The discourse of older healthy adults is commonly described as lengthy and off-topic and thought to be associated with a general cognitive decline that occurs in healthy aging. This study investigated the overall decline in attention associated with healthy aging and its relationship to instances of off-topic speech (OTS) in a constrained and unconstrained language production task. Ninety cognitively healthy adults participated and comprised three age cohorts (40 – 75+). Participants completed cognitive measures of attention and two discourse tasks that included recounting personal events and describing a procedure. Older adults exhibited poorer scores on measures of selective and shifting attention, and elderly adults produced more OTS as compared to middle-aged (40s) and older (60s) adults in the unconstrained task only. Poorer scores of shifting attention were significantly correlated with more OTS in the older adults (60s) only. Overall, a marked increase in variability of language production was observed with advancing age. Results indicated the need for further research on the relationships between age, attention, OTS, and task type in healthy aging to determine an underlying cause for increasing variability of language production with age.

This study explores how people with medical concerns seek and perceive social support via Weibo—a social network site in China. The study conducts both a content analysis and an in-depth interview for a comprehensive understanding of the nature of social support on Weibo. Altogether 2548 postings and replies from four Weibo support groups—the Breast Cancer Group, the Arthritis Group, Baby Eczema Group and Children’s Health Group—were categorized into 9 types with a deductive thematic analysis; twenty participants from these four Weibo groups were recruited in the in-depth interview to explore how people seek and perceive social support from Weibo. Weibo stands out as a platform for people to exchange social support for its convenience, multiple functions, and strong ability to connect each other. Though there are some disadvantages of Weibo social support identified by Weibo users, they can, to some extent, be avoided and reduced under appropriate administration.

The theory of planned behavior is a great tool for understanding predictors of drug use, specifically marijuana. Although the theory has been applied in the U.S. and European context, research on the predictors of behavioral intention for marijuana use within the Arabian Gulf context is limited. This thesis provides an overview of the theory of planned behavior as used in the U.S. and European context. An argument for the need to better understand predictors of behavioral intentions to use drugs, in the Arabian Gulf Region, prior to developing interventions and preventions is presented. Data was collected from 95 participants between the ages of 18-25 who were from the six GCC countries. Participants had the option to complete the survey in English or in Arabic. Results of the study suggest attitudes are the strongest predictor for behavioral intentions to use marijuana. Knowledge and sensations seeking were not significantly related to behavioral intentions for marijuana use within the current sample.

Lymphoedema is a chronic health condition characterized by the accumulation of lymphatic fluid in the subcutaneous tissues resulting in arm swelling and can significantly affect physical and psychological health and QOL. Although significant research on lymphoedema has developed over the past decade, the literature reveals that there are gaps in knowledge on framing the illness, communication, and effective practices to improve the QOL for individuals living with lymphoedema. This research contributes to this growing field of research through a qualitative investigation of twelve women's reported understandings, experiences, and perceptions of lymphoedema using Brown’s (1995) theory of framing disease and illness. Semi-structured interviews were conducted with women living with lymphoedema to determine the impact of health messaging, to explore the ways in which these women made sense of conflicting messages on exercise, and to better understand how barriers to the effective adoption and integration of good management practices can be overcome.

A variety of programmes of health education are designed, addressing promotion of health of the Libyan community. These programmes employ various communication methods and use different education media. This research is the first to evaluate the national programmes of health education in Libya and to determine future needs. It compares health officials' assessments with those of the general public; providers and users. It also examines the health professionals' perceptions on their role in health education. Five questionnaires are used in this research. The first two questionnaires are designed for the evaluation purpose. The third and fourth questionnaires are to determine future needs. The fifth questionnaire is about health professionals' role in health education. Both of the groups, the officials and the general public, assessed TV as being the most effective health education medium. The general public favoured the 'spots' over regular programmes. Their assessment of the radio effectiveness was much lower. Officials, on the other hand, favoured regular programmes over 'spots', and placed radio's role only slightly lower than the impact of TV. Both of the groups recommended wide use of TV for future health education. Children and youth are considered the main groups to be targeted with respect to most of health issues. School is the most preferred setting to target the children. Youth and sport clubs are recommended in communicating with the youth. Assessment of future priority health issues attracted different responses from the two groups. Health professionals perceive that they are responsible for mediating health education and consider this role as important. However, effectiveness of the existing role of health professionals in health education in Libya is evaluated differently. Main barriers to an effective role are identified and required solutions are suggested. The findings of this research suggest the need for systematic consultation across professional and lay groups as a requisite preliminary for statutory health education/promotion initiatives. These findings also address the need for further work and research in certain areas.

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 156-170).

Online communication channels provide people with a vast amount of information from different sources. Health influencers on social media are one of the sources that people use to gain health information and support regarding health-related issues; they are people with different backgrounds and expertise that social media users follow and perceive to be experts in that field. This qualitative case study employs content analysis to analyze videos of three health influencers and explore the kind of expertise that each case communicates to their followers. Videos are analyzed based on an analytical framework that looks into Syntactic, thematic and rhetorical structures to explore how they frame their messages in order to be perceived as experts. The study detected three different kinds of expertise who have different styles in communicating their expertise and in framing their messages: the informative awareness expert, the self-referential expert and the practitioner expert. Further details on the different and common framing styles each expert used is discussed in this thesis. Analyzing expertise online provided an insight on health influencers characteristics and their strategies to perform their expertise. It also suggests the kind of health information seekers who could be interested in this kind of expertise. The research results provide insights on regulating the potential effects of health influencers online.

This exploratory study examined links between health communication and other constructs affecting health promotion and disease prevention among Haitian mother-daughter dyads living in West Central Florida, and the risk or protective factors for HIV. Risky sexual behaviors can be reduced with accurate and effective information provided through parent-adolescent communication (Coetzee et al, 2014; Ogle, Glasier & Riley, 2008; Hadley et al., 2009). In Haiti, a country that bears a disproportionate burden of HIV/AIDS, women are the most vulnerable (UNAIDS, 2016a); In the United States (U.S.), foreign-born Haitian women in the state of Florida experience health disparities in many areas and bear a disproportionate burden of HIV/AIDS relative to their non-Haitian peers but little is known about (Florida Department of Health [FLDOH], 2017; U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion [ODPHP], 2017). Indeed, the state of Florida recently reported that newly diagnosed cases of HIV increased for foreign-born Haitian women and in 2016, the latter represented 3.64% of all cases (Florida Department of Health, Bureau of Communicable Diseases, HIV/AIDS Section, 2017a). Recognizing that Haitian mothers traditionally bear the primary responsibility for transmitting traditional norms, values, health beliefs and practices, a concept referred to as poto mitan, this qualitative study examined risks and protective factors for HIV that may emerge in health and sexual health communication among Haitian mothers and daughters. This study comprised a two-phase process in which purposive sampling was first used to recruit and interview a focus group of seven health care providers and Haitian-descendant community leaders who engage Haitian-descendant clients in West Central Florida, after which findings from the focus group were used to strengthen a semi-structured interview guide that would be used to interview 10 Haitian mother/daughter dyads in the area. This study addressed a gap in the scientific literature related to health and sexual health promotion and disease prevention communication among Haitian immigrant women in the U.S., particularly surrounding HIV risk. Specifically, it sought to discover what constitutes specific methods that Haitian mothers use to communicate health and sexual health and the contents of such conversations, as well as the intention of daughters to transmit information that they received from their mothers, even here in the U.S. This study applied a constructivist grounded theory approach, in which Symbolic Interactionism (SI) and the Information-Motivation-Behavioral Skills Model (IMB) were triangulated as a framework. ATLAS.ti® 7.0, a software that supports analysis of textual data, was used to analyze transcripts from the focus group and from the interviews. Findings indicate that (a) Haitian mothers intentionally transmit specific and valued traditional knowledge about health and sexual health to their daughters, specifically in the areas of vaginal health, post-partum rituals, and abstinence as the acceptable mode of HIV prevention; (b) Haitian mothers in the study sample lack adequate and accurate knowledge about HIV/AIDS as well as the time to learn more that they can share with daughters; (c) Haitian mothers in the study sample do engage in direct communication about HIV prevention, taking advantage of teachable moments, using popular music and television programs; (d) there is a strong reliance on religious leaders and school systems to address health and sexual health instruction; (e) Haitian mothers in the sample reported and daughters confirmed that there is extremely limited conversation between the mothers and daughters surrounding sex, HIV risk reduction methods outside of abstinence. (f) Symbolic Interactionism is a useful framework for understanding the process of communication between Haitian mothers and daughters in this study; (g) IMB is useful to understand that the information being provided by Haitian mothers in this sample is at times insufficient and inaccurate, thereby limiting the ability of daughters to effectively and intentionally engage in conduct that protects their sexual health and reduces HIV risk. This study has several implications for social work education, research, practice, and policy. First, social work students must be taught to conduct comprehensive assessments of Haitian women in the context of valued Haitian family dynamics, and to engage in life-long learning regarding protective as well as risk factors for Haitian mothers and daughters. Second, Haitian and non-Haitian health providers who serve Haitian clientele could be surveyed regarding knowledge of health beliefs and practices and its potential impact on the health of their constituents. their Haitian patients. Third, researchers may use this study’s findings as a foundation for developing interventions that enhance strategies aimed at establishing rapport with Haitian clients and for assessing potential interactions between hidden health practices and prescribed medications. Fourth, findings suggest the need to develop interventions that empower trusted religious leaders to gain accurate HIV knowledge and to deliver empowering information effectively to their congregants. Fifth, findings suggest a need to develop outreach programs aimed at heightening HIV awareness and increasing HIV testing for Haitian women who are similar to this study’s sample. Sixth, social workers engaging Haitian female clients can make intentional efforts to include Haitian mothers in treatment. Seventh, this study’s findings underscore a need for social workers to advocate on behalf of Haitian immigrants’ efforts to be properly counted in the census, and to be counted as a culturally distinct group in other surveillance data. Social workers can benefit from understanding the strengths of relationships between Haitian mothers and daughters and to enhance their awareness of the heterogeneity among Haitians in general when working with Haitian clients. To work effectively with Haitian immigrant females overall requires cultural humility to mitigate the likelihood of bias towards them based on known or hidden traditional health beliefs and practices and gender roles.

Translation in Africa has been studied mostly through the prism of postcolonialism and literary studies. Some scholars have argued that this approach restricts translation studies scholarship on and about the continent. The gist of the postcolonial approach lies in the inherent power relations that exist in the inevitable cross-cultural contact arising from colonialism. Of late, some scholars have suggested that it is time to move beyond the post-colony. It is against such a backdrop that this dissertation broaches the study of translation phenomena in Africa from a developmental perspective. This thesis argues that the postcolonial era is not monolithic and that the African condition has evolved over the years. While it acknowledges the legacy of colonialism with all of its devastating consequences, the study understands the concept of the developmental context to offer the perspective of a continent in charge of its own destiny in contrast to the perspective that sees only a victim. Accordingly, this study seeks to explore translation practices within a developmental context and concentrates on one of the most important development issues: health. In line with global health priorities that now approach health from a preventive rather than a curative perspective, health promotion and communication have become central to the development agenda. This dissertation therefore discusses the historical, political, linguistic, socioeconomic, and cultural factors that inevitably affect translation in public health communication in Zambia and, to a lesser extent, the southern African region. While emphasizing the sociological context of the case study, this research takes translation as a cluster concept and a communicative act in order to investigate how translation is practiced. The research involves a contextual analytic exploration of a few selected health communication products. Drawing on Jakobson’s three types of translation, descriptive translation studies, and functionalist theories, this dissertation brings to light the importance of intersemiotic translation in societies that are anchored in oral culture.

Obesity is one of the most serious problems of the contemporary civilization. Although its causes are multifactorial, some authors blame media for the increase of obesity. However, media can also be seen from another perspective. It can be seen as a tool for activating people towards a healthier lifestyle and thus moderate obesity. This work is based on this second view. On the basis of the health communication are formulated requirements on informing about obesity. I use quantitative content analysis to verify whether Czech media works according to these requirements. I come to the conclusion that the Czech media fulfills the requirements only partially. Although media consider obesity as a problem and gives factually correct information, it blames mostly individuals, which is not in accordance with the recommendations of the health communication. Likewise, it offers mainly individual forms of solutions. Compared with foreign media it focus less on childhood obesity too.