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Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students' Patient-Centered Communication. 隐性种族偏见和标准化患者种族对遗传咨询学生以患者为中心的沟通的影响。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-06-07 DOI: 10.1080/10410236.2024.2361583

Chenery Lowe, Mary Catherine Beach, Lori H Erby, Barbara B Biesecker, Galen Joseph, Debra L Roter

{"title":"Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students' Patient-Centered Communication.","authors":"Chenery Lowe, Mary Catherine Beach, Lori H Erby, Barbara B Biesecker, Galen Joseph, Debra L Roter","doi":"10.1080/10410236.2024.2361583","DOIUrl":"10.1080/10410236.2024.2361583","url":null,"abstract":"Clinician racial bias has been associated with less patient-centered communication, but little is known about how it affects trainees' communication. We investigated genetic counseling students' communication during sessions with Black or White standardized patients (SPs) and the extent to which communication was associated with SP race or student scores on the Race Implicit Association Test (IAT). Sixty students conducted a baseline SP session and up to two follow-up sessions. Students were randomly assigned to a different White or Black SP and one of three clinical scenarios for each session. Fifty-six students completed the IAT. Session recordings were coded using the Roter Interaction Analysis System. Linear regression models assessed the effects of IAT score and SP race on a variety of patient-centered communication indicators. Random intercept models assessed the within-student effects of SP race on communication outcomes during the baseline session and in follow-up sessions (n = 138). Students were predominantly White (71%). Forty students (71%) had IAT scores indicating some degree of pro-White implicit preference. Baseline sessions with White relative to Black SPs had higher patient-centeredness scores. Within-participant analyses indicate that students used a higher proportion of back-channels (a facilitative behavior that cues interest and encouragement) and conducted longer sessions with White relative to Black SPs. Students' stronger pro-White IAT scores were associated with using fewer other facilitative statements during sessions with White relative to Black SPs. Different patterns of communication associated with SP race and student IAT scores were found for students than those found in prior studies with experienced clinicians.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"679-690"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283546","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 Investigation into Student Dietitians' Professional Development through Video-Mediated Communication Training on Patient Counselling. 学生营养师通过病人咨询视频沟通培训进行专业发展的调查。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-05-21 DOI: 10.1080/10410236.2024.2355440

Zeynep Parlak Özer, Ufuk Balaman

{"title":"An Investigation into Student Dietitians' Professional Development through Video-Mediated Communication Training on Patient Counselling.","authors":"Zeynep Parlak Özer, Ufuk Balaman","doi":"10.1080/10410236.2024.2355440","DOIUrl":"10.1080/10410236.2024.2355440","url":null,"abstract":"The aim of the study is to describe a student dietitian's professional development process in a video-mediated communication skills training cycle designed for undergraduate nutrition and dietetics education and including activities such as simulated and real patient counseling, feedback, and reflection. The design of the training cycle is inspired by (reflective) interventionist Conversation Analysis (CA) through researcher and trainer collaboration, and the data comes from the screen-recordings of video-mediated meetings. CA is used to analyze the video-mediated interactions on a moment-by-basis and trace the student dietitian's interactional change over time. CA examination of the data showed that the trainer identified listenership in simulated sessions as an improvable practice (i.e. due to repetitive overlaps and cutoffs) and used it as the basis for the intervention. In the post-intervention period, the student dietitian observably improved her listenership both in simulated and real patient counseling sessions. The video-mediated, interventionist, reflective, and data-led cycle played a role in the development of the interactional and professional practice of the student dietitian in ways transferrable to real patient counseling. The training cycle with evidence-based lectures, data-led interventions, and simulated/real patient counseling can be integrated to dietetics education curricula both for clinical communication training and preparing for future teleconsultation practices.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"574-584"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075670","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

"A Matter of Life and Death": Mitigating the Gray Digital Divide in Using Health Information Technologies in the Post-Pandemic Era. "生死攸关"：在后大流行病时代缩小使用卫生信息技术方面的灰色数字鸿沟。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-05-29 DOI: 10.1080/10410236.2024.2358279

Maxwell Huang, Yinjiao Ye

{"title":"\"A Matter of Life and Death\": Mitigating the Gray Digital Divide in Using Health Information Technologies in the Post-Pandemic Era.","authors":"Maxwell Huang, Yinjiao Ye","doi":"10.1080/10410236.2024.2358279","DOIUrl":"10.1080/10410236.2024.2358279","url":null,"abstract":"A pervasive issue in healthcare is that elderly populations have fallen far behind in using healthcare technologies, a phenomenon known as the gray digital divide. Even more concerningly, the COVID-19 pandemic has dramatically catalyzed health digitization with the potential for lasting demographic-wide impacts. Against this backdrop and drawing on both the digital divide literature and the unified theory of acceptance and use of technology (UTAUT2), we investigated elderly populations' usage of healthcare technologies through analyzing HINTS 6 (2022) survey data. Results show a widespread first- and second-level digital divide in using health information technologies (HITs) between people aged 65 and up and people aged 18-64, including Internet access, health-related Internet use, health-related social media use, health app use, use of wearable electronic health devices, telehealth visits, and accessing online medical records. Moreover, this study finds that education consistently positively predicts Internet use and use of various HITs by the elderly; income is the next reliable predictor but not as consistent as education. Health-related variables are less consistent in predicting the elderly's use of HITs. Theoretical and practical implications of these results are discussed to inform the mitigation of the gray digital divide in healthcare.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"620-630"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161899","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

Vested Interest Theory as a Framework for Understanding Anthropogenic Climate Change Risk Perceptions. 既得利益理论作为理解人为气候变化风险认知的框架。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-06-04 DOI: 10.1080/10410236.2024.2357443

Bradley J Adame, L D Mattson

{"title":"Vested Interest Theory as a Framework for Understanding Anthropogenic Climate Change Risk Perceptions.","authors":"Bradley J Adame, L D Mattson","doi":"10.1080/10410236.2024.2357443","DOIUrl":"10.1080/10410236.2024.2357443","url":null,"abstract":"Climate change due to anthropogenic activities is contributing to the systematic warming of Earth. A warming planet represents an existential threat to humanity, contributing to the increased frequency and magnitude of multiple natural hazards. The UN's Intergovernmental Panel on Climate Change (IPCC) notes that time is running out to create meaningful change to avert climate-related consequences. This research posits Vested Interest Theory (VIT) as a potentially useful framework for assessing attitudes and risk perceptions associated with anthropogenic climate change (ACC). Vested Interest Theory mediates the attitude-behavior relationship where highly vested individuals are more likely to behave in attitudinally-consistent ways. Vestedness is conceptualized as five distinct and observable variables: salience, certainty, immediacy, self-efficacy, and response-efficacy. To test VIT's efficacy in this context, a survey was conducted with participants crowdsourced from Amazon's Mechanical Turk platform (N = 1053). Participants responded to items designed to measure their individual vestedness in ACC consequences, risk perceptions, and behavioral intentions. This initial investigation shows that VIT's constituent variables predict consequential amounts of observed variance in critical variables including risk perception, perceived event severity, and behavioral intentions related to ACC hazard mitigation. The results support the use of VIT as a framework for understanding attitude-behavior relationships associated with ACC mitigation. Based on these findings, we argue that VIT can also serve as a valuable message design framework to motivate ACC-related mitigation actions.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"598-607"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237570","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

Mitigating Identity Threat in Health Messaging: A Social Identity Complexity Perspective. 减轻健康信息中的身份威胁：社会身份复杂性视角。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-05-22 DOI: 10.1080/10410236.2024.2358275

Xun Zhu, Youllee Kim

{"title":"Mitigating Identity Threat in Health Messaging: A Social Identity Complexity Perspective.","authors":"Xun Zhu, Youllee Kim","doi":"10.1080/10410236.2024.2358275","DOIUrl":"10.1080/10410236.2024.2358275","url":null,"abstract":"Health messages aiming to reduce red meat consumption may threaten multiple social identities because people's dietary choices are intertwined with personal, social, and cultural aspects of their lives. Leveraging social identity theory and the concept of social identity complexity, this experiment tested how identity-threatening messages affect people's intention to reduce red meat consumption and how the effect of identity threat may be moderated by messages highlighting the relationships between multiple identities that define a person. Participants (N = 409) read messages that varied identity threat (i.e. the extent to which people feel devalued because of their membership in a social group) and identity complexity (i.e. the extent to which people perceive multiple identities as independent). The study found that identity-threatening messages decreased intentions to reduce red meat consumption when people perceived their dietary identity as overlapping with other identities, but increased the intentions when the dietary identity was seen as independent from other identities. Further, the effects of identity threat and complexity were limited to people with high (vs. low) levels of red meat consumption. We discuss the role of identity complexity in alleviating identity threat and increasing persuasion.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"608-619"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081206","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

Narrating the Sociocultural Experience and Management of Stigma Related to Military Caregiving. 叙述与军人护理相关的社会文化体验和污名化管理。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-05-31 DOI: 10.1080/10410236.2024.2360177

Rikki A Roscoe

{"title":"Narrating the Sociocultural Experience and Management of Stigma Related to Military Caregiving.","authors":"Rikki A Roscoe","doi":"10.1080/10410236.2024.2360177","DOIUrl":"10.1080/10410236.2024.2360177","url":null,"abstract":"Despite accelerating the recovery and rehabilitation of wounded veterans and saving the U.S. substantial sums in avoided long-term care costs, military caregivers (MCs) are an underserved community lacking resources and support. On top of managing a variety of emotional, physical, relational, and occupational challenges, MCs experience stigma. Indeed, caregiving can be a stigmatized task, especially for military-affiliated individuals who may be expected to adhere to cultural norms of personal sacrifice and resilience in the face of adversity. The current study uses narrative inquiry to better understand the unique experiences and characteristics of MCs providing care for veterans experiencing posttraumatic stress. Specifically, this study examined MCs' narratives to uncover the sociocultural experience and management of stigma related to military caregiving. Interviews with 15 military caregivers of veterans experiencing PTS demonstrated that military caregivers experienced stigma for 1) staying in the relationship, 2) enabling the veteran, 3) mismanaging the condition, and 4) flaking on plans and relationships. In response to stigma, MCs often challenged stigma through strategies of denial or evasion of responsibility. This study contributes to communication scholarship by introducing co-stigma management and further interrogating processes related to stigma management communication. In addition, the results can inform Veteran Affairs (VA) healthcare, caregiver assistance programs, health practices, and support-seeking behaviors.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"642-653"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179664","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

Understanding the Political Frames of the Opioid Crisis: A Content Analysis of U.S. Senators' Tweets. 了解阿片类药物危机的政治框架：美国参议员推文内容分析》。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-06-11 DOI: 10.1080/10410236.2024.2364465

Anita Silwal, Zane A Dayton

{"title":"Understanding the Political Frames of the Opioid Crisis: A Content Analysis of U.S. Senators' Tweets.","authors":"Anita Silwal, Zane A Dayton","doi":"10.1080/10410236.2024.2364465","DOIUrl":"10.1080/10410236.2024.2364465","url":null,"abstract":"The opioid epidemic in the United States is a public health emergency that has triggered calls to action for policy reforms. However, variations exist between political parties and policymakers on how this issue is communicated to the public. With the substantial growth in the use of social media by policymakers as a tool for disseminating policy-related information affecting their constituents, examining their communication strategies on public health emergency issues is imperative. To better understand how U.S. Senate members use Twitter (now known as X) to communicate opioid-related issues, we conducted a quantitative content analysis of their opioid-related tweets (N = 697) from January 1 to August 25 2022. Findings reveal a significant political divide regarding how senators characterize the opioid crisis, influencing user engagement on Twitter. Guided by the moral foundation theory, the results suggest that Democratic senators were more likely to employ care/harm or fairness/cheating moral foundations, relative to Republican senators, who used more loyalty/betrayal or authority/subversion. Additionally, Democratic senators framed the opioid crisis as a health or policy issue, relative to Republican senators' immigration/border frame. For inclusion of information sources, Democratic senators included significantly more health sources compared to Republican senators' use of media or law enforcement sources. Issue frame and source type significantly influenced user engagement in the form of likes and retweets. These findings provide both practical and theoretical implications.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"748-762"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305772","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

The Cultural Influence of Familismo in Prompting Vaccination Against COVID-19 Among U.S. Latina/o/x Border Residents. 家庭观念对美国拉美/有色人种/x 族边境居民接种 COVID-19 疫苗的文化影响。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-05-14 DOI: 10.1080/10410236.2024.2353418

Arthur D Soto-Vásquez, Ariadne A Gonzalez, Edith Garza Garza, Wanzhu Shi, Nilda Garcia

{"title":"The Cultural Influence of Familismo in Prompting Vaccination Against COVID-19 Among U.S. Latina/o/x Border Residents.","authors":"Arthur D Soto-Vásquez, Ariadne A Gonzalez, Edith Garza Garza, Wanzhu Shi, Nilda Garcia","doi":"10.1080/10410236.2024.2353418","DOIUrl":"10.1080/10410236.2024.2353418","url":null,"abstract":"This study centers on familismo as a relevant cultural construct that adds a U.S. Latina/o/x perspective to the Health Belief Model. Employing a qualitative lens, we use in-depth semi-structured focus groups and interviews with participants living, working, and attending school in a mid-size city on the U.S./Mexico border on the decision to take the COVID-19 vaccine. We find that, for many members of these communities, getting vaccinated is seen as a way to protect not only oneself but also one's family, especially those with chronic health conditions, reflecting an obligation to prioritize the collective over the individual. We highlight various approaches that families take to discuss COVID-19 vaccines, ranging from women coordinating vaccination to a non-confrontational approach to the unvaccinated. The borderlands as a place also showcase the diversity of the U.S. Latina/o/x experience during the pandemic, since the perceived disparities of vaccine access in Mexico also seemed to cue the decision to get vaccinated. We propose this helps explain the exceptionally high vaccination rate in the city under study and seen in several other border communities. By illuminating how familial ties impact health communication surrounding this important issue, this study adds an expanded Latina/o/x cultural context for aspects of the Health Belief Model such as perceived severity and susceptibility.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"563-573"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922067","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

"Saving us to Death": Ideology and Communicative (Dis)enfranchisement in Misapplications of the 2016 CDC Opioid Prescribing Guidelines. "救死扶伤"：2016年美国疾病预防控制中心阿片类药物处方指南》误用中的意识形态与沟通（失）权。

IF 3 3区医学

Health Communication Pub Date : 2025-04-01 Epub Date: 2024-06-11 DOI: 10.1080/10410236.2024.2363674

Elizabeth A Hintz, Janelle Applequist

{"title":"\"Saving us to Death\": Ideology and Communicative (Dis)enfranchisement in Misapplications of the 2016 CDC Opioid Prescribing Guidelines.","authors":"Elizabeth A Hintz, Janelle Applequist","doi":"10.1080/10410236.2024.2363674","DOIUrl":"10.1080/10410236.2024.2363674","url":null,"abstract":"Guided by the theory of communicative (dis)enfranchisement (TCD), this study interrogates how interactions in which chronic pain patients are force tapered from their prescribed opioids are constrained and afforded by the hegemonic ideologies. To interrogate the harms caused for chronic pain patients by ideological policies enacted by the Centers for Disease Control and Prevention and assess what communicative mechanisms reify and resist such ideologies, this research analyzes 238 posts authored by chronic pain patient Reddit users. Reflexive thematic analysis illuminated a hegemonic ideology of opiophobia, (im)material ramifications of (a) discrimination by doctors, and (b) political and legal interference; mechanisms of reification: (a) positioning suicide as a rational option, (b) advocating for the use of illicit substances, and (c) stopping opioids voluntarily; and mechanisms of resistance: (a) counter-organizing and (b) counter-generating knowledge. We offer theoretical implications for the TCD and practical implications for patients, providers, patient advocacy organizations, and policymakers.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"702-712"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305770","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 Do Social Media Influencers Support College Students' Mental Well-Being? A Theory-Driven Content Analysis of YouTube Videos on Mental Health. 社交媒体影响者如何支持大学生的心理健康？基于理论驱动的YouTube心理健康视频内容分析

IF 3 3区医学

Health Communication Pub Date : 2025-03-31 DOI: 10.1080/10410236.2025.2484255

Miaohong Huang, Eyun-Jung Ki

引用次数: 0