Frontiers in Communication最新文献

{"title":"The (im)possibility of being a breastfeeding working mother: experiences of Ecuadorian healthcare providers","authors":"Maria J Mendoza-Gordillo, B. Bates, B. Vivat","doi":"10.3389/fcomm.2023.1153679","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1153679","url":null,"abstract":"Throughout the twentieth century, public health agencies and expert healthcare professionals have recognized breastfeeding as the most nutritious and appropriate option for feeding infants. The Ecuadorian government, in line with international guidelines, has therefore developed laws and initiatives to improve the initiation and maintenance of breastfeeding, especially among working mothers. However, breastfeeding rates in Ecuador are low.A qualitative methodology following social constructionist approaches was applied to explore the breastfeeding experiences of Ecuadorian women who are both mothers and healthcare professionals. Using snowball sampling, 60 healthcare professionals who breastfed their babies: 20 nurses, 20 physicians, and 20 nutritionists, took part in research interviews lasting between 30 and 92 minutes. All participants are currently offering telehealth or face-to-face consultation to their patients in Ecuador. Since Ecuador is a multicultural country, efforts were made to include participants from different regions of the country. Data gathering employed virtual semi-structured interviews including Photovoice. The interviews were carried out in Spanish, following a semi-structured topic guide. The data analysis employed constant comparative methods.The analysis produced three overarching themes: Integrating breastfeeding in life and work; Establishing space for breastfeeding at work; Negotiations and tensions. The first theme: Integrating breastfeeding in life and work addresses participants' corporeal and emotional experiences when breastfeeding. This theme also includes the participants' experiences of how they integrated their maternal identity and adapted their breastfeeding bodies to their daily routines. The second theme: Establishing space for breastfeeding at work includes the challenges that some women encounter when incorporating and seeking to combine breastfeeding in their professional identities. The third theme: Negotiations and tensions covers how this group of female healthcare professionals had to negotiate the time and space to continue breastfeeding their children while working.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48386116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to produce a diagnostic opinion at a distance? New forms of tele-expertise use in France and their transformational effects on healthcare practices in dermatology","authors":"D. Trupia, Alexandre Mathieu-Fritz, T. Duong","doi":"10.3389/fcomm.2023.1206364","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1206364","url":null,"abstract":"How to produce a diagnostic opinion at a distance, without seeing and examining patients? This is the challenge of tele-expertise (TLX), defined first in legal terms, as one of the five telemedicine acts in France. It consists of a particular form of healthcare practice in which a physician, known as the “requester”, solicits remotely the opinion of another practitioner, a specialist known as the “requested”, by sharing with him/her clinical information and photographs that he/she produces for this purpose, based on the medical examination of the patient. This practice is certainly not new; it is inherent to any medical activity where it develops outside of any legislative and regulatory framework, between practitioners who already know each other more or less well. So the novelty of the recent forms of TLX as a legally recognized medical act in its own right, relies mainly on the development of secure file exchange platforms within territorialized care networks, the systematization of these practices beyond the networks of acquaintances and their coverage by the health insurance. The purpose of this article is to describe the various usages of this new form of TLX, as well as to understand how they contribute to the in-depth transformation of care practices and organizations. It suggests doing so in the specific case of dermatology, through a qualitative study based on semi-directive interviews approximately with fifty French dermatologists, mainly requested experts, practicing TLX both in the context of private practice and in a hospital setting. The results of this empirical study are presented in three parts. First, we will consider the specificity of dermatological practice and describe the particular ways in which TLX is being implemented in this field, as a new framework. Then, we will report on the multiples efforts and skills needed to produce a diagnostic opinion remotely. We will lastly present various uses that dermatologists develop of TLX in different socio-organizational configurations. We will finally discuss how these uses transform the usual practices of dermatologists, not only by creating a new type of activity, but also by allowing them to participate differently in the organization of care pathways.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45091735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing illegal practices: intergenerational transfer and creative engagement as a way to compensate boomerang effects","authors":"Isabell Richter, Voon-Ching Lim, Kamal Solhaimi Fadzil, Oliver Riordan, S. Pahl, H. Goh","doi":"10.3389/fcomm.2023.1194099","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1194099","url":null,"abstract":"This study investigates the effectiveness of using an educational comic book to facilitate the intergenerational transfer of knowledge and intentions concerning dynamite fishing in Borneo, Malaysia. The aim is to explore how children can influence their parents' understanding of the issue and their willingness to address it within the community. Additionally, the research examines unintended reactions within the participant groups.The study employed a controlled experimental design with two groups: a treatment group exposed to the educational comic book and a control group without this intervention. Participants were families residing in communities where dynamite fishing is still practiced. Data collection included pre- and post-intervention surveys and follow-up measurements to assess short-term and long-term effects on knowledge and intentions.The findings revealed a successful intergenerational transfer of knowledge from children to parents, evident both in the short and long term. Furthermore, the intergenerational transfer of intentions demonstrated a two-fold pattern. The intention to discuss the dynamite fishing problem within the community was transferred from children to their parents at the second measurement point, highlighting the time required for the development of new intentions. A boomerang effect was observed for the intention to cease dynamite fishing among individuals reliant on fishing for their livelihood. This rebound effect was solely observed in the control group but was effectively mitigated in the treatment group, where engagement with the comic book influenced positive outcomes.The study's results underscore the power of intergenerational transfer of knowledge and intentions from younger to older generations, facilitated by educational comic books as a communication tool for addressing environmental issues. Moreover, a boomerang effect seen in the control group highlights the complexity of behavior change in economically motivated practices like dynamite fishing. Engaging interventions, such as educational materials, can play a crucial role in curbing these behaviors. Furthermore, the study emphasizes the necessity of carefully monitoring unintended reactions within participant groups, particularly in research related to sensitive topics.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43179538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The i-SUN process to use social learning analytics: a conceptual framework to research online learning interaction supported by social presence","authors":"Daniela Castellanos-Reyes, Adrie A. Koehler, Jennifer C. Richardson","doi":"10.3389/fcomm.2023.1212324","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1212324","url":null,"abstract":"Interaction is an essential element of online learning and researchers had use Social Learning Analytics (SLA) to understand the characteristics of meaningful interaction. While the potential for network analysis in education (i.e., SLA) is valuable, limited research has considered how best to use this emerging field to inform meaningful interaction in online settings. Online learning researchers need a concise and simplified framework for SLA to support interaction in online learning environments. Therefore, we present a conceptual framework to make SLA accessible for researchers investigating learners' interactions in online learning. The framework includes concepts from network theory and the online learning literature integrated into a new perspective to analyze learners' online behaviors and interactions. We analyzed existing models and frameworks to show how network analysis has been used in online learning resulting in a conceptual environment to investigate learner interaction. The proposed i-SUN framework has four main steps: (1) interaction, (2) social presence alignment, (3) unit of analysis definition, and (4) network statistics and inferential analysis selection. We also identified five ways in which the i-SUN model contributes to the advancement of SLA in online interaction research and provide recommendations for empirical validation. As part of a sequence of manuscripts, we seek to offer a unique perspective to online learning researchers and practitioners by focusing on the social and pedagogical implications of applying network analysis to understand online learning interaction.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43830917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Science, technology and art in the spoken expression of meaning","authors":"P. Barbosa","doi":"10.3389/fcomm.2023.1257945","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1257945","url":null,"abstract":"","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41488403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal health posts shared on Instagram: a content analysis of popular birthing and parenting accounts","authors":"N. George, Rachel de Long, Rukhsana Ahmed, M. Kacica, J. Manganello","doi":"10.3389/fcomm.2023.1190689","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1190689","url":null,"abstract":"Recent studies have found that maternal health knowledge gaps exist among Black women, especially related to postpartum complications. The prenatal period is a key time when pregnant women have direct access to evidence-based sources, such as healthcare providers, to obtain maternal health and pregnancy information. Yet, Black pregnant women are also more likely to forgo or engage in prenatal care later than their White counterparts. In recent years, social media has become an essential source of pregnancy-related information and has been shown to effectively improve pregnancy knowledge. Social media has the potential to inform pregnant women about important pregnancy and postpartum health information. Yet, no studies to date have explored the type of maternal health content Black women are exposed to on popular pregnancy and parenting Instagram accounts.This content analysis sought to identify what pregnancy topics appear and whether diverse birthing women's representation exists on Instagram accounts popular among birthing women. Instagram posts from three social media accounts commonly used for pregnancy and parenting information from 5/1/18 to 4/30/21 were collected and then screened for maternal health content.A total of 212 maternal health posts were identified. Maternal health content represented 5% (219 out of 4,572 posts) of all posts shared by all accounts. About 35% (69 out of 196) of the images shared on all of the accounts included people but lacked diversity.These results highlight significant missed opportunities to share maternal health and Black maternal health content to educate and promote diversity among women who utilize these popular parenting Instagram accounts. Social media can be a viable and innovative solution to help create and promote maternal health information equity.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46609593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital participation and digital education for people with profound and multiple disabilities and complex communication needs","authors":"Caren Keeley, Tobias Bernasconi","doi":"10.3389/fcomm.2023.1229384","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1229384","url":null,"abstract":"“Digitalisation” is the buzzword of many societal as well as social changes. Participation in society is increasingly realized digitally, which is why it is important to be involved in these processes and to participate in the digital world. The UN CRPD also assigns an important role to (digital) technology as a prerequisite for inclusion and participation. Universal design, accessibility, assistive technology, and reasonable accommodation should help to avoid exclusion for people with disabilities. People with profound intellectual and multiple disabilities (PIMD), who often have complex communication needs (CCN) in addition to severe cognitive impairments, have fundamentally limited opportunities for participation. These are also visible in the context of digitalisation. At the same time, digital media also offer specific opportunities, particularly for people with PIMD and CCN. Among other things through the combined use of assistive technologies, digital media can significantly facilitate their daily lives. The present paper examines the significance, requirements and challenges as well as the potentials of digital participation and digital education in the lives of adults with PIMD and CCN and presents considerations for the design of digital education for adults. Finally, a conceptual framework for digital education for people with PIMD is presented.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45896608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subliminal voices: barriers to healthcare and proposed interventions by international students and their families at a large research university in the Midwest","authors":"Soumitro Sen","doi":"10.3389/fcomm.2023.1180106","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1180106","url":null,"abstract":"Despite the vast numbers of international students in the U.S. as well as their contribution to the economy, their voices are rarely heard within the discursive spaces of the American academe. This study takes a step toward filling that gap and seeks to open up a platform where married, international graduate students at a large Midwestern university could communicate, in particular, the barriers they faced while accessing healthcare facilities for their families. Using a culture-centered approach to health communication, through focus groups and in-depth interviews, this study provides a discursive space where 22 international students and spouses articulate vivid narratives of the problems they encountered while negotiating the American healthcare system, revealing a basic issue of unaffordability of students' spousal health insurance, accompanied by a dire need for better communication between international students and the university, with there being a need for the latter to better explain to international students a healthcare system that is new to them, as well as communicating with them, with better clarity, the available healthcare options for them and their spouses. The participants also proposed interventions to redress the problems, including the need for better dissemination of information regarding healthcare.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49028182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward digital participation in individuals with Autism Spectrum Disorder","authors":"L. Pliska, Isabel Neitzel, U. Ritterfeld","doi":"10.3389/fcomm.2023.1224585","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1224585","url":null,"abstract":"Digital participation might have great potential for the everyday lives of individuals with Autism Spectrum Disorder (ASD). Previous research suggests that children with ASD enjoy and favor usage of digital technologies. As informative research on this topic is still sparse, this paper makes a contribution toward a better understanding of media usage in children with ASD.Parents of 15 boys aged 6 to 11 diagnosed with ASD in Germany were asked about their children's media usage. For comparison, parents of 78 typically developing (TD) children were surveyed online.Statistical analyses reveal no differences between boys with and without ASD in media use, frequency, and reasons for use. However, there is a significant group difference in parents' perceptions of difficulty of restricting their child's media use: Parents of children with ASD reported greater difficulties of restriction of their child's media use than parents of TD children.Digital media is an integral part of the daily lives of children with ASD and has the potential to increase the social inclusion of people with ASD through digital participation.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49012718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimodal impressions of voice quality settings: the role of vocal and visual symbolism","authors":"S. Madureira, Mario A. S. Fontes","doi":"10.3389/fcomm.2023.1114447","DOIUrl":"https://doi.org/10.3389/fcomm.2023.1114447","url":null,"abstract":"This study considers instances of voice quality settings under a sound-symbolic and synesthetic perspective, focusing on the auditory impressions these settings might have on listeners' attributions of meaning effects and associations between vocal and visual features related to emotional expression. Three perceptual experiments are carried out. The first experiment examined the impressionistic effects of eight voice quality settings characterized by differences in pitch. The second experiment examined the impressionistic effects of seven voice quality settings characterized by productions with the presence or absence of turbulent airflow, irregularity, and tenseness. The third experiment investigated associations between facial expressions of basic emotions and voice quality characteristics. Data are considered in terms of acoustic (fundamental frequency values), articulatory (reduced or expanded length of the vocal tract), perceptual impressions of size (big/small), strength (strong/weak), brightness (dark, clear), and distinctiveness (muffled/distinct), and visual features (facial expressions of the basic emotions sadness, happiness, anger, disgust, fear, and neutrality). The results provide corroborating evidence of existing links between sound and meaning and are discussed in relation to the frequency, production, sirenic biological codes, phonetic metaphors, and the vocal and facial gestures involved in emotional expression.","PeriodicalId":31739,"journal":{"name":"Frontiers in Communication","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41440782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}