息的情感影响。我们的目的是(1)记录女性最常使用的母乳喂养信息来源,(2)探索女性选择某些来源而不是其他来源的原因,(3)测试来源特征与母乳喂养自我效能之间的关系,(4)确定四个来源特征-能力,可信度,善意和社会支持-预测母乳喂养自我效能的程度。本研究分两个阶段进行。第一阶段包括访谈和焦点小组,我们使用扎根理论方法进行归纳分析。在第二阶段,我们对目前正在母乳喂养的妇女进行了横断面调查,收集了与她们最常使用的母乳来源相关的来源可信度和社会支持以及参与者的母乳喂养自我效能感的数据。我们使用多元回归分析我们的调查数据。我们的参与者经常遇到冲突和未寻求的,这促使他们将专业知识和社会支持相结合的资源视为理想的资源。然而,这些资源往往难以获取,导致对在线资源的依赖。这种妥协对母乳喂养的任期有影响,因为能力和社会支持都预测母乳喂养的自我效能。本研究展示了信息寻求的情感方面如何塑造女性的首选信息源,可及性如何限制首选信息源的使用,信息源能力和社会支持如何影响母乳喂养的自我效能感。
{"title":"How Resources Combining Expertise and Social Support Help Breastfeeding Women Address Self-Doubt and Increase Breastfeeding Self-Efficacy: A Mixed-Methods Study.","authors":"Amy Duchsherer, Carrie Anne Platt, Jackee Haak, Kelsey Earle","doi":"10.1080/10410236.2023.2281077","DOIUrl":"10.1080/10410236.2023.2281077","url":null,"abstract":"<p><p>Existing research on parental information literacy focuses on parents' ability to evaluate information. This approach does not account for conflicting or unwanted information and obscures the emotional impact of unsought information. We aimed to (1) document the sources women use most frequently for accessing breastfeeding information, (2) explore the reasons women choose some sources over others, (3) test the relationship between source characteristics and breastfeeding self-efficacy, and (4) determine the extent to which four source characteristics - competence, trustworthiness, goodwill, and social support - predict breastfeeding self-efficacy. This study was conducted in two phases. The first phase consisted of interviews and focus groups, which we analyzed inductively using a grounded theory approach. In phase two, we conducted a cross-sectional survey of women who were currently breastfeeding, collecting data on the source credibility and social support associated with the source they use most frequently and the participants' breastfeeding self-efficacy. We used multiple regression to analyze our survey data. The frequency with which our participants encountered conflicting and unsought prompted them to view sources that combine expertise and social support as ideal. However, these sources are often difficult to access, leading to a reliance on online sources. This compromise has implications for breastfeeding tenure, as both competence and social support predicted breastfeeding self-efficacy. This study demonstrates how emotional aspects of information seeking shape women's preferred sources, how accessibility limits the use of preferred sources, and how source competence and social support influence breastfeeding self-efficacy.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107591107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Public Cooperation with Face Covering at the Early Phases of COVID-19: Building Public Trust, Confidence, Knowledge Through Governmental Two-Way Symmetrical Communication. 预测公众在 COVID-19 早期阶段与掩面者的合作:通过政府双向对称沟通建立公众信任、信心和知识。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-02 DOI: 10.1080/10410236.2023.2297496
Jo-Yun Li, Yeunjae Lee

Despite the agreement on the importance of two-way communication during governmental response to pandemics, few studies provided empirical evidence to support the effectiveness of such communication strategy in times of a public health crisis. Integrating the concept of two-way symmetrical communication and the Trust, Confidence, and Cooperation model (the TCC model), this study investigates how strategic communication practices, in particular two-way symmetrical communication, is related to public's perceived trust and confidence in governments (i.e., CDC in this study), and how these perceptions may affect decisions to comply with the preventive behaviors (i.e., face covering in this study), while taking the moderating role of knowledge into consideration. An online survey was conducted with 502 participants who were living in the United States in early April 2020. The findings showed that two-way symmetrical communication may increase public trust and confidence in governments, and improve individuals' knowledge about the pandemic, which all subsequently leads to compliance with recommended behaviors. The results contribute to the theoretical understanding of pandemic communication and provide implications for practitioners in pandemic management, suggesting that health institutions should adopt two-way symmetrical communication practices in respond to public health emergencies.

尽管人们一致认为双向沟通在政府应对流行病的过程中非常重要,但很少有研究提供实证证据来证明这种沟通策略在公共卫生危机时期的有效性。本研究将双向对称沟通的概念与信任、信心与合作模型(TCC 模型)相结合,探讨了战略沟通实践,尤其是双向对称沟通,如何与公众对政府(即本研究中的疾病预防控制中心)的信任和信心相关,以及这些认知如何影响遵守预防行为(即本研究中的面部覆盖)的决策,同时考虑了知识的调节作用。2020 年 4 月初,我们对 502 名居住在美国的参与者进行了在线调查。研究结果表明,双向对称传播可以增强公众对政府的信任和信心,提高个人对大流行病的了解,进而遵守推荐行为。研究结果有助于对大流行病传播的理论理解,并为大流行病管理从业人员提供了启示,建议卫生机构在应对公共卫生突发事件时采用双向对称传播的做法。
{"title":"Predicting Public Cooperation with Face Covering at the Early Phases of COVID-19: Building Public Trust, Confidence, Knowledge Through Governmental Two-Way Symmetrical Communication.","authors":"Jo-Yun Li, Yeunjae Lee","doi":"10.1080/10410236.2023.2297496","DOIUrl":"10.1080/10410236.2023.2297496","url":null,"abstract":"<p><p>Despite the agreement on the importance of two-way communication during governmental response to pandemics, few studies provided empirical evidence to support the effectiveness of such communication strategy in times of a public health crisis. Integrating the concept of two-way symmetrical communication and the Trust, Confidence, and Cooperation model (the TCC model), this study investigates how strategic communication practices, in particular two-way symmetrical communication, is related to public's perceived trust and confidence in governments (i.e., CDC in this study), and how these perceptions may affect decisions to comply with the preventive behaviors (i.e., face covering in this study), while taking the moderating role of knowledge into consideration. An online survey was conducted with 502 participants who were living in the United States in early April 2020. The findings showed that two-way symmetrical communication may increase public trust and confidence in governments, and improve individuals' knowledge about the pandemic, which all subsequently leads to compliance with recommended behaviors. The results contribute to the theoretical understanding of pandemic communication and provide implications for practitioners in pandemic management, suggesting that health institutions should adopt two-way symmetrical communication practices in respond to public health emergencies.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introducing "A Question That Might, Perhaps, Scare you": How Geriatric Physicians Approach the Discussion About Cardiopulmonary Resuscitation with Hospitalized Patients. 介绍“一个可能会吓到你的问题”:老年医生如何处理住院患者心肺复苏的讨论。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-10 DOI: 10.1080/10410236.2023.2276587
Anca-Cristina Sterie, Orest Weber, Ralf J Jox, Eve Rubli Truchard

Decisions about the relevance of life-sustaining treatment, such as cardiopulmonary resuscitation (CPR), are commonly made when a patient is admitted to the hospital. This article aims to refine our understanding of how discussions about CPR are introduced, to identify and classify the components frequently occurring in these introductions, and discuss their implications within the overarching activity (discussing CPR). We recorded 43 discussions about CPR between physicians and patients, taking place during the admission interview. We applied an inductive qualitative content analysis and thematic analysis to all the encounter content from the launch of the conversation on CPR to the point at which the physician formulated a question or the patient an answer. We identified this part of the encounter as the "introduction." This systematic method allowed us to code the material, develop and assign themes and subthemes, and quantify it. We identified four major themes in the introductions: (i) agenda setting; (ii) circumstances leading to CPR (subthemes: types of circumstances, personal prognostics of cardiac arrest); (iii) the activity of addressing CPR with the patient (subthemes: routine, constrain, precedence, sensitivity); and (iv) mentioning advance directives. Our findings reveal the elaborate effort that physicians deploy by appealing to combinations of these themes to account for the need to launch conversations about CPR, and highlight how CPR emerges as a sensitive topic.

关于维持生命治疗(如心肺复苏术)相关性的决定通常在患者入院时做出。本文旨在完善我们对如何引入关于CPR的讨论的理解,识别和分类这些介绍中经常出现的成分,并讨论它们在总体活动中的含义(讨论CPR)。我们记录了43次医生和患者之间关于心肺复苏术的讨论,这些讨论发生在入院面谈期间。我们对从CPR对话开始到医生提出问题或患者回答的所有遭遇内容进行了归纳定性内容分析和主题分析。我们将这次会面的这一部分确定为“引言”。这种系统的方法使我们能够对材料进行编码,开发和分配主题和子主题,并对其进行量化。我们在引言中确定了四个主要主题:(i)议程设置;(ii)导致心肺复苏的情况(分主题:情况类型、心脏骤停的个人预后);(iii)与患者进行心肺复苏的活动(子主题:常规、约束、优先、敏感性);四提及预先指示。我们的研究结果揭示了医生们通过呼吁这些主题的组合来解释启动关于心肺复苏的对话的必要性,并强调了心肺复苏是如何成为一个敏感话题的。
{"title":"Introducing \"A Question That Might, Perhaps, Scare you\": How Geriatric Physicians Approach the Discussion About Cardiopulmonary Resuscitation with Hospitalized Patients.","authors":"Anca-Cristina Sterie, Orest Weber, Ralf J Jox, Eve Rubli Truchard","doi":"10.1080/10410236.2023.2276587","DOIUrl":"10.1080/10410236.2023.2276587","url":null,"abstract":"<p><p>Decisions about the relevance of life-sustaining treatment, such as cardiopulmonary resuscitation (CPR), are commonly made when a patient is admitted to the hospital. This article aims to refine our understanding of how discussions about CPR are introduced, to identify and classify the components frequently occurring in these introductions, and discuss their implications within the overarching activity (discussing CPR). We recorded 43 discussions about CPR between physicians and patients, taking place during the admission interview. We applied an inductive qualitative content analysis and thematic analysis to all the encounter content from the launch of the conversation on CPR to the point at which the physician formulated a question or the patient an answer. We identified this part of the encounter as the \"introduction.\" This systematic method allowed us to code the material, develop and assign themes and subthemes, and quantify it. We identified four major themes in the introductions: (i) agenda setting; (ii) circumstances leading to CPR (subthemes: types of circumstances, personal prognostics of cardiac arrest); (iii) the activity of addressing CPR with the patient (subthemes: routine, constrain, precedence, sensitivity); and (iv) mentioning advance directives. Our findings reveal the elaborate effort that physicians deploy by appealing to combinations of these themes to account for the need to launch conversations about CPR, and highlight how CPR emerges as a sensitive topic.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72014143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Observing Others' Workouts on Social Network Sites Improves the Observer's Physical Activity: A Moderated-Mediation Model. 在社交网站上观察他人的锻炼可以改善观察者的身体活动:一个适度的中介模型。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-08 DOI: 10.1080/10410236.2023.2278215
Shuangqing Liu, Miao Miao

Many people like to share their physical activity (PA) experiences on social network sites (SNSs). Drawing on social cognitive theory, we examined in two studies whether observing others' workouts on SNSs could improve the observer's PA via the mediation of workout self-efficacy. In study 1, a two-wave longitudinal online survey of 461 participants, exposure to SNS workout posts was positively associated with PA through workout self-efficacy. In study 2, an online experimental study with 124 participants, manipulating perceived similarity revealed that it moderates between exposure to SNS workout posts and workout self-efficacy. Moreover, moderation of the indirect effect between exposure to SNS workout posts and PA via workout self-efficacy was supported. These findings reveal the mechanisms and boundary conditions of social media exposure improving workout self-efficacy and promoting PA.

许多人喜欢在社交网站上分享他们的体育活动经历。根据社会认知理论,我们在两项研究中检验了观察他人在SNS上的锻炼是否可以通过锻炼自我效能感的中介来提高观察者的PA。在研究1中,一项针对461名参与者的两波纵向在线调查显示,接触社交网络锻炼帖子与PA通过锻炼自我效能呈正相关。在研究2中,一项有124名参与者参与的在线实验研究显示,操纵感知相似性在接触社交网络锻炼帖子和锻炼自我效能之间起调节作用。此外,通过锻炼自我效能调节暴露于SNS锻炼岗位和PA之间的间接效应也得到了支持。这些发现揭示了社交媒体暴露提高锻炼自我效能和促进PA的机制和边界条件。
{"title":"Observing Others' Workouts on Social Network Sites Improves the Observer's Physical Activity: A Moderated-Mediation Model.","authors":"Shuangqing Liu, Miao Miao","doi":"10.1080/10410236.2023.2278215","DOIUrl":"10.1080/10410236.2023.2278215","url":null,"abstract":"<p><p>Many people like to share their physical activity (PA) experiences on social network sites (SNSs). Drawing on social cognitive theory, we examined in two studies whether observing others' workouts on SNSs could improve the observer's PA via the mediation of workout self-efficacy. In study 1, a two-wave longitudinal online survey of 461 participants, exposure to SNS workout posts was positively associated with PA through workout self-efficacy. In study 2, an online experimental study with 124 participants, manipulating perceived similarity revealed that it moderates between exposure to SNS workout posts and workout self-efficacy. Moreover, moderation of the indirect effect between exposure to SNS workout posts and PA via workout self-efficacy was supported. These findings reveal the mechanisms and boundary conditions of social media exposure improving workout self-efficacy and promoting PA.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71521202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advocating, Unlearning, Tearing It All Down? How BIPOC Young Adults with Mental Health Concerns Perceive and Engage with the Media. 倡导,忘却,撕毁一切?有心理健康问题的BIPOC年轻人如何感知和参与媒体。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-12-07 DOI: 10.1080/10410236.2023.2290882
Sophie B To, Jaz Gray, Parul Jain, Jeannette H Porter, Maria Leonora G Comello

The COVID-19 pandemic has increased the salience of issues related to social justice, mental health, and health equity. During this time, the media have been instrumental in amplifying social movements but also in spreading mis/disinformation, violence, and hatred. Among communities who have been affected heavily during this time are Black, Indigenous, and People of Color (BIPOC) young adults who have a mental illness/significant mental health concerns. As frequent engagers and creators of media, their perspectives are critical to informing what aspects of the media should be leveraged to promote the health, well-being, and safety of people who have been marginalized. Thus, our study asks: How do BIPOC young adults (in the United States) who have a behavioral health diagnosis or significant mental health concerns perceive the media? Guided by intersectionality and grounded theory, we conducted in-depth interviews with 20 participants. The results reveal participants' 1) deep recognition of how the media uphold oppressive structures and 2) identification of ways that people have used and can use the media to fight those same structures. Researchers and media leaders should listen to, center the experiences of, collaborate with, and follow the lead of people who have been marginalized. This is critical to transforming the media such that they promote the well-being of all people.

2019冠状病毒病大流行使与社会正义、心理健康和卫生公平有关的问题更加突出。在此期间,媒体在放大社会运动方面发挥了重要作用,但也在传播错误/虚假信息、暴力和仇恨方面发挥了作用。在这段时间受到严重影响的社区是黑人、土著和有色人种(BIPOC),他们是有精神疾病/严重精神健康问题的年轻人。作为媒体的频繁参与者和创造者,他们的观点对于告知应该利用媒体的哪些方面来促进被边缘化人群的健康、福祉和安全至关重要。因此,我们的研究问:有行为健康诊断或严重心理健康问题的BIPOC年轻人(在美国)如何看待媒体?在交叉性和扎根理论的指导下,我们对20名参与者进行了深度访谈。研究结果显示,参与者1)深刻认识到媒体是如何维护压迫性结构的,2)认识到人们已经和能够利用媒体来对抗这些结构的方式。研究人员和媒体领导者应该倾听被边缘化人群的意见,集中他们的经验,与他们合作,并跟随他们的脚步。这对于改变媒体以促进所有人的福祉至关重要。
{"title":"Advocating, Unlearning, Tearing It All Down? How BIPOC Young Adults with Mental Health Concerns Perceive and Engage with the Media.","authors":"Sophie B To, Jaz Gray, Parul Jain, Jeannette H Porter, Maria Leonora G Comello","doi":"10.1080/10410236.2023.2290882","DOIUrl":"10.1080/10410236.2023.2290882","url":null,"abstract":"<p><p>The COVID-19 pandemic has increased the salience of issues related to social justice, mental health, and health equity. During this time, the media have been instrumental in amplifying social movements but also in spreading mis/disinformation, violence, and hatred. Among communities who have been affected heavily during this time are Black, Indigenous, and People of Color (BIPOC) young adults who have a mental illness/significant mental health concerns. As frequent engagers and creators of media, their perspectives are critical to informing what aspects of the media should be leveraged to promote the health, well-being, and safety of people who have been marginalized. Thus, our study asks: <i>How do BIPOC young adults (in the United States) who have a behavioral health diagnosis or significant mental health concerns perceive the media?</i> Guided by intersectionality and grounded theory, we conducted in-depth interviews with 20 participants. The results reveal participants' 1) deep recognition of how the media uphold oppressive structures and 2) identification of ways that people have used and can use the media to fight those same structures. Researchers and media leaders should listen to, center the experiences of, collaborate with, and follow the lead of people who have been marginalized. This is critical to transforming the media such that they promote the well-being of all people.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138498187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing Measures for and Testing the Theory of Communicative Disenfranchisement (TCD) in the Context of Chronic Pain. 在慢性疼痛的背景下制定交际剥夺权利(TCD)理论的措施和测试。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-06 DOI: 10.1080/10410236.2023.2275916
Elizabeth A Hintz, Rachel V Tucker, Steven R Wilson

The post-positivist articulation of the theory of communicative disenfranchisement (TCD) asserts that people subjected to disenfranchising talk (DT; talk that discredits, silences, and stereotypes) experience proximal consequences (PCs; reduced agency, perceived credibility, and ability to exercise rights and privileges) and make negative inferences about others' future interactional goals (negative goal inferences [NGIs]). Through the mediators of PCs and NGIs, DT is theorized to lead to more distal health and well-being outcomes. This article developed measures of DT, PCs, and NGIs to test the TCD's post-positivist model in the context of chronic pain. Items were developed and refined in a pilot study. Then, in two validation studies, exploratory and confirmatory factor analyses were conducted and health and well-being outcomes were assessed. Findings offer initial empirical support for the reliability and convergent, divergent, and predictive validity of the DT, PCs, and NGIs measures, as well as the model proposed in the post-positivist articulation of the TCD.

交际剥夺话语权理论(TCD)的后实证主义阐释认为,受到剥夺话语权言论(DT;诋毁、沉默和刻板印象的言论)的人会经历近端后果(PC;代理能力、感知可信度和行使权利和特权的能力降低),并对他人未来的交际目标做出负面推断(消极目标推断[NGIs])。通过PC和NGI的中介,DT被认为会导致更远端的健康和幸福结果。本文开发了DT、PC和NGIs的测量方法,以测试TCD在慢性疼痛背景下的后实证主义模型。项目是在一项试点研究中制定和完善的。然后,在两项验证研究中,进行了探索性和验证性因素分析,并评估了健康和幸福感结果。研究结果为DT、PCs和NGIs测量的可靠性、收敛性、发散性和预测有效性,以及TCD后实证主义表述中提出的模型提供了初步的实证支持。
{"title":"Developing Measures for and Testing the Theory of Communicative Disenfranchisement (TCD) in the Context of Chronic Pain.","authors":"Elizabeth A Hintz, Rachel V Tucker, Steven R Wilson","doi":"10.1080/10410236.2023.2275916","DOIUrl":"10.1080/10410236.2023.2275916","url":null,"abstract":"<p><p>The post-positivist articulation of the theory of communicative disenfranchisement (TCD) asserts that people subjected to disenfranchising talk (DT; talk that discredits, silences, and stereotypes) experience proximal consequences (PCs; reduced agency, perceived credibility, and ability to exercise rights and privileges) and make negative inferences about others' future interactional goals (negative goal inferences [NGIs]). Through the mediators of PCs and NGIs, DT is theorized to lead to more distal health and well-being outcomes. This article developed measures of DT, PCs, and NGIs to test the TCD's post-positivist model in the context of chronic pain. Items were developed and refined in a pilot study. Then, in two validation studies, exploratory and confirmatory factor analyses were conducted and health and well-being outcomes were assessed. Findings offer initial empirical support for the reliability and convergent, divergent, and predictive validity of the DT, PCs, and NGIs measures, as well as the model proposed in the post-positivist articulation of the TCD.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71480845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Family Sex Talks Can Increase Daughters' Intentions to Engage in Sexual Health Protective Behavior: Mediating Roles of Parents' Direct and Indirect Sexual Communication. 家庭性谈话如何提高女儿参与性健康保护行为的意愿:父母直接和间接性交流的中介作用。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-12-05 DOI: 10.1080/10410236.2023.2291268
Qiwei Luna Wu, Elizabeth Pask

The family environment is essential but underused for promoting sexual and reproductive health protective behaviors (SHPB). However, previous literature had no consistent findings regarding how families can efficiently provide sex education and what aspects of family communication may facilitate SHPB. Based on family communication patterns theory (FCPT) and new research that segments family conformity orientation into four sub-dimensions (i.e., respecting parental authority, experiencing parental control, adopting parents' values, and questioning parents' beliefs), we explored the roles that family communication patterns (FCP) and parents' (direct and indirect) sexual communication play in influencing adult daughters' intentions to engage in SHPB. Using survey data from 234 female participants, path analysis suggested that daughters' SHPB intentions were associated with more direct and indirect sexual communication, higher conversation orientation, higher parental control, and less adoption of parental values. Also, parents' direct sexual communication mediated the impact of conversation orientation on SHPB intentions. Additionally, parents' indirect sexual communication mediated the path from parental value adoption to SHPB intentions, mitigating the negative direct impact of parental value adoption. Theoretical and practical implications are discussed.

家庭环境对促进性健康和生殖健康保护行为(SHPB)至关重要,但却未得到充分利用。然而,对于家庭如何有效地提供性教育,以及家庭沟通的哪些方面可以促进性与生殖健康保护行为,以往的文献并没有一致的研究结果。基于家庭沟通模式理论(FCPT)和将家庭一致性取向细分为四个子维度(即尊重父母权威、体验父母控制、采纳父母价值观和质疑父母信仰)的新研究,我们探讨了家庭沟通模式(FCP)和父母(直接和间接)性沟通在影响成年女儿的性健康保护行为意向中所扮演的角色。通过对 234 名女性参与者的调查数据进行路径分析,结果表明女儿的 SHPB 意愿与更多的直接和间接性交流、更高的对话导向、更高的父母控制以及较少采纳父母的价值观有关。同时,父母直接的性交流会调解谈话取向对 SHPB 意向的影响。此外,父母的间接性交流在父母价值观采纳与 SHPB 意向之间起到了中介作用,减轻了父母价值观采纳的直接负面影响。本文讨论了其理论和实践意义。
{"title":"How Family Sex Talks Can Increase Daughters' Intentions to Engage in Sexual Health Protective Behavior: Mediating Roles of Parents' Direct and Indirect Sexual Communication.","authors":"Qiwei Luna Wu, Elizabeth Pask","doi":"10.1080/10410236.2023.2291268","DOIUrl":"10.1080/10410236.2023.2291268","url":null,"abstract":"<p><p>The family environment is essential but underused for promoting sexual and reproductive health protective behaviors (SHPB). However, previous literature had no consistent findings regarding how families can efficiently provide sex education and what aspects of family communication may facilitate SHPB. Based on family communication patterns theory (FCPT) and new research that segments family conformity orientation into four sub-dimensions (i.e., respecting parental authority, experiencing parental control, adopting parents' values, and questioning parents' beliefs), we explored the roles that family communication patterns (FCP) and parents' (direct and indirect) sexual communication play in influencing adult daughters' intentions to engage in SHPB. Using survey data from 234 female participants, path analysis suggested that daughters' SHPB intentions were associated with more direct and indirect sexual communication, higher conversation orientation, higher parental control, and less adoption of parental values. Also, parents' direct sexual communication mediated the impact of conversation orientation on SHPB intentions. Additionally, parents' indirect sexual communication mediated the path from parental value adoption to SHPB intentions, mitigating the negative direct impact of parental value adoption. Theoretical and practical implications are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138487382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"It Frustrates Me Beyond Words That I Can't Fix that": Health Misinformation Correction on Facebook During COVID-19. “我无法用言语解决这个问题,这让我感到沮丧”:在COVID-19期间,Facebook上的健康错误信息纠正。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-12 DOI: 10.1080/10410236.2023.2282279
Muhammad Ittefaq

This study investigated the experiences of communication officials at local health departments (LHD) in the US Midwest regarding the correction of health misinformation on Facebook during the COVID-19 pandemic. Through interviews with communication officials, this study examined how and why they corrected health misinformation, the challenges they encountered during the correction process, and the importance of having fact-checkers within LHDs. The analysis of the data revealed four major themes: factors influencing misinformation correction on Facebook, perceived effectiveness of health misinformation correction, the intersection of the First Amendment and health misinformation, and the role of fact-checking in LHDs. The LHD communication officials often faced conflicts and public rebuttals when directly correcting misinformation leading them to adopt the strategy of addressing misinformation through future posts instead of direct correction. These findings provide significant insights for communication officials to identify and correct health misinformation and emphasize the need for healthcare organizations to provide essential resources to information and communication professionals during times of crises.

本研究调查了美国中西部地区地方卫生部门(LHD)的沟通官员在COVID-19大流行期间纠正Facebook上的健康错误信息的经验。通过对传播官员的采访,本研究调查了他们如何以及为什么纠正健康错误信息,他们在纠正过程中遇到的挑战,以及在卫生保健部门内设置事实检查员的重要性。对数据的分析揭示了四个主要主题:影响Facebook上错误信息纠正的因素,健康错误信息纠正的感知有效性,第一修正案和健康错误信息的交集,以及事实核查在lhd中的作用。LHD传播官员在直接纠正错误信息时经常面临冲突和公众的反驳,导致他们采取通过未来帖子解决错误信息的策略,而不是直接纠正。这些发现为通信官员识别和纠正健康错误信息提供了重要见解,并强调医疗保健组织需要在危机时期向信息和通信专业人员提供基本资源。
{"title":"\"It Frustrates Me Beyond Words That I Can't Fix that\": Health Misinformation Correction on Facebook During COVID-19.","authors":"Muhammad Ittefaq","doi":"10.1080/10410236.2023.2282279","DOIUrl":"10.1080/10410236.2023.2282279","url":null,"abstract":"<p><p>This study investigated the experiences of communication officials at local health departments (LHD) in the US Midwest regarding the correction of health misinformation on Facebook during the COVID-19 pandemic. Through interviews with communication officials, this study examined how and why they corrected health misinformation, the challenges they encountered during the correction process, and the importance of having fact-checkers within LHDs. The analysis of the data revealed four major themes: factors influencing misinformation correction on Facebook, perceived effectiveness of health misinformation correction, the intersection of the First Amendment and health misinformation, and the role of fact-checking in LHDs. The LHD communication officials often faced conflicts and public rebuttals when directly correcting misinformation leading them to adopt the strategy of addressing misinformation through future posts instead of direct correction. These findings provide significant insights for communication officials to identify and correct health misinformation and emphasize the need for healthcare organizations to provide essential resources to information and communication professionals during times of crises.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89717984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empathic Communication and Implicit Bias in the Context of Cancer Among a Medical Student Sample. 癌症背景下医学生样本中的移情交流和内隐偏见。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-10-31 DOI: 10.1080/10410236.2023.2272359
Tara K Torres, Heidi A Hamann, Megan J Shen, Jeff Stone

Oncology clinicians often miss opportunities to communicate empathy to patients. The current study examined the relationship between implicit bias (based on cancer type and ethnicity) and medical students' empathic communication in encounters with standardized patients who presented as Hispanic (lung or colorectal) individuals diagnosed with cancer. Participants (101 medical students) completed the Implicit Association Test (IAT) to measure implicit bias based on cancer type (lung v. colorectal) and ethnicity (Hispanic v. non-Hispanic White). Empathic opportunities and responses (assessed by the Empathic Communication Coding System; ECCS) were evaluated in a mock consultation (Objective Structured Clinical Examination; OSCE) focused on smoking cessation in the context of cancer. Among the 241 empathic opportunities identified across the 101 encounters (M = 2.4), 158 (65.6%) received high empathy responses from the medical students. High empathy responses were most frequently used during challenge (73.2%) and emotion (77.3%) opportunities compared to progress (45.9%) opportunities. Higher levels of implicit bias against Hispanics predicted lower odds of an empathic response from the medical student (OR = 3.24, p = .04, 95% CI = 0.09-0.95). Further work is needed to understand the relationship between implicit bias and empathic communication and inform the development of interventions.

肿瘤学临床医生经常错过与患者交流同理心的机会。目前的研究考察了内隐偏见(基于癌症类型和种族)与医学生在面对被诊断为癌症西班牙裔(肺癌或结直肠癌)个体的标准化患者时的移情交流之间的关系。参与者(101名医学生)完成了内隐关联测试(IAT),以测量基于癌症类型(肺癌与结直肠癌)和种族(西班牙裔与非西班牙族白人)的内隐偏见。移情机会和反应(由移情通信编码系统;ECCS评估)在模拟咨询(目标结构化临床检查;欧安组织)中进行评估,重点是癌症背景下的戒烟。在101次遭遇中发现的241次移情机会中(M = 2.4),158人(65.6%)获得了来自医学生的高度移情反应。与进步(45.9%)机会相比,在挑战(73.2%)和情绪(77.3%)机会中最常使用高移情反应。对西班牙裔的隐性偏见水平越高,医学生产生移情反应的几率就越低(OR = 3.24,p = .04,95%CI = 0.09-0.95)。需要进一步的工作来理解内隐偏见和移情沟通之间的关系,并为干预措施的发展提供信息。
{"title":"Empathic Communication and Implicit Bias in the Context of Cancer Among a Medical Student Sample.","authors":"Tara K Torres, Heidi A Hamann, Megan J Shen, Jeff Stone","doi":"10.1080/10410236.2023.2272359","DOIUrl":"10.1080/10410236.2023.2272359","url":null,"abstract":"<p><p>Oncology clinicians often miss opportunities to communicate empathy to patients. The current study examined the relationship between implicit bias (based on cancer type and ethnicity) and medical students' empathic communication in encounters with standardized patients who presented as Hispanic (lung or colorectal) individuals diagnosed with cancer. Participants (101 medical students) completed the Implicit Association Test (IAT) to measure implicit bias based on cancer type (lung v. colorectal) and ethnicity (Hispanic v. non-Hispanic White). Empathic opportunities and responses (assessed by the Empathic Communication Coding System; ECCS) were evaluated in a mock consultation (Objective Structured Clinical Examination; OSCE) focused on smoking cessation in the context of cancer. Among the 241 empathic opportunities identified across the 101 encounters (<i>M</i> = 2.4), 158 (65.6%) received high empathy responses from the medical students. High empathy responses were most frequently used during challenge (73.2%) and emotion (77.3%) opportunities compared to progress (45.9%) opportunities. Higher levels of implicit bias against Hispanics predicted lower odds of an empathic response from the medical student (<i>OR</i> = 3.24, <i>p</i> = .04, 95% CI = 0.09-0.95). Further work is needed to understand the relationship between implicit bias and empathic communication and inform the development of interventions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71423113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Experimental Test of the Effects of Public Mockery of a Social Media Health Campaign: Implications for Theory and Health Organizations' Social Media Strategies. 社会媒体健康运动的公众嘲弄效应的实验检验:对理论和卫生组织社会媒体策略的启示。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-19 DOI: 10.1080/10410236.2023.2282833
Jessica Gall Myrick, Jin Chen, Eunchae Jang, Megan P Norman, Yansheng Liu, Lana Medina, Janine N Blessing, Haniyeh Parhizkar

This study explored how social media users' mocking of a public health campaign can affect other users' emotions, cognitions, and behavioral intentions. Inspired by public mocking of the CDC's "Say No to Raw Dough" campaign aiming to prevent food poisoning caused by eating raw flour-based products, this experiment (N = 681) employed a 2 (Public responses to a PSA: Mocking or serious) x 3 (Organizational response to public responses: Self-mocking, serious, or none) + 1 (control condition) design. Statistical tests revealed that user-generated mocking can lower intentions to avoid the health risk by decreasing perceptions of injunctive norms (that is, seeing others mock a public health campaign resulted in weaker perceptions that others think you should avoid the risky behavior). Mockery of a public health campaign also engender anger at the CDC and at other users, with the target of the anger having differential effects on intentions to avoid eating raw dough. Implications for theory and the practice of social media-based health promotion are discussed.

这项研究探讨了社交媒体用户对公共卫生运动的嘲笑如何影响其他用户的情绪、认知和行为意图。该实验(N = 681)采用了2(公众对PSA的反应:嘲笑或严肃)x 3(组织对公众反应:自我嘲笑、严肃或无)+ 1(控制条件)的设计,其灵感来自于公众对CDC“对生面团说不”运动的嘲笑,该运动旨在防止因食用生面粉产品而引起的食物中毒。统计测试显示,用户生成的嘲笑可以通过降低对禁令规范的感知来降低避免健康风险的意图(也就是说,看到其他人嘲笑公共卫生运动导致其他人认为你应该避免危险行为的认知减弱)。对公共卫生运动的嘲弄也引起了对疾病预防控制中心和其他用户的愤怒,而愤怒的目标对避免吃生面团的意图有不同的影响。讨论了基于社交媒体的健康促进的理论和实践意义。
{"title":"An Experimental Test of the Effects of Public Mockery of a Social Media Health Campaign: Implications for Theory and Health Organizations' Social Media Strategies.","authors":"Jessica Gall Myrick, Jin Chen, Eunchae Jang, Megan P Norman, Yansheng Liu, Lana Medina, Janine N Blessing, Haniyeh Parhizkar","doi":"10.1080/10410236.2023.2282833","DOIUrl":"10.1080/10410236.2023.2282833","url":null,"abstract":"<p><p>This study explored how social media users' mocking of a public health campaign can affect other users' emotions, cognitions, and behavioral intentions. Inspired by public mocking of the CDC's \"Say No to Raw Dough\" campaign aiming to prevent food poisoning caused by eating raw flour-based products, this experiment (<i>N</i> = 681) employed a 2 (Public responses to a PSA: Mocking or serious) x 3 (Organizational response to public responses: Self-mocking, serious, or none) + 1 (control condition) design. Statistical tests revealed that user-generated mocking can lower intentions to avoid the health risk by decreasing perceptions of injunctive norms (that is, seeing others mock a public health campaign resulted in weaker perceptions that others think you should avoid the risky behavior). Mockery of a public health campaign also engender anger at the CDC and at other users, with the target of the anger having differential effects on intentions to avoid eating raw dough. Implications for theory and the practice of social media-based health promotion are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138046727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Health Communication
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1