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Today, mammography screening is the best method of detection for breast cancer, yet many women have never been screened and underprivileged, minority and rural women have lower screening rates then other populations. The purpose of this study, through individual interviews(N=88), was to understand the cues that women perceive to have received spurring them to participate in mammogram screening. The Health Belief Model guided this research. Media influence, Health Care Practitioner recommendation, social networks, and symptoms were the cues to action explored in this research prompting compliance to mammography screening. All four of these cues were found to influence women in screening behaviors. Family history emerged as a major overarching category as well as various cross categorical and emergent subcategories. This research provides support for the Health Belief Model and by exploring the data qualitatively, provides evidences for further research in communication cues to action prompting mammogram screening.

Poor interprofessional communication has been linked to decreased quality of patient care and increased numbers of medical errors. Increased occupational stress due to lack of effective interprofessional communication can lead to poor job satisfaction and burnout. The purpose of this study was to identify barriers to interprofessional communication as perceived by radiologic technologists. In particular, how did demographic data influence these perceptions? The research was conducted during June of 2009. The population for this survey consisted of registered radiologic technologists employed at hospitals in Northeast Tennessee. A survey questionnaire covering the subject of interprofessional communication was distributed to a cluster sample directly involved in patient care. An ANOVA was used to determine which barriers were significantly greater. A TUKEY HSD post hoc analysis was used when influences were significantly different. Participants indicated that interprofessional communication affects their occupational stress and job satisfaction in addition to the quality of patient care. This analysis revealed that radiographers experienced the most difficulty communicating with nurses.

Social media has several advantages over more traditional forms of mass communication, but many non-profit organizations (NPOs) are underutilizing social media as a communication platform. There is limited research on social media use among NPOs in rural Appalachia. The current study fills this gap in the literature by examining social media use among NPOs in rural Appalachian Tennessee. We conducted 20 semi-structured phone interviews with NPO representatives (President, CEO, Executive Directors) in an 8-county region of Appalachian Tennessee. The interviews were transcribed and analyzed using Braun and Clarke’s thematic analysis. Thematic analysis indicated that rurality, organizational capacity, messaging, and social media as a secondary communication strategy were important themes. Fiscal, personnel, and time constraints were limiting factors in terms of NPOs ability to use social media. NPOs used social media primarily to share information with their target audience. While acknowledged as an important feature of social media, NPOs were less likely to use social media to advocate, engage, or mobilize community support. Further data collection is ongoing to confirm these findings and to identify best practices. NPOs in rural Appalachia can use these findings to enhance their communication strategies.

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The goal of this investigation is to explore the relationship of health provider communication techniques and their impact on patient understanding, satisfaction, and self-efficacy. This investigation looked at the two specific communication techniques of concern elicitation and mutual agenda setting which occur during the beginning of a medical visit. Encounters were recorded with patient knowledge and transcribed to be analyzed. Following a coding manual created from both previous research and original input, the transcripts were organized and read through to process data. Focusing on the two communication techniques—concern elicitation and mutual agenda setting—I looked at the beginning of the encounter to note any usage of the techniques. Using a series of independent samples t-tests, I found that patient understanding was significantly correlated with concern elicitation. At the same time, the length of visits that used concern elicitation and mutual agenda setting was not significantly greater than the length of visits in which these techniques were not used. This implies using these communication techniques clinical practice does not risk losing precious time. This investigation can also give support to more in depth research on various other communication techniques and their potential benefits in bridging the disparity in health literacy.

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