Thesis (Ph.D.)--University of Central Florida, 2008. / Advisers: Edward H. Robinson, III, Glenn Lambie. Includes bibliographical references (p. 134-155).

This thesis is the culmination of five years of communication design research (2006 – 2010) on a specific area of healthcare—breast cancer detection and screening. It is a project-­‐based doctoral work, underpinned by a practice-­‐led research journey of a graphic designer. The result is this written thesis with an accompanying set of uniquely designed objects: • a series of posters on breast cancer detection • an educational leaflet and risk assessment form • a series of working website prototypes (see worldwidebreastcancer.com) This thesis offers an in-­‐depth case study that demonstrates and contextualises the need for using communication design in patient engagement and education efforts in order to create a more patient-­‐centred experience in breast cancer detection. The significant contributions of this thesis are: • the development of a human-­‐centred design thinking methodology, known as the ‘USER’ model, which helps a designer develop a product for use within a system in an iterative, intuitive and analytical way. This is the first design thinking model of its kind to embed a framework for analysing objects within a systems framework; • the production and testing of visual metaphor, which was found to improve patient literacy and confidence. The significance of this has been to increase the potential for symptoms to be reported early and decrease mortality rates; • a map illustrating the patient journey of breast cancer screening that illustrates roles, communications and detection activities. This has been developed for general practices and imaging centres in a visually clear and distinct way; • a risk assessment tool that encourages doctors and patients to engage in collaborative decision-­‐making in the planning of breast cancer screening activities. Finally, the work presented here has profound implications for future studies of patient engagement and health literacy in breast cancer detection. The research journey, findings and objects in this thesis may lead to improved patient communication experiences and decreased mortality in breast cancer. This thesis also acts as a model for exploring and developing design solutions for other health causes.

Thesis (M.S.)--University of Oregon, 2008. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 103-107). Also available online.

Indiana University-Purdue University Indianapolis (IUPUI) / The occurrence of colorectal cancer among those over the age of 50 is decreasing; conversely, the rate of diagnosis for those under 50 years old is increasing. While medical researchers scramble to identify the cause for this increase, young onset colorectal cancer (YOCC) patients and survivors are left to navigate a new normal. This new normal often includes awkward and troublesome concerns such as scarring, colostomy bags, and bowel problems. Contrary to those diagnosed with colorectal cancer later in life, those that are diagnosed at a younger age are forced to deal with these issues for many years. The purpose of this exploratory study was to identify privacy issues surrounding YOCC. Because of the significant increase in diagnoses, YOCC is now being researched independently from colorectal cancer in general. The topic of privacy has been researched in academic disciplines, including medicine. Privacy issues surrounding cancer have been researched, as well. Yet, the topic of privacy concerns facing YOCC patients/survivors has been overlooked. It is important to identify privacy concerns specific to YOCC patients/survivors as the information could help health care providers, communication scholars, and caregivers. Patient narratives were analyzed employing thematic analysis to identify privacy concerns of YOCC patients/survivors through the lens of Communication Privacy Management theory (CPM theory). Results indicated that participants discussed disclosure of their YOCC journey as a process. Within this disclosure process, YOCC patients/survivors identified specific privacy issues that influenced the way they disclosed or concealed information specific to their illness. There is a growing need for more research into the YOCC community due to the increase in diagnosis rates and their unique privacy concerns. Potential topics for future research include the impact of COVID-19, patient desire to help others, social media influence on disclosure, how patient disclosure could impact provider training, dating with YOCC, and specific demographic research.

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