Journal of Communication in Healthcare最新文献

{"title":"Validating measurement of social norms for entertainment-education: a five-factor model.","authors":"Amy Henderson Riley, Richard W Hass, Dunia Tonob, Francesca Ciocco, Joseph J Bish","doi":"10.1080/17538068.2024.2418199","DOIUrl":"10.1080/17538068.2024.2418199","url":null,"abstract":"<p><strong>Background: </strong>Though the measurement of social norms is important for evaluating entertainment-education interventions, there is a dearth of validity evidence for measuring tools to assess different social norm constructs.</p><p><strong>Methods: </strong>Identical survey items were used to assess family planning norms among married Zambian women in 2019 and 2022 following an entertainment-education radio program intervention. Confirmatory Factor Analysis was used for confirmation of the internal structure of several subscales used to measure social norms found in a previous study.</p><p><strong>Results: </strong>There were no statistically significant demographic differences between participant groups at T1 and T2. CFA supported a five-factor model at T2 comprising descriptive norms (4 items), outcome expectations (3 items), and 3 different constructs capturing injunctive norms (3 items each).</p><p><strong>Conclusion: </strong>Results indicate good structural validity evidence for measuring social norms in entertainment-education using existing tools.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"34-38"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476862","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 future of health and risk communication.","authors":"Renata Schiavo","doi":"10.1080/17538068.2025.2469947","DOIUrl":"10.1080/17538068.2025.2469947","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543871","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":"Efficacy-focused and autonomy-supportive messaging in social media vaccine campaigns: insights from a Facebook split test.","authors":"Ge Zhu, Nicole Gauthreaux, Stephanie Evett, Caitlin Morris, Elizabeth Faber, Mark Vander Weg, Aaron Scherer, Natoshia Askelson","doi":"10.1080/17538068.2024.2408510","DOIUrl":"10.1080/17538068.2024.2408510","url":null,"abstract":"<p><strong>Background: </strong>In the context of social media vaccine campaigns, understanding the impact of message framing on audience engagement is crucial. This study examines the efficacy of messages centered on efficacy versus autonomy, informed by theoretical frameworks: the Extended Parallel Process Model (EPPM) and Self Determination Theory (SDT).</p><p><strong>Methods: </strong>Utilizing the Facebook A/B Split Test (FBST) feature, an online experiment was conducted to compare the response to two different messages: one emphasizing vaccine efficacy (EPPM-informed) and the other focusing on individual autonomy in making vaccine decisions (SDT-informed). The primary measure of interest was the number of clicks on a link directing to a pro-vaccine website.</p><p><strong>Results: </strong>The findings indicated that the autonomy-centered (SDT-informed) message resulted in a significantly higher click-through rate to the pro-vaccine website, particularly among users aged 65 and above. Furthermore, analysis of comments from Facebook users identified factors potentially contributing to vaccine hesitancy, with mistrust being the most dominant.</p><p><strong>Conclusions: </strong>The study underscores the importance of tailoring social media vaccine campaigns to address the autonomy needs of the target audience while considering trust-related issues to mitigate vaccine hesitancy. Emphasizing individual autonomy in vaccine decision-making processes can enhance engagement with pro-vaccine content, especially in older demographics.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355805","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":"https://doi.org/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":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","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":"Open access to pathology reports: potential harms and proposed solutions.","authors":"Alex P Tannenbaum, Paul S Weisman, Thomas D Harter","doi":"10.1080/17538068.2025.2462426","DOIUrl":"https://doi.org/10.1080/17538068.2025.2462426","url":null,"abstract":"<p><p>The Cures Rule permits patients to unfettered, immediate access of their documented health information unless medical providers 'block' this information. While the transparency of open notes has perceived benefits for clinic-based progress notes, the extension of the Cures Rule in its current form to include pathology reports could lead to unintended harms. Several consequences for both patient and provider are identified by examining hypothetical cases, inspired by patient and provider experiences, of misunderstood diagnoses and unexpectedly discovered cancers in seemingly benign tissue. Identified consequences include patient confusion, increased distress, harm to the patient-provider relationship, and moral injury to providers. These unintended consequences may be mitigated through several harm-reducing strategies: informed release, individualized delay, and the 'pop-up' warning. While each presented harm-reducing measure has pros and cons, they all have the potential to improve patient care from where it currently stands.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415612","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":"Doctor on call: physician smartphone use during medical consultations.","authors":"Amit Gur, Eilat Chen Levy, Yaron Ariel","doi":"10.1080/17538068.2024.2444795","DOIUrl":"https://doi.org/10.1080/17538068.2024.2444795","url":null,"abstract":"<p><strong>Background: </strong>Being inherently service oriented, healthcare organizations emphasize patient-centered care and service quality. However, unwarranted disruptions during patient-doctor interactions can negatively impact perceptions of service quality. Integrating digital technologies such as smartphones into patient-doctor interactions might affect perceived (as well as actual) service quality. Given the ubiquity of smartphones in daily life, it is vital to assess their impact on medical consultations.</p><p><strong>Method: </strong>To address this lacuna, we examined patients' perceptions of their physicians' smartphone use during medical encounters. We investigated how these perceptions, either interruptive or constructive, affect the perceived service quality and patient satisfaction. Data from an online survey of 356 participants provided insights into patient comfort levels, perceived justifications, service quality perceptions, and overall satisfaction when physicians used smartphones during consultations in the past year.</p><p><strong>Results: </strong>Patients view physicians' smartphone use during consultations as interruptive, which affects perceived service quality and satisfaction. They were more accepting when smartphone use was related to professional tasks or urgent personal matters rather than routine use. Notably, there was no correlation between patients' smartphone habits and their perceptions of disruptive smartphone use by their physicians.</p><p><strong>Conclusion: </strong>This study expands our understanding of the implications of physician smartphone use in healthcare and highlights ways to boost patient satisfaction and perceived service quality. The findings suggest that healthcare organizations should develop policies and physician training to minimize disruptive smartphone use and encourage clear communication regarding essential work-related use during patient consultations.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898818","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":"Public health professionals' views on climate change, advocacy, and health.","authors":"Julia Kish-Doto, Gwendolyn Roberts Francavillo","doi":"10.1080/17538068.2024.2441547","DOIUrl":"https://doi.org/10.1080/17538068.2024.2441547","url":null,"abstract":"<p><strong>Background: </strong>Public health professionals (PHPs) are seeing an increased impact of climate change on the physical and mental health of their communities. Diverse climate change strategies and interventions are needed to equitably protect people's health. Yet, limited information exists on U.S. health professionals' willingness to communicate with the public about climate change and act on the issue.</p><p><strong>Methods: </strong>We used a pre-existing survey to assess the willingness of 173 PHPs to participate in climate change advocacy. Variables included beliefs, attitudes and risk perceptions of climate change, perceptions of the local impact of climate change on health, communication barriers and resources for communicating about climate change and health, and the perceived role of PHPs in mitigating climate change.</p><p><strong>Results: </strong>Key findings included: (1) Belief in climate change is not unanimous among PHPs; (2) PHPs are worried about climate change (93.3%) and agree the issue of climate change is of personal importance (97.1%); (3) Participants are seeking resources/trainings (57.8%) on climate change (4)The main barriers of advocating for climate change are lack of time (54.3%) and knowledge (46.3%); (5)) Respondents acknowledge health impacts due to weather-related events are caused by human activities (83.2%) and (6) views of climate change are determined by willingness to advocate and take action to mitigate climate change (<i>R</i>² = .251; <i>p</i> = < .001).</p><p><strong>Conclusions: </strong>Although the majority of PHPs believe climate change is happening, this belief is not unanimous and steadfast. Opportunities remain on how health professionals can better inform, educate, and empower others about climate change and health.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865259","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":"Adaptation in communication technology utilization: caring for individuals with chronic conditions in South Asia during the Covid-19 pandemic.","authors":"Retno Aulia Vinarti, Anna Tjin, Carol Troy, Anna Goodwin, Rory Rutherford, Yaohua Sophie Chen, Iracema Leroi, Roger O'Sullivan","doi":"10.1080/17538068.2024.2438451","DOIUrl":"https://doi.org/10.1080/17538068.2024.2438451","url":null,"abstract":"<p><strong>Background: </strong>During the Covid-19 pandemic, people with chronic conditions experienced delayed or missed care, while their carers endured social isolation, loneliness, and reduced support. Information communication technology (ICT) can be utilized to encourage continuity of care, address misinformation, and allocate support. This study aimed to identify factors associated with the ICT adaptation of South Asian carers of individuals with chronic conditions by comparing changes in ICT utilization and preferences before and during the pandemic.</p><p><strong>Method: </strong>416 South Asian carers reporting feelings of loneliness and isolation were identified from the Coping with Loneliness, Isolation and Covid-19 (CLIC) online survey. Descriptive statistics and multinomial regression models were utilized.</p><p><strong>Result: </strong>The most commonly used ICT modality was auditory, followed by written and audio-visual. Four variables identified were: social network size and relationship proximity, Covid-19-induced distress, age, and living arrangements. We identified a negative correlation between social network size and ICT frequency/intensity, reductions in communication frequency/intensity associated with Covid-19-induced distress, working-age carer (18-60) preference adaptation toward written communication during the pandemic, written and auditory ICT fluency in carers spending time alone by choice, and aversion from auditory ICT in carers who lived and were often alone involuntarily.</p><p><strong>Conclusion: </strong>The findings provide insights into South Asian carers' ICT usage, preferences, and adaptation in response to the pandemic. The findings aid in the development of health and social care pathways that fulfil local caregivers' unmet support and resource needs.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819662","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":"Experts of their own experience: adolescent and young adult cancer patients' advice-giving as a coping mechanism.","authors":"Nicholas T Iannarino, Nina Francis-Levin, Julianna Corrao, Daria Stelmak, Chiu Yi Tan, Erin Ellman, Anao Zhang, Lindsey A Herrel, Molly B Moravek, Rashmi Chugh, Emily B Walling, Bradley J Zebrack","doi":"10.1080/17538068.2024.2438446","DOIUrl":"https://doi.org/10.1080/17538068.2024.2438446","url":null,"abstract":"<p><strong>Background: </strong>To better understand informal coping strategies among adolescents and young adults (AYAs) with cancer, the current investigation asked AYA study participants to describe the 'advice' they would offer to hypothetical peers about coping following diagnosis. This study explores the utility of the single item 'advice' prompt for supportive oncology research and practice.</p><p><strong>Methods: </strong>AYA cancer patients (n = 27) aged 12-25 years were recruited through electronic health record query at a single-institution health system. Participants completed semi-structured interviews. Inductive themes were described regarding advice about informal coping strategies following cancer diagnosis. The Institutional Review Board approved this study (HUM#00157267).</p><p><strong>Results: </strong>Emergent advice themes included <b>(</b>1) attitude re/framing, (2) engage support network, and (3) self-advocacy. Participants advised cultivating a positive yet realistic attitude about the present and future. Reaching out to support network members and accepting help were advised, as was rebuffing unhelpful support. Participants also advocated for addressing medical information needs and building trusting relationships with clinicians.</p><p><strong>Conclusions: </strong>Soliciting AYA advice serves to identify informal coping mechanisms in response to life-stage-specific concerns. Future research is called to substantiate the utility of 'advice' as a single item tool for research and clinical questionnaires. Practice implications call for creating opportunities for AYAs to impart their advice to others (e.g. anonymous community message board) as a means of personal catharsis, altruistic service, and legitimizing AYAs as 'embodied' experts of their own experiences.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813452","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":"Patients' views on physicians' communication skills in telemedicine: Validation of Communication Assessment Tool among Bangladeshi sample.","authors":"Mohammad Aminul Islam, Tanvir Hasan, Shabnam Mostari, Taufique Joarder","doi":"10.1080/17538068.2024.2438474","DOIUrl":"https://doi.org/10.1080/17538068.2024.2438474","url":null,"abstract":"<p><strong>Background: </strong>Technological advancement has added new dimensions to the communication between physicians and their patients in healthcare settings worldwide. This study aimed to measure patients' views about physicians' interpersonal communication during telemedicine consultations by cultural adaptation and validation of the communication assessment tool (CAT) in Bangladesh.</p><p><strong>Methods: </strong>A cross-sectional phone survey was conducted among 400 patients who received healthcare services from a telemedicine centre in Bangladesh. Both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to test the dimensionality of the CAT-Bangla scale. The goodness of fit of the CFA was assessed using the comparative fit index (CFI), Tucker-Lewis index (TLI), Chi-square values, root-mean-square error of approximation (RMSEA) and standardized root mean squared residual (SRMR). The internal consistency reliability of the CAT-Bangla scale was assessed using Cronbach's alpha.</p><p><strong>Results: </strong>Factor analysis findings suggest that the CAT-Bangla scale is unidimensional with good internal consistency (Cronbach's α = 0.876). The individual item analysis findings suggest that most of the patients felt that the physicians treated them with respect (81% rated 'excellent') and allowed them to talk without interruption (73.5% rated 'excellent'). Overall, the level of satisfaction among patients regarding physicians' communication skills was high with a mean score of 4.36 (SD = 0.30) across all the 14 items. However, the patients were not satisfied with the amount of time that physicians spent with them as none of them reported 'excellent' in that domain.</p><p><strong>Conclusion: </strong>The CAT-Bangla scale is feasible, valid, and internally consistent for measuring physicians' communication skills in the telemedicine environment. This study can contribute to policymakers regarding the integration of learning communication skills of future physicians to competently deliver healthcare in the telemedicine environment. It would also help to understand various aspects of doctor-patient communication in a telemedicine context.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830179","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}