Journal of Communication in Healthcare最新文献

{"title":"Development, implementation, and evaluation of an intervention to improve multidisciplinary communication about complex patients.","authors":"Amy B Hooberman, Jessica Ameling, James Henderson, Matthew Bucala, Milisa Manojlovich, Yvette Salamey, Jeremy B Sussman","doi":"10.1080/17538068.2025.2473249","DOIUrl":"10.1080/17538068.2025.2473249","url":null,"abstract":"<p><strong>Background: </strong>Complex patients require multidisciplinary input for optimal care, but this can lead to fragmented care. This project aimed to improve multidisciplinary communication, care coordination, and patient satisfaction in primary care clinics.</p><p><strong>Methods: </strong>Multidisciplinary team meetings focused on discussing complex patients over six months. Pre- and post-intervention surveys assessed changes in communication and satisfaction among healthcare providers and staff. Patient surveys evaluated their satisfaction with care. The generated action items at multidisciplinary meetings, such as new referrals, were categorized to evaluate the impact on care coordination.</p><p><strong>Results: </strong>Post-intervention surveys showed positive responses regarding improved teamwork, communication, and patient care, but ongoing challenges in the selection of patients and team meeting participants. On average, there were 2.3 new referrals per patient, indicating enhanced care coordination.</p><p><strong>Conclusions: </strong>Multidisciplinary team meetings showed promise in enhancing communication, care coordination, and staff satisfaction. Ongoing refinement and assessment are necessary to optimize their feasibility and effectiveness over a longer time period.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"174-181"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568492","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":"Communication strategies to enhance organ donation requests across cultures: a review of the literature.","authors":"Margot Phillips, Áine Lorié, Tess Lauricella, Arabella S Begin, Helen Riess","doi":"10.1080/17538068.2025.2462424","DOIUrl":"10.1080/17538068.2025.2462424","url":null,"abstract":"<p><strong>Background: </strong>Requesting consent for deceased organ donation is a uniquely challenging communication that has profound consequences at the individual and population level. Communication between requesters and family decision-makers who come from different cultures must be better understood. This review aims to identify communication variables that influence consent for organ donation in cross-cultural requests, with a goal of enhancing end-of - life experiences for families and increasing access to life-saving transplants.</p><p><strong>Methods: </strong>We conducted a MEDLINE search of English language studies from 1996-September 2022. Inclusion criteria required that studies examine in-person requests for deceased organ donation and include both cross-cultural and interpersonal factors in the study analysis. 427 titles and abstracts were assessed by author-pairs, followed by 46 full text reviews.</p><p><strong>Results: </strong>Nine studies met inclusion criteria. Study locations included the United States (5), Israel (2), and Australia (2). Communication variables were grouped into three domains: pre-request, family approach, and request. The main outcome was likelihood of family authorization. Foreign birth and language and high religiosity were associated with lower likelihood of family approach and consent. Interpreter use was negatively associated with authorization, as was lower family satisfaction of interactions with medical staff. Perceptions of family willingness to donate and communication practices of requesters differed by family race. Family ratings of requester communication skills were less favorable in racially discordant requests.</p><p><strong>Conclusions: </strong>A small number of international quantitative studies assess the effect of cross-cultural communication on organ donation requests. Findings indicate a significant impact on the experience of family decision-makers and suggest an overall negative association with consent. Strategies to alleviate barriers to communication in cross-cultural requests are suggested along with areas for future research.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"160-173"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504590","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":"A comparative analysis of CDC and AI-generated health information using computer-aided text analysis.","authors":"Anna Young, Foluke Omosun","doi":"10.1080/17538068.2025.2487378","DOIUrl":"10.1080/17538068.2025.2487378","url":null,"abstract":"<p><strong>Background: </strong>AI-generated content is easy to access. Members of the public use it as an alternative or to supplement official sources, such as the Centers for Disease Control and Prevention (CDC). However, the quality and reliability of AI-generated health information is questionable. This study aims to understand how AI-generated health information differs from that provided by the CDC, particularly in terms of sentiment, readability, and overall quality. Language expectancy theory serves as a framework and offers insights into how people's expectations of message content from different sources can influence perceived credibility and persuasiveness of such information.</p><p><strong>Methods: </strong>Computer-aided text analysis was used to analyze 20 text entries from the CDC and 20 entries generated by ChatGPT 3.5. Content analysis utilizing human coders was used to assess the quality of information.</p><p><strong>Results: </strong>ChatGPT used more negative sentiments, particularly words associated with anger, sadness, and disgust. The CDC's health messages were significantly easier to read than those generated by ChatGPT. Furthermore, ChatGPT's responses required a higher reading grade level. In terms of quality, the CDC's information was a little higher quality than that of ChatGPT, with significant differences in DISCERN scores.</p><p><strong>Conclusion: </strong>Public health professionals need to educate the general public about the complexity and quality of AI-generated health information. Health literacy programs should address topics about quality and readability of AI-generated content. Other recommendations for using AI-generated health information are provided.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"205-216"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052147","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":"Physicians on the move: practices for shaping a professional medical persona in a second language.","authors":"Oliwia Szymanska","doi":"10.1080/17538068.2025.2484056","DOIUrl":"10.1080/17538068.2025.2484056","url":null,"abstract":"<p><strong>Background: </strong>Numerous healthcare studies emphasize the impact of linguistic background on physician-patient communication. Cultivating a credible professional image through proficient communication skills is essential for promoting patient compliance and achieving positive treatment outcomes. Language proficiency influences a physician's sense of self and ability to provide quality healthcare. This study aimed to explore the practices used by physicians trained in their country of birth to develop a trustworthy professional identity in a second language.</p><p><strong>Method: </strong>The data included transcripts from video-recorded consultations (n = 40, total duration t∼22.5 h) conducted in Norwegian outpatient clinics (n = 6). These consultations involved interactions between Polish physicians (n = 8) and Norwegian patients. Using observational and qualitative analyses, the study focused on identifying recurrent phenomena in the physicians' utterances. To contextualize the findings, qualitative analysis was conducted with the Corpus of Doctor-Patient Conversations from Akershus University Hospital (Ahus). Additionally, insights were obtained from audio-recorded interviews with two participating physicians and two other Polish physicians practicing in France. The data sets complemented each other to demonstrate the generalizability of key communication aspects that physicians should consider when using second-language skills with patients and colleagues.</p><p><strong>Results and conclusions: </strong>Foreign physicians employ various practices to address the diverse and intricate aspects of medical conversations. Establishing a professional stance involves steering the consultation, highlighting one's expertise and humor, and incorporating explanations from the native language. Effective communication is achieved through the substitution of medical terminology with everyday words as well as the use of figurative language, paraphrasing, and repetition.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"182-195"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721759","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":"Integrating AI in health and risk communication: opportunities, challenges, and ethical considerations.","authors":"Renata Schiavo","doi":"10.1080/17538068.2025.2567740","DOIUrl":"https://doi.org/10.1080/17538068.2025.2567740","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"18 3","pages":"153-155"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293737","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":"Patriarchal dominance and relationship: couple communication's mediating effect on sexual and reproductive health outcomes among Rohingya refugee women.","authors":"Muhammad Zakaria, Muhammad Aminul Islam, Md Khadimul Islam, Muhammad Ridwan Mostafa, Aklima Begum, Kazi Mehedi Hasan","doi":"10.1080/17538068.2025.2496014","DOIUrl":"10.1080/17538068.2025.2496014","url":null,"abstract":"<p><strong>Background: </strong>Considering the patriarchal dominance, power dynamics, and relational issues in the Rohingya society, this study used dyadic power theory and social penetration theory to examine how husbands' dominance in sexual and reproductive health (SRH) and couples' disclosure influence their couple communication about SRH. It also explored the mediated effect of couple communication on their SRH-related outcomes.</p><p><strong>Methods: </strong>This quantitative study was designed with a cross-sectional survey (<i>N</i> = 408) at the Rohingya refugee camp in Cox's Bazar district of Bangladesh. Different bivariate analyses, hierarchical regression, and mediation analysis were performed.</p><p><strong>Results: </strong>Findings show that having a job, having less children, couple's regular access to the health center, better SRH-related perceptions and beliefs, having husband's approval of family planning (FP), and broad couple relationship breadth appeared to be significant factors (<i>p</i> < .001) of couple communication regarding SRH. Additionally, couple communication significantly (<i>p</i> < .001) mediated the influence of the husband's approval of FP and couples' broad relational breadth on women's contraceptive use, SRH behavior, and husbands' support in SRH.</p><p><strong>Conclusions: </strong>The study findings highlight that couple communication can potentially involve men in women's SRH and improve refugee women's SRH status, as husbands are the key decision-makers in the Rohingya society.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"227-238"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049789","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":"Communicating health information at the community level in Nigeria: examining common practices and challenges.","authors":"Akogwu James Abah, Enyi Etiaba, Obinna Onwujekwe","doi":"10.1080/17538068.2025.2487380","DOIUrl":"10.1080/17538068.2025.2487380","url":null,"abstract":"<p><strong>Background: </strong>Communicating health information at the community level is a vital strategy in managing community health issues in Africa. This study examines the different practices of communicating health information towards improving community health in Nigeria, and how effective they have been. The social cognitive theory (SCT) provides the conceptual framework for the study.</p><p><strong>Methodology: </strong>A qualitative study was carried out in three states from three out of the six geopolitical zones of Nigeria. The states were Akwa Ibom State (South-south), Anambra State (South-east) and Kano State(North-west). The primary data for the study were collected from a diverse group of stakeholders cutting across community leaders, policy-makers, and informal and formal health providers, using ninety in-depth interviews and twelve Focus Group Discussions (FGDs). Thematic analysis was used to explore the data.</p><p><strong>Result: </strong>Different practices of communicating health information in Nigeria include organizing meetings among community members, training community health workers, data/records management, community collaboration for health, use of educational institutions, and community advocacy. The study identified inadequate finance, shortage of manpower, lack of motivation and cultural beliefs as barriers to effective practices of communicating health information at the community level.</p><p><strong>Conclusion: </strong>There are unsystematic and sub-optimal communications of health information at the community level, which can militate against such information and hinder the effective delivery of health programmes to communities. Hence, health communication and promotional interventions should align with the needs of the communities, encompassing their structural, cultural, social, religious and economic systems.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"217-226"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812560","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":"Evidence-based medicine concepts for patients: improving shared decision-making.","authors":"Clovis Mariano Faggion","doi":"10.1080/17538068.2025.2469387","DOIUrl":"10.1080/17538068.2025.2469387","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"156-159"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568493","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":"Disaster communication and preparedness among middle-aged and older Latino migrants and seasonal farmworkers in western Oregon.","authors":"James R Muruthi, Sabrina Raqueno-Angel, Yang Di, Bertranna A Muruthi, Amanda S McRell, Heather H McClure","doi":"10.1080/17538068.2025.2514981","DOIUrl":"10.1080/17538068.2025.2514981","url":null,"abstract":"<p><strong>Background: </strong>Effective communication is essential for emergency preparedness, public health, and wildfire recovery. However, existing emergency communication is often tailored for individuals proficient in English, leading to the marginalization of middle-aged and older Latino migrant and seasonal farmworkers (MSFWs) who lack English proficiency. This study explored the perceptions, communication, and coping strategies of MSFWs in Southern Oregon during the 2020 wildfire disaster, addressing a significant gap in disaster communication research.</p><p><strong>Methods: </strong>We conducted seven in-depth interviews with key informants and one MSFW focus group (<i>N</i> = 11). Key informants included local health and service providers, teachers, and activists. Thematic analyses were used to analyze the data.</p><p><strong>Results: </strong>The sample's perceptions of the disaster revealed fear, sadness, uncertainty, loss, and stress before, during, and after the fires. Most strikingly, the research highlighted the stark absence of coordinated public disaster communication tailored to this population. Communication relied on informal channels such as word of mouth, visible signs, and cell phone usage. Post-disaster narrations emphasized community resilience in recovery efforts and more public service involvement in the health and wellness of the respondents.</p><p><strong>Conclusion: </strong>These results communicate the dire lack of structured disaster communication for the respondents and their immediate community. Timely group-appropriate communication is a basic need for equitable preparedness for inevitable natural disasters for the respondents. Disaster communication interventions should leverage community-based organizations to enhance mass communication through community-identified media such as cell phones and community conversations. Such communication must use the population's native language or Spanish at a minimum.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"196-204"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235479","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":"Involving people living with brain injuries and communication difficulties in service improvement: an appreciative inquiry approach.","authors":"Ian Davies-Abbott, Sara da Silva Ramos, Rudi Coetzer, James McGoldrick","doi":"10.1080/17538068.2025.2565064","DOIUrl":"https://doi.org/10.1080/17538068.2025.2565064","url":null,"abstract":"<p><strong>Background: </strong>Person-centred health communication balances the contributions of service providers and users. However, people living with brain injuries typically find their voices excluded from service developments. Person-centred communication in service development promotes collaboration, self-identity and empowers services to be designed by and for their population.</p><p><strong>Methods: </strong>Seven people living with acquired brain injury and eight healthcare staff members from two specialist brain injury rehabilitation centres engaged in Appreciative Inquiries to develop their vision for the service and plans to move the service closer to that vision.</p><p><strong>Results: </strong>The narrative approach of Appreciative Inquiry supported people living with brain injuries to share a professional and personal vision for the service. Developments included vocational training and more varied therapies for patients alongside educational opportunities for staff and access to research trials. Raising public awareness was also considered an important role for the service as well as working with younger people regarding prevention.</p><p><strong>Conclusions: </strong>Appreciative Inquiry may be successfully used to support people living with brain injuries and communication difficulties to democratically contribute to research and service developments. Researchers and service providers should consider how it might be applied with this population and other seldom heard members of society.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193380","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}