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Suicide among African American children between the ages of five and eleven years old has steadily increased over the past several years and continues to do so. Furthermore, the completion of the secondary data analysis, including data stratification by Bridge et al. (2015), showed that the suicide rates for African American children consistently increased between 1993 and 1997 and from 2008 to 2012. The Bridge et al. study produced a hidden gem in the field of research, an unknown issue that was not thoroughly addressed starting over two decades ago because of the belief that White people of all ages commit suicide more than Black people. African American child suicide is a newer research topic to be addressed through multidisciplinary research. This current study contributes to the early stages of researching this topic of great concern by focusing on religion's impact on the communication and perceptions of suicidal ideation among single African American mothers with an integrative literature review analysis. The high number of single African American mothers in the United States today is a phenomenon influenced by historical events in African American culture that dates back to the beginning of slavery in the United States. Despite the constant strength found in religion, family, and emphasis on the importance of belonging, negative socially constructed ideas of African Americans have created an abundance of social issues that have burdened the structure of the African American family. In addition, stigma and shame continue to be associated with mental illness. Therefore, this study also examines the communication between single African American mothers and their children regarding suicidal ideation, with the constructs of perceived susceptibility and perceived severity of the Health Belief Model serving as the foundation for exploring the communication patterns.

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No description available.

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.

In the United States, parents' health beliefs affect HPV vaccination decisions for children. Our team acquired insights into mothers' health beliefs from their reactions and comments to posts on HPV vaccination in a social media adolescent health campaign in a randomized trial (n = 881 mothers; 63.1% reported daughters had 1+ doses of the HPV vaccine) evaluating communication intended to reduce daughters' indoor tanning. A total of 10 HPV vaccination messages in didactic (n = 7) and narrative (n = 3) formats were posted on vaccination need, uptake, and effectiveness and stories of young women who died from cervical cancer and a mother's decision to vaccinate her daughters. These posts received 28 reactions (like, love, and sad buttons; mean = 2.8 per post) and 80 comments (mean = 8.0 per post). More comments were favorable (n = 43) than unfavorable (n = 34). Data was not collected on views for posts. The most common favorable comment reported that daughters were vaccinated (n = 31). Unfavorable comments cited safety concerns, lack of physician support, distrust of pro-vaccine sources, and increased sexual activity of daughters. Mothers posting unfavorable (18.2%) as opposed to favorable (78.6%) comments or not commenting (64.0%) were less likely to have had their daughters vaccinated (chi-square = 22.27, p < 0.001). Favorable comments often did not state reasons for vaccinating. Concerns about lack of vaccine safety remain a barrier. Mothers may express distrust in pro-vaccine sources to reduce discomfort with not vaccinating daughters to reduce their risk for HPV infection. Many mothers who remained silent had vaccinated daughters, which suggests they did not resisit HPV vaccination.

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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.