{"title":"Using Animation to Address Disparities in Kidney Transplantation.","authors":"Thomas Hugh Feeley, Liise K Kayler","doi":"10.1080/10410236.2024.2421616","DOIUrl":"https://doi.org/10.1080/10410236.2024.2421616","url":null,"abstract":"<p><p>This essay reviews an arts-based project based in Buffalo, New York, seeking to educate patients with kidney failure and their social network about the transplantation process. Through a multi-phase arts-based research project, informed by a community-based steering committee and key stakeholders, 33 educational animated videos were developed and tested for efficacy in samples of diverse patients at a regional transplant center. Animation was chosen for its potential to better explain health concepts more sensibly to patients and support knowledge dissemination to their social network, who may donate a kidney or support a recipient or donor. The videos are 2D, short in duration, and designed for easy viewing on small devices using characters, scenes, narration, and movement. Aesthetic choices reinforce learning: characters have confident posture, memorable features (e.g. hair style, clothing color) with minimal detail, and model diverse races, ethnicities, gender, and body types. Scenes feature light backgrounds, illuminate main images, and are as large as possible for small screens. Narration is slow, calm, and uses strategic pauses to introduce concepts. Movement is selective to reinforce the message (signaling). The animation was guided by self-efficacy theory and the cognitive theory of multimedia learning. Findings to date indicate promising results with respect to patient knowledge and the feasibility of using animation to address disparities in kidney transplantation. Figures illustrate the evolution of the project and provide examples of the art used to capture a given aspect of the transplantation process.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521746","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}
Cassandra L C Troy, Chris Skurka, Helen H Joo, Rainer Romero-Canyas
{"title":"Who is Willing to Learn About Inequality? Predictors of Choice Exposure to Messaging About Racial Disparities in Air Pollution Effects Among Black and White U.S. Residents.","authors":"Cassandra L C Troy, Chris Skurka, Helen H Joo, Rainer Romero-Canyas","doi":"10.1080/10410236.2024.2419192","DOIUrl":"https://doi.org/10.1080/10410236.2024.2419192","url":null,"abstract":"<p><p>Widespread public awareness is needed to address health disparities and push for effective and equitable solutions. However, in a high choice media environment, this can only be achieved to the extent that people opt to consume disparity messaging. Drawing on theories of selective exposure, the present research uses a pre-registered online study conducted with U.S. adult participants to examine identity-based predictors of choice exposure to a racial disparity message about the health consequences of air pollution. Findings indicate that racial identity and environmental justice awareness are key predictors of disparity message selection, likely motivated by information utility and a bias toward congenial information. Altogether, results underscore the difficulty of raising awareness of disparities beyond impacted or already well-informed groups and highlight the need to examine more creative messaging strategies in order to broaden public awareness.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521747","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}
Willow Craine, Bianca Siegenthaler, Jared V Worwood, Patrice M Buzzanell
{"title":"\"There's Going to be a Tipping Point Where I'm Not Gonna Be Able to Work\": Communicative Resilience Amidst Precarity in the Careers of Individuals with Autoimmune Diseases.","authors":"Willow Craine, Bianca Siegenthaler, Jared V Worwood, Patrice M Buzzanell","doi":"10.1080/10410236.2024.2421609","DOIUrl":"https://doi.org/10.1080/10410236.2024.2421609","url":null,"abstract":"<p><p>Throughout their career, people living with autoimmune diseases must navigate workplace precarity amidst ongoing disruptions to health and wellbeing. Informed by the communication theory of resilience (CTR), we conduct semi-structured, narrative interviews with 25 individuals living with autoimmune diseases to examine their career-related disruptions and communicative resilience enactments. Data analysis reveals two major themes: (1) disability as a discursive-material disruption and (2) career-triggering illness complications. Theoretically, our findings extend anticipatory and adaptive-transformative CTR tensions through the moment-to-moment disruptions that intersect this community's careers and health journeys. Practically, we seek to re-imagine workplace accommodations and disability to better meet both the health and work needs of stigmatized and chronically ill individuals, such as individuals with autoimmune diseases.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499191","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}
{"title":"Vicarious Acquisition of Learned Helplessness During the COVID-19 Campus Epidemics in China: Interactions Between Embodied and Mediated Experiences.","authors":"Jian Xu, Jing Jin, Cong Liu","doi":"10.1080/10410236.2024.2421613","DOIUrl":"https://doi.org/10.1080/10410236.2024.2421613","url":null,"abstract":"<p><p>Numerous universities nationwide announced urgent implementation of closed campus management due to the epidemics of COVID-19 in Chinese universities since March 2022, and a large number of students were under quarantine. This study aims to explore how embodied experiences (i.e., centralized quarantine and self-quarantine) and mediated experiences (i.e., exposure to media sources, pandemic information overload, and online help seeking) influence the acquisition of learned helplessness during the campus epidemics among the Chinese university students, besides, how do these two types of experiences interact with each other to elicit learned helplessness is another interested research question. The data was collected nationwide via an online survey platform from March 22nd to April 16 2022 immediately after the outbreak of campus epidemics. A total of 1267 valid student samples were retained. Hierarchical regression analysis showed that embodied experience of centralized quarantine is positively related to learned helplessness. Mediated experience of information access from friends on social media and government official media as well as online help seeking are negatively related to learned helplessness. Information access from overseas media and pandemic information overload are positively related to learned helplessness. Besides, the interaction between self-quarantine and pandemic information overload is positively related to learned helplessness. Theoretical contributions and intervention strategies aimed at enhancing authoritative communication and managing information overload during public health crisis were discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499195","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}
Sarah M Parsloe, Jose D Leon, Logan Allen, Seth Juncewski
{"title":"The Power of Puppetry as an Arts-Based Tool for Health and Disability Communication Research.","authors":"Sarah M Parsloe, Jose D Leon, Logan Allen, Seth Juncewski","doi":"10.1080/10410236.2024.2421617","DOIUrl":"https://doi.org/10.1080/10410236.2024.2421617","url":null,"abstract":"<p><p>In this article, we argue that using puppetry as a tool for arts-based research can enhance existing health and disability communication scholarship. We position interdisciplinary puppetry research alongside concepts and theories of interest to communication scholars, including entertainment education, embodiment and performance, communicated narrative sense-making, and dialogue. Then, we share an illustrative case study from our research with the nonprofit organization, MicheLee Puppets. Drawing from interviews with five puppeteers, we describe how the Live Puppet Chat program created unexpected opportunities to connect with neurodiverse spectators during the COVID-19 pandemic. Our \"crystalized\" narrative and thematic analysis demonstrates how puppeteers used puppet-objects to facilitate dialogue with chat participants. This involved (a) suspending disbelief, (b) suspending judgment, (c) communicating through the lens of (neurodiverse) empowerment, and (c) improvising for empowerment.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499194","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}
{"title":"Media Representation of Scientists in Jornal Nacional: Reaffirmation of Stereotypes During the First Year of the COVID-19 Pandemic.","authors":"Luisa Massarani, Thaiane Oliveira, Amanda Medeiros, Camilla Tavares, Charlene Soares, Eleonora Magalhães, Juliana Gagliardi, Lídia Maia, Marina Ramalho, Michelle Carneiro","doi":"10.1080/10410236.2024.2420143","DOIUrl":"https://doi.org/10.1080/10410236.2024.2420143","url":null,"abstract":"<p><p>In response to the COVID-19 pandemic, scientific authorities were routinely consulted by mainstream media outlets through interviews, statements and/or supporting images. In this framework, our goal in this study was to analyze the media representation of scientists in Brazil during the first year of this global public health crisis. To this end, we applied a research protocol and, using statistical techniques, quantitatively analyzed newscasts on the country's main TV news program, Jornal Nacional. On this program, scientists were interviewed about \"vaccination,\" a topic of broad interest given that the vaccine had been described from the onset of the COVID-19 pandemic as a response to cope with the public health crisis. We discuss information about gender, age, and race, the speaking time and screen time of these social actors, the format in which scientists are inserted into news reports, and the presence/absence of science icons. The data reveal that the predominant image of the scientist transmitted to the audience - a mature white man - reinforces stereotypes that persist in the media and in the public understanding of science.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499193","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}
{"title":"Impersonal Sex and Pornography: Potential Confounding, Moderation, and Implications for Public Health.","authors":"Paul J Wright, Robert S Tokunaga, Debby Herbenick","doi":"10.1080/10410236.2024.2419196","DOIUrl":"https://doi.org/10.1080/10410236.2024.2419196","url":null,"abstract":"<p><p>Following the recent exhortations of health communication scholars to continue the study of pornography and its potential impact on health-related behaviors, the present study investigated associations between the frequency of pornography use and six indicators of impersonal sex among a national probability sample of US adults. Impersonal sex has been linked to a variety of important public health outcomes, including STD risk and sexual aggression perpetration. In this study, pornography use was positively correlated with the likelihood of engaging in group sex, having sex with a casual partner, having sex without emotional intimacy, experiencing heightened sexual pleasure during non-relational sex, relational infidelity, and perceiving the receipt of sexual pleasure from others as the best thing about sex. No evidence emerged that these associations were spuriously due to high sex drive individuals being both more likely to consume pornography and engage in impersonal sex. But several were conditional on age. Most importantly, countering the conventional wisdom that sexual media are most likely to affect the sexual behavior of young audiences, the strength of the positive association between pornography use and the likelihood of engaging in group sex and casual dyadic sex was larger among older adults and weaker among younger adults.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499192","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}
Yuyuan Kylie Lai, Jizhou Francis Ye, Changhao Yan, Luxi Zhang, Xinshu Zhao, Matthew Ting Chi Liu
{"title":"From Online to Offline: How Different Sources of Online Health Information Seeking Affect Patient-Centered Communication in Chinese Older Adults? The Roles of Patient Activation and Patient-Provider Discussion of Online Health Information.","authors":"Yuyuan Kylie Lai, Jizhou Francis Ye, Changhao Yan, Luxi Zhang, Xinshu Zhao, Matthew Ting Chi Liu","doi":"10.1080/10410236.2024.2419194","DOIUrl":"https://doi.org/10.1080/10410236.2024.2419194","url":null,"abstract":"<p><p>Despite the increasing prevalence of online health information seeking (OHIS) among older adults, its impact on patient-centered communication (PCC) outcomes remains unclear. Drawing from Street's ecological framework of communication in medical encounters, the present study examined the mediation role of patient activation in the relationship between OHIS across three media channels - social media, search engines, and mobile health applications (mHealth apps) - and PCC. Furthermore, it examines the moderation effect of patient-provider discussions of online health information. A national survey of 916 older Chinese adults aged 60-78 was conducted. The findings indicate that OHIS across the three channels can indirectly enhance PCC through patient activation. Moreover, OHIS via mHealth apps is positively associated with PCC, while the relationship between OHIS via social media/search engines and PCC is not significant. The interaction between patients and healthcare providers regarding online health information positively moderated all indirect paths. Notably, a great proportion of older adults (77.7%) engaged in discussions about online health information with healthcare providers. These findings emphasize the importance of considering various media channels and highlight the pivotal role of patient activation in bridging the gap between OHIS and satisfactory healthcare interactions, especially in the Chinese context.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463396","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}
{"title":"Narrative Mapping: A Topography of Listening as Healing.","authors":"Marie Thompson","doi":"10.1080/10410236.2024.2414471","DOIUrl":"https://doi.org/10.1080/10410236.2024.2414471","url":null,"abstract":"<p><p>Across multiple and diverse populations, exigent inquiries, and in and out of the classroom, an ethic for listening as a way of being has been central to the methodological and pedagogical practices that undergird narrative mapping. Additionally, the author suggests that in situating the practice of listening as crucial to both communication and healing, we are equally bound to an ethic of creating space. As listeners for the other, we commit to holding space for those silences where participants meet themselves in stillness, a place where they might listen deeply to the self, first. Where narrative mapping creates space for respite in contemplation, participants speak of gaining greater clarity and keener insights about health, healing, and being. The process of listening promotes healing across diverse entities, underscoring the multifaceted nature of narrative mapping, which serves as a research practice, pedagogy, and intervention.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463398","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}
{"title":"Understanding Family Caregiver's Self-Initiated Expressions of Concern: Prevalence, Content, Emotional Implication, and Opportunity for Doctor's Empathic Responses in Chinese Pediatric Primary Care.","authors":"Nan Christine Wang","doi":"10.1080/10410236.2024.2419701","DOIUrl":"https://doi.org/10.1080/10410236.2024.2419701","url":null,"abstract":"<p><p>Despite the significance of patient expressions of concern in medical interaction, existing research has found that doctors often fail to respond to them or even overlook them. Based on a dataset of video-recorded naturally occurring medical conversations in Chinese pediatric primary care, this study aims to systematically investigate the expressions of concern initiated by the family caregivers of pediatric patients and the responses of doctors. The results show that family caregivers actively initiate expressions of concern, covering a wide range of topics. Doctors respond to these concerns in 68.8% of the cases, while the rest are interrupted, ignored, or minimally acknowledged. In addition, as commonly found in other clinical and cultural contexts, family caregivers rarely express their emotional distress explicitly but rather indicate their underlying emotions implicitly. These findings suggest that a better understanding of the full range of family caregiver's self-initiated expressions of concern and their complexities provide important opportunities for doctors to identify and respond to them empathically.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463402","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}