Nutritional communication research helps with public health promotion, government dietary intervention and future outlooks for the dietetics profession. This research explores the way health professionals target niche population groups to educate on nutrition. The phenomenological methodology and the Communication Accommodation theory framework guided interviews with 10 Arab-speaking females diagnosed with type II diabetes or prediabetes. The findings reveal eight major underlying themes: language, socio-economic impact, level of integration/adaption to new environment, role of religion in life, health is a personal responsibility, role of family/specific family members, role of health professional and views on the Canadian food/culture. Ultimately, dietary acculturation of the sample group is influenced by level of English language proficiency, health literacy, exposure to health information and cultural values.

Introduction: This study moves to examine the prevalence of risky driving behaviors and deficiency of communication pertinent to topics related to safe driving among adolescents in central Appalachia. Even though plenty of research displays the consequences associated with driving, drivers continue to take part in risky behaviors such as texting while driving, riding in a vehicle without wearing a seatbelt, and riding in a vehicle with someone who has been drinking. Methods: Participants of the study included three high schools in Southwest Virginia consisting of 385 11th and 12th grade students. Students were administered a paper-pencil survey either during homeroom or last period with questions taken from the Youth Risk Behavior Surveillance Survey. Results: The results of the study indicate the frequent occurrence of young drivers engaging in risky driving behaviors associated with texting while driving and not wearing a seatbelt as both passenger and driver in a vehicle. Additionally, the results of the study indicate that there is a lack of healthcare provider communication related to risks associated with driving. This information is crucial because the data demonstrates the missed opportunity to provide better education to adolescents on how they can prevent harm to their lives or the lives of other citizens while driving. Conclusion: After analyzing these results, it becomes evident that more education about safe driving behaviors is crucial for benefiting the young drivers of this region. Because road injury is the leading cause of death among adolescents, it is paramount to provide educational resources to young drivers to decrease the impact of injuries and deaths related to risky driving behaviors. There resides a missed opportunity to educate adolescents about behaviors that may risk their lives or those of their peers and loved ones. In addition, researchers can conduct further studies to examine effective safe driving education programs to decrease the risk behaviors commonly engaged in by adolescent drivers.

[pt] As doenças crônicas são as que mais afetam a população brasileira e, de maneira mais incisiva, parcelas da nossa população mais desfavorecidas socialmente. Com o envelhecimento da população há um consequente aumento de doentes crônicos que fazem uso diário de mais de um medicamento. A prescrição e dispensação adequadas e o uso racional dos medicamentos prescritos demanda que, tanto a tomada de informação pelo paciente/acompanhante ocorra de maneira eficaz, quanto que este consiga expressar-se com relação ao seu tratamento para os profissionais que o atendem. Ocorre que a comunicação presente no ciclo de utilização de medicamentos costuma apresentar falhas que comprometem a eficácia do tratamento medicamentoso. A Ergonomia, sendo uma tecnologia que trata da comunicação entre o homem e os outros elementos do sistema vem atuando no campo do atendimento em saúde. A presente pesquisa tem como hipótese que problemas na comunicação presente no ciclo de utilização de medicamentos no tratamento de enfermidades crônicas prejudicam a autoadministração consciente dos medicamentos por pacientes crônicos/seus acompanhantes. Para investigar esta hipótese foram utilizados os seguintes métodos e técnicas: pesquisa bibliográfica, entrevistas não-diretivas, questionários e entrevistas focadas com pacientes crônicos moradores na comunidade da Mangueira, na cidade do Rio de Janeiro. Os resultados apresentados corroboram pesquisas anteriores que apresentam problemas na comunicação relativa à utilização de medicamentos. E apresentas estratégias dos pacientes entrevistados para aprimorar seus tratamentos com medicamentos. / [en] Chronic diseases represent a major health problem in Brazil. They affect the majority of the population and affect even more the poorest population within the country. As Brazilian population is becoming older, it also increases the number of people with chronic diseases, making daily use of multiple medications. For adequate prescription and dispensing, and wise use of medication effective communication is essential. Patient must get information about his treatment as well as to inform health professionals about his perceptions during medication utilization. Communication on drug utilization cycle may present flaws, impeding efficacy of drug treatment. Ergonomics, a technology that deals with communication between men and other parts of a defined system can collaborate with health care research. This investigation is based on the hypothesis that communication problems present ta drug utilization are obstacles to wise selfmanagement of chronic diseases drug treatment. To investigate this hypothesis, the four techniques used were: bibliographic review, opened interviews, and focused interviews with chronic patients living in Mangueira, a low-income area in Rio de Janeiro City. Results confirmed previous investigation showing deep problems related communication on drug utilization cycle. It also presented many methods patients develop to overcome difficulties and enhance their drugs treatment.

The hepatitis A crisis in Kentucky is unprecedented compared to other states. With thousands of hospitalizations and over 60 deaths in the state of Kentucky alone, there is a need to evaluate the government’s response to the hepatitis A virus (HAV) epidemic. Therefore, the instructional risk communication messages that are being conveyed by the Kentucky Cabinet for Health and Family Services (KCHFS) are instrumental in the education and action plans of Kentuckians who are at risk of contracting HAV. This study utilizes the IDEA Model Thematic Analysis Codebook as a guide to analyze the KCHFS’ risk communication regarding the hepatitis A crisis, identifying the strengths and weaknesses of its campaign. Through this research, I identify the weaknesses in the KCHFS’ risk communication campaign including: the need to focus on a more general audience, the need to foreground all facets of the IDEA model on its website, the need to promote the vaccination of the HAV more strongly, and the need to make the website more user-friendly for all populations.

La presente investigación busca explorar cómo la gestión de la comunicación interna, en los centros de salud privados del Perú, se utiliza como herramienta para difundir una cultura organizacional basada en el más reciente concepto de promoción de la salud propuesto por la Organización Mundial de la Salud (OMS). El modelo usado para identificar el manejo de la comunicación interna, que contribuya a una cultura de promoción de la salud, se basa en las “cinco íes” de Andrade, el cual fue adaptado posteriormente a las “seis íes” de Bustamante y al que se le ha agregado la sub-categoría de estilo de liderazgo para esta investigación. Para ello, se ha tomado al Centro Médico Doktuz como caso de estudio donde se aplicó una metodología cualitativa fenomenológica. Como resultado se obtuvo que el Centro Médico no tiene una cultura organizacional basada en la promoción de la salud institucionalizada, ya que su filosofía de salud preventiva de fácil acceso a la comunidad lo ha llevado a gestionar la comunicación interna solo desde un enfoque de salud ocupacional y de Responsabilidad Social Corporativa (RSC). / This research seeks to explore how the management of internal communication, in private health centers in Peru, is used as a tool to disseminate an organizational culture based on the most recent concept of health promotion proposed by the World Health Organization (WHO). The model used to identify the management of internal communication, which contributes to a culture of health promotion, is based on Andrade's "five ies", which was subsequently adapted to Bustamante's "six ies" and to which the leadership style subcategory has been added for this investigation. For this, the Doktuz Medical Center was taken as a case study where a qualitative phenomenological methodology was applied. As a result, it was obtained that the Medical Center does not have an organizational culture based on the promotion of institutionalized health, since its preventive health philosophy of easy access to the community has led it to manage internal communication only from an occupational health approach and Corporate Social Responsibility (RSC). / Tesis

Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic environment were explored to better understand their impact on a women’s care seeking behavior. A total of 350 women 19 through 80 years of age completed a one time, 15-minute online survey regarding their gynecological care seeking behavior. Ordered logistic regression analysis revealed that when controlling for demographic variables and self-concept scores satisfaction was significantly impacted by the quality of provider communication. Specifically, higher quality of communication likely increases satisfaction by 12% (coef = .77; odds ratio= 1.19 at a p< .01). Avoidance was significantly associated with greater provider empathy indicating a 9% decrease in avoidance is likely as empathy scores go up (coef = -.19; odds ratio= 0.96 at a p< .01). When controlling for various demographic factors, self-concept scores and provider communication were not shown to be significantly associated with patient anxiety. These findings suggest that enhancing provider communication quality and empathy may improve satisfaction and lessen patient avoidance. Results also indicate that women who have a more positive evaluation of their genital self-image were more likely to feel greater satisfaction concerning gynecological care. Thematic analysis of open-ended essay questions revealed several themes among 3 main areas: 1). Clinician Communication (active listening, explanation, empathic communication, & pace), 2). Social Environment (hospitality& being relational), and 3). Physical Environment (Privacy, Aesthetics, & Sensate Variables). Detailed explanation, empathetic communication, and not rushing patients through procedures all emerged as important components that may guard against patient anxiety. Results suggest that distress related to gynecological care could be mitigated by easily modifiable improvements to the environment like increasing the temperature of the exam rooms, opting for less harsh lighting, providing a place to hang or set clothing, and more thoughtful placement of baby pictures. Results also suggest that improvements to modesty concerns within the exam room, like larger cloth draping and gowns, may significantly improve the patient experience.

In order to evaluate the short-term educational and behavioral impact of the American Heart Association's "Face the Fats" web application had upon college students, a study involving 116 Utah State University undergraduate students was conducted. A one-group pre-posttest design was utilized to answer eight research questions focusing on: health risks associated with trans fat, general trans fat knowledge, ability to identify foods containing trans and saturated fats, food label information, healthy alternatives to trans fat, and readiness to change trans fat intake. Participants completed an online pretest survey and then viewed the "Face the Fats" website at their own pace. After viewing the website, participants completed an online posttest survey. Data were analyzed using Microsoft Excel. Statistical analysis of a paired sample t test revealed that "Face the Fats" was successful in changing the general trans fat knowledge of participants (p = < 0.00). Results also showed participants increasing their knowledge of health risks associated with different types of fat (p = < 0.00). Knowledge of trans fat nutritional information on food labels also significantly increased (p = < 0.00) and participants were more able to name foods containing trans fat, although some confusion remained among foods that contained both saturated and trans fat. Using a chi-square test, it was found that participants were more likely to state they were seriously considering reducing trans fat intake within the next 30 days after viewing "Face the Fats" (p = < 0.00). Results of a paired sample t test also showed an increase in the impact that trans fat information had on participants' decision to purchase and consume food (p = < 0.00).

The purpose of this study is to investigate in what ways cultural value differences between Alaskan Native clients and non-Native health professionals affect the communicating of "wellness" concepts. Specifically, this study focuses on possible difference in the cultural value orientation of "Man's Relationship to Health."

Bakgrund: Överrapportering mellan skiftbyten är en central roll för sjuksköterskan och en viktig del för vårdverksamheten. Dock är den traditionella överrapporteringen identifierad som ett möjligt område för felkommunikation och minskad patientdelaktighet. Bedside överrapportering kan öppna upp för en mer personcentrerad vård och öka delaktigheten för patienten.  Syfte: Att undersöka patientens upplevelser och erfarenheter vid bedside överrapportering. Metod: En litteraturöversikt innehållande tio kvalitativa artiklar. Artiklarna hämtades från PubMed och CINAHL och kvalitetsgranskades med hjälp av SBU:s granskningsmall för bedömning av studier med kvalitativ metodik. Artiklarna analyserades med Graneheim och Lundmans (2004) innehållsanalysmetod.  Resultat: Analysen resulterade i fyra domäner och fyra kategorier där resultatet presenterades. Patientens upplevelser och erfarenheter visade sig till stor del handla om önskan att vara delaktig i sin vård. Vissa patienter uttryckte önskan om delaktighet i större utsträckning än andra och många poängterade fördelar som att kunna korrigera felaktigheter, ställa frågor och tillägga missad information i anslutning till överrapporteringen. Kommunikationen mellan patient och sjuksköterska påpekades vara en viktig del. Förmedlandet av känslig information upplystes som en svårighet och bevarande av patientens integritet ansågs som betydelsefullt.     Slutsats: Patienters upplevelser och erfarenheter av bedside överrapportering visade sig till stor del främja patientdelaktigheten. En del patienter ansåg sig dock vilja vara involverad i en begränsad omfattning. Patienterna ansåg att överlämningen gav en mer personlig relation mellan till sjuksköterskan. Möjligheten att påverka informationsöverföringen ansågs vara positivt. Bevara patientens integritet vid hantering av känslig information ansågs som en svårighet och att patienter ibland ansåg att det var svårt att förstå sjuksköterskornas komplicerade språk. / Introduction: Shift reports between nurses is a central role for the nurses and an important part of health care. The traditional handover has however been identified as a possible source of miscommunication and reduced patient participation. Bedside shift reports can facilitate a more personalized care and increase patient participation. Objective: To examine patient experiences with bedside shift reports. Method: A literary study containing ten qualitative studies. The studies were identified through PubMed and CINAHL and reviewed using SBUs template “assessment of studies with a qualitative method”. The articles were analysed using Graneheim and Lundmans’ (2004) content analysis method. Results: The analysis resulted in four domains and four categories. The results showed that a big part of the patient’s experiences of bedside shift reports was that they wished to participate more in their care. Some patients had a bigger wish to participate than others and a lot of patients emphasized the benefits of bedside shift reports; how they could correct wrong information, ask questions, and add further information. The communication between patients and nurses was another important part of bedside shift reports. The mediation of sensitive information was pointed out as a difficulty, as well as the protection of the patient’s integrity. Conclusion: The patient’s experiences of bedside shift reports has shown increasing patient participation in their care. They said that the handover enabled a more personal relationship between the patient and the nurses, and that this resulted in a feeling of calmness and safety. The opportunity to influence the transfer of information and to correct wrong data or ask questions was a positive aspect of bedside shift reports. The handling of sensitive information was seen as a weakness of bedside shift reports. Patients also had difficulty understanding the nurses' complicated language.

Indiana University-Purdue University Indianapolis (IUPUI) / The city of Austin is a small community in Southern Indiana that experienced a large HIV/AIDS outbreak which infected over 180 people. Due to rapid spread of the disease from shared needles during intravenous drug use, a public health emergency was declared in March 2015. This epidemic was a symptom of the overall communal health issues within the area related to drugs, crime, prostitution and poverty. These problems affect residents’ physical and mental health, however, often go unaddressed due to limited resources, healthcare and education. Organizations within the area were affected by the epidemic, and many provided a response to help combat the issue. The purpose of this study is to examine how organizations respond to a health crisis from a communication perspective. Research question one is, what was the level of coordination between the seven organizations during the HIV/AIDS epidemic? Research question two is, what was the public’s response to the effort made by the seven organizations? This study interviewed seven participants and a thematic analysis was conducted that discovered four themes: coordinated response, uncoordinated activities, response time, and inadequate response. In response to research question one, the levels of coordination were infrequent with the seven agencies. Research question two found multiple areas that indicated the agencies approach ineffective in adequately informing the public. The agencies’ efforts displayed a lack of coordination and poor timely response to the crisis. These issues show it is imperative that we develop a resilient health system to operate systemically. By implementing communication for whole health, it would provide a resilient system for agencies to understand and develop coordination and collaboration between each other. With a sense of coordination, they would then be able to execute ways of promoting and living out better physical and mental health (Parrish-Sprowl and Parrish-Sprowl, 2016).