Mandy L Dees, Janet S Carpenter, Krista Longtin, Deanna L Reising, Lucia D Wocial, Kristin N Levoy
{"title":"Nurse Leaders' Perceptions of the Use of the COMFORT Communication Training Intervention in Adult ICU Settings: A Qualitative Study.","authors":"Mandy L Dees, Janet S Carpenter, Krista Longtin, Deanna L Reising, Lucia D Wocial, Kristin N Levoy","doi":"10.1080/10410236.2025.2505788","DOIUrl":"https://doi.org/10.1080/10410236.2025.2505788","url":null,"abstract":"<p><p>Effective nurse-to-family communication is critical in intensive care units (ICUs), where high acuity and emotional complexity demand rapid trust-building and clear information exchange. This qualitative study explored ICU nurse leaders' perceptions of the COMFORT communication intervention, a structured, theory-driven model designed to enhance relationship-centered communication with families. Seventeen nurse leaders from a statewide health system participated in virtual focus groups assessing the COMFORT model's seven components of COMFORT: Connect, Options, Making Meaning, Family Caregiver, Openings, Relating, and Team for practicability, appeal, and relevance within ICU workflows. Directed content analysis revealed strong support for the Connect, Family Caregivers, and Openings components, emphasizing their foundational role in establishing rapport and supporting emotionally charged conversations. Components such as Relating and Options were perceived as less feasible due to time constraints and staff discomfort with sensitive discussions. Leaders recommended a phased, scaffolded implementation strategy using mobile technology to promote accessibility and just-in-time learning. Emphasis was placed on integrating training into onboarding and leveraging unit workflows to sustain communication practice over time. Findings suggest that nurse leaders view the COMFORT model as a practical and scalable framework to strengthen nurse-to-family communication. The study highlights the importance of tailoring communication interventions to clinical realities and leveraging leadership support to foster trust and engagement in critical care contexts.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183055","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}
Kallia O Wright, Hanna Birenbaum Cooper, Kaixu Yuan, Rutendo E Chimbaru, Diane B Francis
{"title":"Speaking in Metaphors: Exploring Black Women's Communicated Sense-Making of Postpartum Depression.","authors":"Kallia O Wright, Hanna Birenbaum Cooper, Kaixu Yuan, Rutendo E Chimbaru, Diane B Francis","doi":"10.1080/10410236.2025.2511874","DOIUrl":"https://doi.org/10.1080/10410236.2025.2511874","url":null,"abstract":"<p><p>Guided by the communicated sense-making model, we describe the results of an analysis of interviews with 15 Black women about their experiences with postpartum depression (PPD). The findings indicate that the women made sense of their experience using three categories of metaphors: (1) mobility, (2) cultural expectations, and (3) social support. These categories of metaphors provide evidence that the discourse of motherhood as distressing is expressed in the narratives of Black women with PPD, even as they seek to fulfill the demands of the discourse of motherhood as intensive. The metaphors also reveal that Black mothers with PPD struggle with the cultural pressure placed on them to act as a strong Black woman/mother. As a result, the participants demonstrate that cultural expectations expressed by their social network add to the motherhood as distressing discourse. Finally, the study makes an argument for the inclusion of metaphors as a viable and supporting device in the communicated sense-making model. Implications for practical and future applications are presented.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142386","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}
Angela L Palmer-Wackerly, Jessie Coffey, Lorey A Wheeler, Cassidy Emmerich, Leonardo Gonzalez, Virginia Chaidez, Laura Acosta, Julie A Tippens, Kazi Wahed, Weiwen Chai
{"title":"Centering U.S. Rural, Immigrant Latinx Adolescent Voices Through Narrative Mapping: Exploring a Novel Approach to Communicated Narrative Sense-Making.","authors":"Angela L Palmer-Wackerly, Jessie Coffey, Lorey A Wheeler, Cassidy Emmerich, Leonardo Gonzalez, Virginia Chaidez, Laura Acosta, Julie A Tippens, Kazi Wahed, Weiwen Chai","doi":"10.1080/10410236.2025.2499751","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499751","url":null,"abstract":"<p><p>In the current study, we explore how rural immigrant Latinx adolescents make sense of and cope with their experiences through narrative mapping. Narrative mapping is an arts-based research method consisting of intrapersonal sensemaking through drawing and interpersonal sensemaking through discussion with others. We theoretically ground our study in narrative resilience via communicated narrative sense-making (CNSM) theory's translational storytelling heuristic. We asked 20 immigrant Latinx adolescents, ages 15-18, from a small rural Nebraskan community, in which 70% identify as Hispanic/Latinx, to draw and discuss a story about their health, education, and/or stress. We found that students drew and explained their drawings and experiences to their peers through two narrative sense-making devices: <i>linear journeys</i> and <i>affective snapshots</i>, which included <i>comforting nature scenes</i> and <i>chaotic reflections</i>. We also found that they communicated narrative resilience through their narrative maps by telling stories of <i>overcoming challenges, aspiring toward future goals, reconnecting with others, centering in relaxation and calm</i>, and <i>processing uncertainty</i>. Students reported benefits, such as coherence and perspective, understanding and empathy, relaxation, and autonomy. They also reported the challenges of getting started and struggling with vulnerable disclosure. We discuss implications and future directions, including those suggested by adolescents. Our study answers scholarly calls for more research (a) using translational storytelling, (b) centering cultural identities and experiences in storytelling and resilience, (c) using arts-based research approaches, and (d) focusing on the psychosocial strengths, instead of deficits, of Latinx adolescents.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-19"},"PeriodicalIF":3.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142344","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}
Destin L Mizelle, Shemeka Thorpe, Hunter Savage, Candice N Hargons
{"title":"\"Nobody Ever Sat Me Down to Talk About That Kind of Stuff\": A Thematic Analysis of Heterosexual Black Men's Genital Hygiene Messages.","authors":"Destin L Mizelle, Shemeka Thorpe, Hunter Savage, Candice N Hargons","doi":"10.1080/10410236.2025.2505211","DOIUrl":"https://doi.org/10.1080/10410236.2025.2505211","url":null,"abstract":"<p><p>Men's genital hygiene and grooming practices are rarely discussed despite their importance for men's overall health. The purpose of this reflective thematic analysis is to understand the messages Black men received about genital hygiene using the theory of socialization. In 2022, <i>n</i> = 8 heterosexual Black men ages 24-43 participated in semi-structured interviews as a part of the Generation Genital (Gen2) Messages Study. Grounded in the culture-centered approach's epistemological commitment to centering marginalized voices, this study integrates sexual socialization theory as an analytical framework to examine how sociohistorical and sociocultural constructs of masculinity shape heterosexual Black men's grooming and hygiene practices. Results of the thematic analysis revealed eight themes related to Please provide missing details for Barkley, 2023 reference list entry.Black men's grooming and hygiene messages, which were then classified using sexual socialization theory (i.e. familial socialization, peer socialization, cultural socialization, and self-exploration). Our study's findings highlighted how differing levels of socialization enable and constrain messaging related to grooming and hygiene. Further, the results emphasize men's desire for more health communication regarding grooming and hygiene to maintain their health and protect their partners from illnesses. However, Black men in our study may have experienced hesitations about engaging in grooming, as it may compromise their already precarious standing within the culture of hegemonic masculinity. Finally, this study offered recommendations for parents, community organizers, and practitioners to help Black men and families engage in conversations about male hygiene and grooming practices.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101777","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}
Gregory A Cranmer, Meghnaa Tallapragada, Travis R Bell, Samantha C Bureau, Megan Ashworth, Rikishi T Rey, Joseph McGlynn, Zac Johnson
{"title":"Using the Theory of Planned Behavior in Considering the Efficacy of Encountering Concussion Intervention Materials Online.","authors":"Gregory A Cranmer, Meghnaa Tallapragada, Travis R Bell, Samantha C Bureau, Megan Ashworth, Rikishi T Rey, Joseph McGlynn, Zac Johnson","doi":"10.1080/10410236.2025.2504597","DOIUrl":"https://doi.org/10.1080/10410236.2025.2504597","url":null,"abstract":"<p><p>This study employs the theory of planned behavior (TPB) to consider the efficacy of sport-related concussion (SRC) education materials among collegiate club sport athletes. In particular, variations in the targeted behavior (i.e. self-reporting SRC symptoms or other reporting SRC signs in teammates), format (i.e. digital text or video), and the presence of a personal narrative were considered. Data obtained from 443 club sport athletes in contact or semi-contact sports revealed several noteworthy findings: (a) subjective norms were the best predictor of self-reporting intentions and the only predictor of other-reporting intentions, (b) subjective norms were not directly influenced by education materials, and (c) video-based education materials were beneficial for promoting favorable self-reporting attitudes and subsequently self-reporting intentions. These findings have theoretical implications for TPB that highlight the role of specific health contexts and practical significance for sport and health practitioners seeking to promote SRC reporting.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101778","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}
Rebecca K Ivic, Heather J Carmack, Gulmira Amangalieva, Grace Nicholas
{"title":"Thematic and Scholarly Trajectories in the Journal <i>Health Communication</i>.","authors":"Rebecca K Ivic, Heather J Carmack, Gulmira Amangalieva, Grace Nicholas","doi":"10.1080/10410236.2025.2505790","DOIUrl":"https://doi.org/10.1080/10410236.2025.2505790","url":null,"abstract":"<p><p>As health communication grapples with urgent challenges, including the politicization of health issues, global public health crises, and accelerating technological change, there is a growing need to understand how the field has evolved and where it is heading. Existing studies have laid important groundwork in analyzing <i>Health Communication</i>'s content and influence. Building on that work, this study offers a longitudinal perspective that captures broader thematic and authorship trends across more than three decades. This study explores thematic shifts and research trends in 2,648 original articles published in <i>Health Communication</i> between 1989 and 2023. Using a topic model, we identified five dominant themes: health campaigns, patient care and support, public health and risk communication, digital media in health, and behavior change interventions. Cohort analyses showed strong author retention and increasing diversity among contributors. Visualization techniques, including 3- and 5-year moving averages and heatmaps, revealed consistent growth in publication output and a broadening of research topics over time. Among several unexpected findings included the limited exploration of global health communication issues. These core findings demonstrate the journal's critical role in advancing health communication scholarship and provide insights into evolving research priorities and their implications for public health.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093425","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":"More Help from Friends and Family? Trends in Determinants of Surrogate Health Information-Seeking.","authors":"Leonie Bernhörster, Doreen Reifegerste","doi":"10.1080/10410236.2025.2502195","DOIUrl":"https://doi.org/10.1080/10410236.2025.2502195","url":null,"abstract":"<p><p>Friends and family members often choose to seek health information for a loved one, rather than all information-seeking being carried out by the patient for themselves. Despite the popularity of this proxy for health information-seeking behavior (PHISB), there is a lack of more current data on PHISB, as well as on changes in PHISB. We analyzed health information-seeking based on data from the two available waves of the HINTS Germany study <i>(2018/19: N = 2.147;2020: N = 1.865)</i>. HINTS Germany is a data set mapping health information behaviors in the German population, closely linked to the well-established U.S. HINTS. The results show an increase in health information-seeking of 6.2% (<i>p < .001</i>), between the first wave (36%; <i>n = 772</i>) and the second wave (42%; <i>n = 778</i>). A bivariate analysis followed by a hierarchical logit model yielded similar significant determinants for PHISB. Gender, being in a stable relationship, and different information sources were all found to be significant for health information-seeking. The results show the need for tailored population information for proxies, to improve their respective communication with patients.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077348","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":"A Study of Discourse on COVID-19 Vaccines from Conspiracy Communities on Reddit Using Topic Modeling and Sentiment Analysis.","authors":"Chun Zhou, Yuan Zhao","doi":"10.1080/10410236.2025.2505212","DOIUrl":"https://doi.org/10.1080/10410236.2025.2505212","url":null,"abstract":"<p><p>Given the limited research on the content attributes of anti-vaccination discourse regarding COVID-19 vaccines, our study investigated how conspiracy communities on Reddit, which may serve as potential anti-vaccination groups, have framed their discussions about the vaccines. Using topic modeling, we identified six topics including conspiracy theories and vaccine hesitancy, scientific (mis)information, vaccine policies and politics, vaccine efficacy, impact on special groups, and adverse effects. Furthermore, drawing on social identity theory and the concept of echo chambers, we explored the online dynamics of these communities by examining how negative sentiments and user engagement varied across topics. Negative sentiments were strongest in discussions about vaccine efficacy and adverse effects, with vaccine efficacy generating the most fear and sadness, while adverse effects elicited the most anger and disgust. Engagement also varied across topics, with vaccine efficacy and conspiracy theories generating the highest number of comments, and vaccine efficacy receiving the most upvotes. Our study provides valuable insights into the discourse surrounding COVID-19 vaccines within conspiracy communities. The variations across topics offer a more nuanced understanding of this discourse and could inform developing tailored strategies to counter misinformation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077085","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":"Relational Maintenance Behaviors Mediate the Relationship Between Alzheimer's Diagnosis Severity and Caregivers' Benefit Finding.","authors":"Julie Q Ball, Colter D Ray","doi":"10.1080/10410236.2025.2503401","DOIUrl":"https://doi.org/10.1080/10410236.2025.2503401","url":null,"abstract":"<p><p>Caregivers often experience stress, depression, anxiety, and various physical illnesses stemming from the demands and challenges of their caregiving role. However, adaptive coping mechanisms such as benefit finding can mitigate these outcomes. The present study explored the relationship between Alzheimer's diagnostic severity and caregivers' engaging in benefit finding and, more specifically, whether prosocial relational maintenance behaviors communicated by the patient to the caregiver mediates the relationship between severity and benefit finding. A sample of 152 current or former Alzheimer's caregivers completed an online survey measuring their care recipient's Alzheimer's diagnostic severity, their own propensity for benefit finding, and how often the care recipient performed relational maintenance behaviors toward them as the caregiver. Results showed no direct effect existed between Alzheimer's diagnostic severity and caregivers' benefit finding; however, the extent that patients performed relational maintenance behaviors with their caregiver mediated the relationship between Alzheimer's diagnostic severity and caregivers' benefit finding. The significant influence of relational maintenance behaviors underlines the importance and effect of communication between caregivers and care recipients throughout the progression of a disease like Alzheimer's.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077511","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}
Samee A Hameed, Anna Klyueva, Isabelle S Kusters, Julianna M Dean
{"title":"Examining the Roles of Communication and Trust in Patient-Provider Relationships and Their Association with Patient Satisfaction with Care.","authors":"Samee A Hameed, Anna Klyueva, Isabelle S Kusters, Julianna M Dean","doi":"10.1080/10410236.2025.2502456","DOIUrl":"https://doi.org/10.1080/10410236.2025.2502456","url":null,"abstract":"<p><p>Patient-provider relationships can significantly influence patients' perceptions of quality of care and generally affect patient trust in healthcare providers. The purpose of this study was to investigate how communication based on CAT strategies can enhance the patient-provider relationship, ultimately improving patients' perceptions of the quality of care they receive. Additionally, we examined the relationship between patients' trust in the cancer- and health-related information provided by their doctors and their satisfaction with the quality of care. Data from the 2022 health Information National Trends Survey (HINTS 6, <i>n</i> = 6252 surveys) was used. Results demonstrate that the use of CAT strategies that encompass three domains - emotional expression, interpersonal control, and interpretability - play a larger role in patient satisfaction with quality of care than trust in health-related information from their doctor alone. To improve satisfaction with care, these findings show possible targetable domains of patient-provider relationship building in healthcare.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990487","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}