Introdução: A comunicação é o processo pelo qual ocorrem compreensão e compartilhamento de mensagens enviadas e recebidas, sendo que o conteúdo destas mensagens exerce influência no comportamento das pessoas envolvidas. Atualmente, a área da saúde tem utilizado ferramentas de cuidado à distância para prestar assistência aos pacientes em diversos contextos - a chamada Telessaúde. A influência desta modalidade de cuidado sobre a natureza e o conteúdo da comunicação deve ser muito bem compreendida, visto que o processo de comunicação humana adequado é essencial na assistência à saúde com qualidade. Objetivos: avaliar a percepção do profissional da saúde referente a elementos de Comunicação Humana no cuidado por Telessaúde. Os objetivos específicos foram: verificar que elementos de Comunicação Humana o enfermeiro e o médico identificam no cuidado por Telessaúde, e discutir, por meio dos achados, em que aspectos essa modalidade de cuidado pode impactar na comunicação interpessoal entre os profissionais de saúde e, consequentemente, na assistência aos pacientes. Método: pesquisa descritiva, com abordagem qualitativa, realizada com 20 profissionais que atuam em telessaúde no Brasil. Os dados foram coletados com médicos e enfermeiros por meio de sistema de vídeo ou áudio, no período de junho a outubro de 2014. O número de participantes foi determinado pela saturação de dados, conforme metodologia adotada. Os dados foram analisados pela proposta de análise de conteúdo de Bardin. Resultados: Dos discursos emergiram quatro categorias principais, sendo a maioria composta de subcategorias: Entendendo a importância da comunicação (Comunicação adequada é fundamental, pois interfere na conduta; Identificando as barreiras de comunicação); O relacionamento interpessoal interferindo na comunicação; Comunicando-se por meio da tecnologia (Tecnologia facilita a prática; Entendendo os fatores que dificultam a comunicação à distância; Identificar o não verbal por telessaúde é mais difícil) e Aprendendo o processo de comunicação (Não há dificuldades em comunicar-se; Importância do aprendizado da comunicação verbal e não verbal; Importância do aprendizado da telessaúde). Conclusão: Concluímos com este estudo que a comunicação interpessoal adequada na área da saúde é considerada primordial por médicos e enfermeiros que atuam em Telessaúde no Brasil porque acreditam interferir em sua conduta profissional. O relacionamento interpessoal é o principal fator de interferência nesse processo. A tecnologia tem facilitado a prática profissional, porém, do ponto de vista comunicacional, o cuidado à distância apresenta nuances que dificultam o processo de comunicação, principalmente devido à dificuldade de percepção do não verbal na assistência por telessaúde. Para superar estas dificuldades, médicos e enfermeiros concordam que a comunicação é uma competência que deve ser lecionada aos profissionais durante sua formação e, especificamente para atuação à distância, esta habilidade deve ser ensinada considerando as nuances que a distância pode trazer no processo comunicacional entre as pessoas. / Introduction: Communication is the process through which understanding and sharing of sent and received messages occur, considering that the content of these messages influences the behaviour of people involved. Nowadays, the health care segment has used distance care tools to serve patients in different contexts - the so-called Telehealth. The influence of this type of care on the nature and content of communication must be well understood, since the adequate process of human communication is essential in quality health assistance. Objectives: evaluate the perception of the health care professional regarding Human Communication elements in Telehealth care. The specific objectives were: verifying which elements of Human Communication the nurse and the doctor identify in Telehealth care, and dissussing, through findings, in which aspects this type of care can impact the interpersonal communication among health care professionals and, consequently, patients care. Method: descriptive research, with qualitative approach, performed with 20 professionals who work in Telehealth in Brazil. Data were collected from doctors and nurses through audio or video system, from June to October 2014. The number of participants was determined by saturation of data, according to adopted methodology. Data were analyzed by the content analysis proposal of Bardin. Results: From the discourses, four main categories emerged, and most are composed of subcategories: understanding the importance of communication (dequate communication is fundamental, because it interferes in behaviour; Identifying the limitations of communication); The interpersonal relationship interfering in the communication; Communicating through technology (Technologies facilitates practice; Understanding the factors that make distance communication difficult; Identifying the non-verbal through Telehealth is more difficult) and Learning the process of communication (There are no difficulties in communicating; The Importance of learnig verbal and non-verbal communication; The importance of Telehealth learning). Conclusion: We have concluded in this study that adequate interpersonal communication in health care is considered fundamental by doctors and nurses that work in Telehealth in Brazil because it is believed that it interferes with their professional behaviour. Interpersonal relationship is the main factor of interference in this process. Technology has facilitated professional practice, however, from a communicational perspective, distance health care presents nuances that make the process of communication difficult , maily due to the difficulty of perception of non-verbal aspects in Telehealth care. To overcome these difficulties, doctors and nurses agree that communication is a competence that must be taught to professionals during their professional education and, especifically to work at distance, this ability must be taught taking into consideration the nuances that distance may bring in the communication process among people.

Master of Science / Department of Journalism and Mass Communications / Nancy W. Muturi / Stigma towards mental illness is a problem that runs deep in most societies, causing difficulties for the people who are ill, the people related to them, and the community (Papadopoulos, Leavey, & Vincent, 2002). Stigma is one of the most crucial reasons for depressed people to avoid seeking help. Numerous interventions and campaigns for reducing public stigma have been implemented with limited effect on mental health stigma. Previous studies have focused on effectiveness of anti-stigma messages, how they are communicated and on the use of contact strategies to strengthen campaign influence (Jensen, 2017). This study examined how the key elements of the attribution theory— locus of causality, stability, and controllability – contribute to public emotional reaction and discrimination towards people with depression. Other vital variables included the level of perceived stigma, level of contact with stigmatized persons, six dimensions of stigma, communication channels, the access to depression-related resources and demographic factors. Data were gathered through an online survey that was distributed to a random sample recruited from M-Turk (N=533). Results showed negative associations between locus of causality and negative emotions (β = -.38, t = -9.47, p =.000), and discrimination (β = -.10, t = -2.41, p =.02), which means that the more participants believe the situation are responsible for the cause of depression, the more negative emotion and intention of discrimination they held. Among all information channels, Interpersonal Channel was the only significant predictor of discrimination (β = .21, t = 4.29, p =.000). Overall, this study shows that more empathy and more familiarity with depression do not lead to less discrimination. On the contrary, participants believed people with depression were easily controlled by the situation and did not put effort to change it.

Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.

The final speaker was Nick Hagemeier, PharmD, PhD, Associate Professor of Pharmacy Practice at East Tennessee State University shared his research experience on drug abuse prevention and insight into coalition involvement and next steps for policy and practice advancement to reduce substance abuse and misuse. His presentation entitled “Community Activation, Collaboration, and Communication” took JCPP member organization representatives on a journey through his experience in the field of substance abuse disorder treatment and advocacy. Hagemeier spoke about his role with the Prescription Drug Abuse Working Group, which has an interprofessional focus with monthly meetings on-campus and at community-based sites. The working group has developed multiple products through active involvement. Some of the products include: Coordination of Regional Task Force on Naloxone 75+ Educational Presentations to Stakeholders Continuing Medical Education Collaboration NIH/NIDA – funded DIDARP Research Team Health System Collaboration: Overmountain Recovery Services (MAT) Collaboration to promote storage and disposal on campus Hagemeier then discussed the work of the ETSU Center for Prescription Drug Abuse Prevention and Treatment. The Center encompasses four main areas: Administration Core, Patient Care, Education & Outreach, and Research & Evaluation. From these core areas, more detailed work with state contracts, proposals for research, health professions education, clinical training curricula, counseling services, opioid treatment program management, dissemination of products, policy and advocacy, partnership, and dissemination of products occur. Hagemeier shared media articles on the implementation of work from the Center and highlighted how the work of the Center impacts each phase of the timeline of opioid use disorder from non-use to death. In closing, Hagemeier took the attendees back to school and walked through multiple case studies that highlight the research initiatives of the Center. One case study of note highlighted a pharmacist’s comfort in dispensing buprenorphine / naloxone, which noted only around half would dispense these items and even less would discuss addiction treatment goals with patients. He recapped the multiple policy, education, and practice issues that he has experienced and noted that much more work is needed to provide patients with adequate prevention and treatment programs.

The current study examined verbal and non-verbal problem skills in twenty-seven male children 10-16 years of age, twelve with autism and fifteen children who were neurotypical. The goal of this study was to assess problem solving abilities of children with autism when compared to gender and age matched peers. The twenty-seven participants completed two assessments of the Rapid Assessment of Problem Solving and one online assessment of Raven’s Standard Progressive Matrices. Results of this study showed a .92 reliability of the RAPS for all twenty-seven participants. Correlation between the RAPS and RPM was .419 for all participants. The results of this study indicate a decreased ability to problem solve in children with autism when compared to their neurotypical age and gender matched peers. This study also indicated an increase from verbal problem solving to non-verbal problem solving in children with autism, indicating difficulty with the cognitive load required to solve problems verbally.

Antiretroviral treatment pre-exposure prophylaxis (PrEP) is an effective daily prevention medicine to reduce risks of HIV infections in high-risk populations. The current study examined PrEP uptake among gay men using the integrative model of behavioral prediction (IMBP) as the theoretical framework. Briefly, the IMBP states that attitude, norms, and behavioral control predict intention, which then predicts behavior. The intention-behavior relationship is moderated by actual control variables: skills and environmental constraints. To examine how IMBP variables affect PrEP uptake among gay men, I first conducted formative elicitation interviews with gay men; then I used the results from the interviews to construct the main survey. Then, the project recruited 500 gay men to participate in the survey, half of whom were PrEP takers and half of whom were not. The results of path modeling showed that attitudes and norms predicted behavioral intention, and intention predicted PrEP uptake among gay men. Results of moderation analyses testing the influence of skills and environmental constraints showed that HIV knowledge, lack of access to a doctor(s), and lack of health care system knowledge were significant moderators between intention and PrEP uptake. The practical implications, theoretical contributions, and empirical advancements were discussed.

The study of metaphor has moved from abstraction and poetics into the realms of cognitive science and cultural studies. Rather than being seen as purely figurative and secondary to literal meaning, investigation of metaphors reveals a close relationship to our processes of reasoning, a capacity to both reveal and cover, and a plasticity that forms within surrounding cultural values. I reviewed current metaphor theory, including its concerns and justifications, and designed a simple survey experiment through the Qualtrix webpage. The survey was distributed via the Amazon Mechanical TURK system. The experiment, in two different versions, briefly described obesity and then asked participants to describe their attitudes toward, and preferred solutions for, this emerging public health issue. The paragraphs differed only in the metaphor used to describe obesity. Based upon a metaphorical framing hypothesis, it was predicted that obesity as an "infectious epidemic" would bias readers towards societal causes and a preference for public policy changes, while obesity as "simple calorie math" would bias readers towards individualized causes, and less support for public policy changes. The hypotheses of the study were not supported; there was no significant difference in participant responses between frame conditions. Possible reasons for non-significant results include the survey format, unique aspects of obesity as a public health problem, and participants' level of media exposure to obesity. However, this study could be easily altered into various iterations to confirm or deny many aspects of brief metaphorical framing.

This thesis examines the relationship between physician communication style and patient satisfaction in the diagnostic medical interview. Patient satisfaction is a critical issue for health care organizations today. Health care organizations are coping with the recruitment and maintenance of patient consumers in a competitive and costly market. The literature indicates that effective communication between the physician and the patient is important to patient satisfaction. The physician needs to structure the medical visit in order to acquire medical information and, at the same time, invite communication with patients to determine their concerns and needs. Patient satisfaction may ensue if the patient perceives the physician as possessing a positive communication style.

This dissertation examines end-of-life experiences at a small Zen hospice in the Pacific Northwest region of the United States. Through an exploration of how end-of-life communication, sense-making, decision-making, and care in this setting differ from that of typical clinical settings, this project highlights and interrogates the experiences of dying as spiritually, rhetorically, narratively, relationally, and communally bound events. Keywords: Zen hospice, end of life, narrative sensemaking, medical-ethical decision making, spirituality, healing rhetoric, communities of practice