Health Communication最新文献

Other Management of Patient Privacy: How Physicians Navigate Disclosure of Late-Stage Cancer in China's General Hospitals.

IF 3 3区医学

Health Communication Pub Date : 2025-03-10 DOI: 10.1080/10410236.2025.2471953

Hui Xiong, Minxian Chen, Jia You, Yuting He, Hanyun Huang, Hui Li

{"title":"Other Management of Patient Privacy: How Physicians Navigate Disclosure of Late-Stage Cancer in China's General Hospitals.","authors":"Hui Xiong, Minxian Chen, Jia You, Yuting He, Hanyun Huang, Hui Li","doi":"10.1080/10410236.2025.2471953","DOIUrl":"https://doi.org/10.1080/10410236.2025.2471953","url":null,"abstract":"Research into end-of-life (EOL) communication has mostly been conducted in Anglophone countries and intensive care settings. In areas where the value of family determination prevails and significant cancer mortality rates, such as China, there remains a necessity for scholarly exploration of how EOL information about late-stage cancer diagnosis and prognosis is communicated when patients have a normal level of consciousness. Drawing on the concept of collective boundary coordination from communication privacy management (CPM) theory, this study employs semi-structured in-depth interviews to explore physicians' strategies for disclosing late-stage cancer in China's general hospitals. Reflexive thematic analysis of the data collected from seven attending physicians and nurses, 13 medical interns, and 11 family members of late-stage cancer patients demonstrates another management pattern of patient privacy and a group of flexible strategies for collective boundary coordination. These findings have implications for the development of CPM and EOL communication in China and other cultures that prioritize family determination.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585418","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

"Just Listen … Really Listen": Expectations of Youth When Disclosing Mental Health Concerns with Parents.

IF 3 3区医学

Health Communication Pub Date : 2025-03-10 DOI: 10.1080/10410236.2025.2475561

Jaclyn C Pickens, Rachel E Riggs, Thomas Kimball, Eric Rasmussen, Sarah Wakefield

引用次数: 0

Decoding the Discourse: Analyzing the Linguistic Features and Strategies Behind the Querdenken Movement's COVID-19 Narrative.

IF 3 3区医学

Health Communication Pub Date : 2025-03-03 DOI: 10.1080/10410236.2025.2469936

Alexander Sobieska, Max Hampel, Rosa Weidenspointner, Valentin Pauli, Cheng Pan, Seong-Min Jun, Pia Gutsmiedl

{"title":"Decoding the Discourse: Analyzing the Linguistic Features and Strategies Behind the Querdenken Movement's COVID-19 Narrative.","authors":"Alexander Sobieska, Max Hampel, Rosa Weidenspointner, Valentin Pauli, Cheng Pan, Seong-Min Jun, Pia Gutsmiedl","doi":"10.1080/10410236.2025.2469936","DOIUrl":"https://doi.org/10.1080/10410236.2025.2469936","url":null,"abstract":"This study analyzes the linguistic rhetorical strategies utilized by the German-speaking Querdenken movement's alternative media during the COVID-19 pandemic. Employing a critical discourse analysis (CDA) framework, we examine articles from alternative media sources frequently used by the movement's members in comparison with broadsheet and tabloid newspapers, utilizing dictionary-based linguistic analyses with linear mixed models to investigate the emotional tone, health-related language, and scientific terminology used in COVID-19 coverage. Our research reveals that Querdenken outlets use more scientific language and exhibit a more negative emotional tone, emphasizing health-related issues more strongly than other media sources. Additionally, a manual content analysis inspected the relationship between articles and cited sources, including their interpretative congruence and originality, uncovering a notable mismatch between sources cited and their representation in Querdenken outlets. These findings illuminate alternative media's important role in shaping discourse, especially in critical public health contexts. Our research contributes to a better understanding of how alternative media narratives operate and, in our study, co-opt the language of science. This study underscores the need for adequate science literacy and communication strategies to counteract misinformation and enhance public understanding of complex health issues.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541033","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

Examining Social Support Conversations on Reddit During COVID-19 Using Computational Methods.

IF 3 3区医学

Health Communication Pub Date : 2025-03-03 DOI: 10.1080/10410236.2025.2469933

Qinghua Yang, Zhifan Luo, Andrew M Ledbetter

{"title":"Examining Social Support Conversations on Reddit During COVID-19 Using Computational Methods.","authors":"Qinghua Yang, Zhifan Luo, Andrew M Ledbetter","doi":"10.1080/10410236.2025.2469933","DOIUrl":"https://doi.org/10.1080/10410236.2025.2469933","url":null,"abstract":"Public health crises like the COVID-19 pandemic have posed unprecedented challenges to both physical and mental health. To better understand related social support conversations on online support groups, and how the topics of these conversations are associated with producing conversation and with authors' mental health status, we analyzed 65,004 posts and comments on the subreddit r/COVID19_support using structural topic modeling. Among the 22 valid topics identified, those that attracted more user engagement addressed uncertainty about prospective situations, national and international news, sending condolences regarding loss, and the dangerous impact of the pandemic. More importantly, topics related to giving esteem (e.g. sending encouragement to boost others' self-efficacy, expressing appreciation) and emotional support (e.g. sending regards and condolences) were consistently and negatively associated with authors' anxiety and mental illness during the pandemic. In the same vein, providing informational support by updating situations related to the health impact and political, media, and working environment during the pandemic were also associated with reduced anxiety and mental illness. Theoretical and practical implications are discussed.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536997","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

Communication Strategies to Promote COVID-19 Vaccination Intention: How Effective are Source, Appeal, Framing, and Evidence Type Approaches? 促进 COVID-19 疫苗接种意向的传播策略：来源、吸引力、框架和证据类型方法的效果如何？

IF 3 3区医学

Health Communication Pub Date : 2025-03-01 Epub Date: 2024-05-05 DOI: 10.1080/10410236.2024.2346959

Yam B Limbu, Christopher McKinley

{"title":"Communication Strategies to Promote COVID-19 Vaccination Intention: How Effective are Source, Appeal, Framing, and Evidence Type Approaches?","authors":"Yam B Limbu, Christopher McKinley","doi":"10.1080/10410236.2024.2346959","DOIUrl":"10.1080/10410236.2024.2346959","url":null,"abstract":"This systematic review analyzed the effectiveness of key persuasive strategies - source, appeal, framing, and evidence (SAFE) - on COVID-19 vaccination intention. Quantitative studies were searched in Web of Science, Scopus, and PubMed following the PRISMA guidelines. From the 61 studies that met inclusion criteria, source and framing are the most commonly applied SAFE strategies. However, source characteristics are a more consistent influence on vaccine intentions than message framing strategies, with expert sources and general practitioners emerging as the key sources contributing to greater vaccine intentions. In addition, a range of mediators and moderators influence the process through which SAFE message strategies impact vaccine intentions. Framing effects, in particular, are moderated by political identity, source characteristics, and vaccine perceptions. Tests of mediating processes highlight how health behavior judgments (e.g. perceived vaccine benefits, risks, trust in vaccination, perceived severity) and message response/perceptions (e.g. counterarguing, perceived similarity/empathy) operate as key intervening factors between SAFE message strategies and vaccine intentions. Overall, when practitioners apply various structural approaches (narrative elements, fear appeals, framing cues) to vaccine promotion campaigns, they should be cognizant of who is providing that appeal. Targeted populations may benefit most from different structural elements if they are integrated with sources that resonate with the audience.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"429-444"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863936","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

Information Seeking and Receiving of Older Adults with Diabetes in the Online Health Community: An Information Need Contextualization Perspective. 在线健康社区中老年糖尿病患者的信息寻求与接收：信息需求情境化视角》。

IF 3 3区医学

Health Communication Pub Date : 2025-03-01 Epub Date: 2024-05-12 DOI: 10.1080/10410236.2024.2349314

Dan Ma, Jilei Zhou, Meiyun Zuo

{"title":"Information Seeking and Receiving of Older Adults with Diabetes in the Online Health Community: An Information Need Contextualization Perspective.","authors":"Dan Ma, Jilei Zhou, Meiyun Zuo","doi":"10.1080/10410236.2024.2349314","DOIUrl":"10.1080/10410236.2024.2349314","url":null,"abstract":"Online health communities (OHCs) are important online health communication channels for older adults with diabetes to access health information. When seeking health information, they often disclose a variety of contextual information (e.g., socio-economic situations) in their questions. Selective contextual information disclosure is a type of communication strategy for users in OHCs to elicit replies from others. In this study, we adopted text analysis to investigate what contextual information older adults with diabetes disclose to articulate their information needs and used the fixed-effect Poisson model to examine the relationships between different types of contextual information disclosure and informational support receipt. Our analyses were based on a dataset of 4,505 questions and corresponding replies from an online diabetes community. The results showed that cognitive information is the most frequently disclosed contextual information, while older adults tend to disclose demographic information in their questions less. Providing demographic and situational details in questions can enhance informational support receiving, resulting in an increased number of informational supports. However, disclosing cognitive, affective, informational channels, or support information does not significantly affect the informational support receiving. These findings can contribute to extending our existing understanding of information seekers' communication strategies in OHCs.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"500-511"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912168","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

Traditional Chinese Medicine: Communicating Informational and Symbolic Functions in the Linguistic Landscape. 中医：在语言景观中传达信息和符号功能。

IF 3 3区医学

Health Communication Pub Date : 2025-03-01 Epub Date: 2024-05-26 DOI: 10.1080/10410236.2024.2346676

Ying Wu, Rita Elaine Silver, Libo Guo

{"title":"Traditional Chinese Medicine: Communicating Informational and Symbolic Functions in the Linguistic Landscape.","authors":"Ying Wu, Rita Elaine Silver, Libo Guo","doi":"10.1080/10410236.2024.2346676","DOIUrl":"10.1080/10410236.2024.2346676","url":null,"abstract":"While dissemination of information is a key function of health communication, signage at medical facilities has other functions: signs can be a type of marketing (e.g., services offered), can promote credibility and inspire trust, can exacerbate or ameliorate social inequalities and can provide educational opportunities. All of these functions are influenced by cultural, contextual and social factors as evidenced by a linguistic landscape (LL) perspective. Traditional Chinese medicine (TCM) is a particularly instructive case for considering the functions of signage in healthcare LL as it has a strong cultural component from its historical Chinese roots, but its practice has been popularized around the globe in recent years. Given the role of TCM as a main or complementary medical treatment and healthcare option, this study investigates TCM LLs as sites of healthcare communication. Specifically, we analyze a set of 1,659 signs from two TCM hospitals in a multilingual, ethnic minority region of China as a case study which can be useful for healthcare providers when considering their own use of LL. We describe the way language and other sign features are used for informational, symbolic and other functions, showing how explicit communication channels as well as implicit ideological channels can impact healthcare communication. We discuss these findings in light of the need for healthcare communication which is sensitive to stakeholder needs.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"382-393"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155135","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

Health Messaging Strategies for Vaping Prevention and Cessation Among Youth and Young Adults: A Systematic Review. 在青少年中预防和戒除吸食毒品的健康信息策略：系统回顾。

IF 3 3区医学

Health Communication Pub Date : 2025-03-01 Epub Date: 2024-05-14 DOI: 10.1080/10410236.2024.2352284

Jiaxi Wu, Emelia J Benjamin, Jennifer Cornacchione Ross, Jessica L Fetterman, Traci Hong

{"title":"Health Messaging Strategies for Vaping Prevention and Cessation Among Youth and Young Adults: A Systematic Review.","authors":"Jiaxi Wu, Emelia J Benjamin, Jennifer Cornacchione Ross, Jessica L Fetterman, Traci Hong","doi":"10.1080/10410236.2024.2352284","DOIUrl":"10.1080/10410236.2024.2352284","url":null,"abstract":"This systematic review evaluates health messaging strategies for the prevention and cessation of e-cigarette use among youth and young adults. Health messaging strategies were defined as the strategic process of developing messages with the intent to shape, reinforce, or change recipients' health attitudes and behaviors. McGuire's Communication/Persuasion Model guided the analysis of the messaging strategies, focusing on the model's five communication inputs (i.e. source, message, channel, audience, destination) and 14 persuasive outcomes. Nine databases were searched from January 2007 to September 2023. The inclusion criteria encompassed studies in English that presented quantitative data on messaging strategies aimed at discouraging vaping among youth and young adults. Each study was also coded for study characteristics and the utilization of theory. Out of 6,045 studies, 25 met the inclusion criteria. The reviewed studies exhibit a diverse array of research methods and a consistent integration of theories. The review emphasizes the nuanced main and interaction effects of various communication inputs, such as message features and audience characteristics, while also pointing out a research gap in message sources. In addition, the utilization of social media for effective messaging to engage the audience requires further research. Only one study specifically evaluated messaging strategies for vaping cessation. More research is imperative to develop targeted and tailored messages that effectively prevent and reduce vaping, especially among populations at higher risk of vaping-related harms, while also leveraging effective channels and innovative communication technologies to engage the audience.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"531-549"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922063","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

Validation of the Self-Efficacy Questionnaire (SE-12-Gr) Assessing the Healthcare Professionals' Self-Reported Communication Skills with Older Healthcare Users in Greece. 自我效能问卷（SE-12-Gr）的验证，评估希腊医护人员与老年医护用户沟通技能的自述。

IF 3 3区医学

Health Communication Pub Date : 2025-03-01 Epub Date: 2024-05-06 DOI: 10.1080/10410236.2024.2348841

Areti Efthymiou, Argyroula Kalaitzaki, Michael Rovithis

{"title":"Validation of the Self-Efficacy Questionnaire (SE-12-Gr) Assessing the Healthcare Professionals' Self-Reported Communication Skills with Older Healthcare Users in Greece.","authors":"Areti Efthymiou, Argyroula Kalaitzaki, Michael Rovithis","doi":"10.1080/10410236.2024.2348841","DOIUrl":"10.1080/10410236.2024.2348841","url":null,"abstract":"Patients' satisfaction with their interaction with the healthcare providers has been found to correlate with adherence to therapeutic plans and better health outcomes. Healthcare providers are experiencing barriers when communicating with specific population subgroups, such as people with low health literacy, low education, and older age. Enhancing the communication skills of the healthcare providers working with older adults could facilitate their interaction with the patients. This study presents the validation of the Self-efficacy-12 (SE-12) in Greek. This is an instrument measuring healthcare providers' self-efficacy of communication skills used during their interaction with older patients. A sample of 230 healthcare providers working with older adults participated in the study. The scale showed good psychometric properties (S-CVI=.97, Cronbach a = .95, ICC = .81). A medium to high correlation was found with the generalized self-efficacy questionnaire. Exploratory Factor Analysis (EFA) yielded two factors (\"Self-efficacy in communication skills and strategies\" and \"Self-efficacy of successful interaction\") with good psychometric properties. The SE-12-GR is a brief, valid, and reliable tool for assessing self-efficacy of communication skills and it could be integrated as part of the health literacy tools for healthcare providers working with older people in Greece.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"481-491"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858223","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

Effects of Exposure to Conflicting Health Information on Topic-Specific Information Sharing and Seeking Intentions. 暴露于相互冲突的健康信息对特定主题信息共享和寻求意向的影响》（The Effects of Exposure to Conflicting Health Information on Topic-Specific Information Sharing and Seeking Intentions）。

IF 3 3区医学

Health Communication Pub Date : 2025-03-01 Epub Date: 2024-05-12 DOI: 10.1080/10410236.2024.2350844

Le Wang, Sarah E Gollust, Alexander J Rothman, Rachel I Vogel, Marco C Yzer, Rebekah H Nagler

{"title":"Effects of Exposure to Conflicting Health Information on Topic-Specific Information Sharing and Seeking Intentions.","authors":"Le Wang, Sarah E Gollust, Alexander J Rothman, Rachel I Vogel, Marco C Yzer, Rebekah H Nagler","doi":"10.1080/10410236.2024.2350844","DOIUrl":"10.1080/10410236.2024.2350844","url":null,"abstract":"Despite considerable evidence that exposure to conflicting health information can have undesirable effects on outcomes including public understanding about and trust in health recommendations, comparatively little is known about whether such exposure influences intentions to engage in two communication behaviors central to public health promotion: information sharing and information seeking. The purpose of the current study is to test whether exposure to conflicting information influences intentions to share and seek information about six health topics. We analyzed data from two waves of a longitudinal survey experiment with a nationally representative sample of U.S. adults (N = 3,920). Participants were randomly assigned to either a conflict or no-conflict message condition, in which they read news stories and social media posts about three (of six) randomly selected health topics at Time 1 and the remaining three at Time 2. The dependent variables, which were measured at Time 2, asked participants whether they intended to share or seek information about the three topics they had just viewed. Linear mixed effects models showed that exposure to conflict reduced intentions to share and seek information, regardless of health topic. These findings suggest that exposure to conflicting health information discourages two important types of health information engagement, thus adding to the growing evidence base documenting the adverse consequences of conflicting information for public health.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"522-530"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912152","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