Communication Framework Research Articles

Communication About Harm Reduction With Patients Who Have Opioid Use Disorder

This JAMA Insights explores how clinicians can use the harm reduction communication framework to engage with patients who have opioid use disorder, which could help prevent overdose and other substance use–related harms.

The Role of Communication Strategies in Crisis Management: A Comparative Analysis Across Industries

This study examines the role of communication strategies in effective crisis management across different industries, highlighting how tailored approaches can mitigate risks, preserve reputation, and foster stakeholder trust. Using a qualitative methodology, including interviews with crisis managers, PR experts, and analysis of case studies from sectors such as finance, healthcare, and technology, this research explores how industry-specific communication strategies influence crisis response effectiveness. Findings reveal that timely, transparent, and empathetic communication plays a pivotal role in managing public perception and minimizing reputational damage. Industries with proactive communication frameworks—characterized by rapid information dissemination and active stakeholder engagement—were found to navigate crises more effectively, restoring public trust faster than industries with reactive strategies. Additionally, the study highlights the importance of adapting communication tactics to the unique nature of each industry, noting that sectors with high public scrutiny, such as healthcare, benefit from clear, consistent messaging to mitigate misinformation and alleviate public concern. This research contributes to crisis management literature by providing insights into the strategic role of communication, underscoring the need for adaptable, industry-specific communication frameworks that prioritize transparency and empathy. These findings suggest that organizations can enhance their crisis resilience by developing communication strategies that not only respond to immediate concerns but also align with the broader expectations of their stakeholders.

Design and performance evaluation of a hybrid FSO-FTTx communication link utilizing UD-WDMA 1.28 Tbps data rates transmission under various weather conditions

Abstract The rapid growth of high-data-rate applications necessitates the development of new communication frameworks since bandwidth constraints for data-intensive applications hinder traditional networks and conventional microwave/radio frequency (RF) communications. This study explores a hybrid communication link that combines fiber-to-the-x (FTTx) and free-space optical (FSO) technologies, utilizing ultra-dense wavelength-division multiple access (UD-WDMA) with a channel spacing of 0.2 nm/25 GHz, under various weather conditions. Based on bit error rate (BER), optical signal-to-noise ratio (OSNR), and quality factor (QF), the performance of the suggested FSO-FTTx system was examined. The system performed well in diverse weather conditions, achieving a minimum BER of ≤10−5, QF values of 4 or higher, and OSNR levels between 10 and 20 dB. The proposed system successfully transmitted a data rate of 1.28 Tbps over 35 km in single-mode fiber (SMF), accommodating different FSO link ranges despite varying weather conditions. However, performance fluctuations were observed under adverse conditions, with attenuation ranging from 0.91 dB/km in extremely light mist to 273.39 dB/km in dense fog, impacting the FSO link range. The findings underscore the proposed hybrid system’s potential to enhance optical wireless communication for high data rates, making it promising for beyond 5G and early 6G applications.

Eco-Chic stays: The influence of green communication on guest booking intentions

In this paper, we examine how green communication impacts luxury hotel bookings using data from China. To determine whether green communication has an impact on guests’ decision-making processes, 384 questionnaires were distributed across four major Chinese cities, Beijing, Shanghai, Guangzhou, and Shenzhen. Among the mediators and moderators were perceived brand integrity, intrinsic green motivation, and environmental knowledge. Results indicate that the combinations of perceived brand integrity and green intrinsic motivation affect guests’ booking intentions along with environmental knowledge, according to the results of this study. Luxury hospitality managers can use this research to develop a theoretical framework for sustainable communication with green consumers.

Participatory conflict as an intrinsic dimension of participatory communication: An ethnographic study of women self-help groups from Uttarakhand, India

ABSTRACT This paper establishes participatory conflict invoked by intersectional standpoints as a critique of the conventional celebratory understanding of participatory communication for social change. The paper is based on an immersive ethnographic study in the state of Uttarakhand, India with women participants in three self-help groups. Our findings acknowledge the presence of inevitable participatory conflict in women groups’ participation due to intersectional standpoints where gender intersects with caste, economic position, and paid work exposure leading to unequal access to communication resources among members. Our study offers a nuanced framework for participatory communication for social change that can contribute to both theory and development communication practice by acknowledging participatory conflict as an integral dimension of collective and individual empowerment process.

Enhancing multimodal output in CLIL education: the impact of VR games on fourth-grade students’ English poster designs and presentations in Taiwan

Despite the growing recognition of the importance of multimodal input and digital virtual reality (VR) games in enhancing EFL learners’ productive language skills, a significant gap remains in empirical research examining their impact on multimodal output—particularly writing and speaking—within content and language integrated learning (CLIL) science education. This quasi-experimental study addresses this gap by investigating the potential benefits of using VR games to enhance fourth-grade CLIL students’ productive language skills, specifically writing and speaking, through the analysis of their ability to convey scientific concepts in multimodal output. Grounded in self-regulated learning (SRL) theory, the study compares the effects of multimodal input embedded in VR games with those of traditional PowerPoint (PPT)-led games on students’ English poster designs (writing) and oral presentations (speaking), using the 4Cs (Content, Communication, Cognition, and Culture) framework in multimodal assessments. The study involved 81 fourth-grade students from three Taiwanese public elementary schools, divided into an experimental group (EG = 40) using VR-based games and a control group (CG = 41) using PPT-led games for content review. A mixed-methods approach was employed, combining quantitative evaluations with rubrics based on the 4Cs framework and qualitative rater reflections to provide a comprehensive understanding of how different review methods influenced student performance and creative output. Quantitative findings revealed that students using VR review games significantly outperformed those using traditional PPT games in aspects of Content and Cognition for both poster designs and presentations, demonstrating greater depth, accuracy, and application of scientific concepts and higher-order cognitive skills. In terms of Communication, the EG showed higher target vocabulary usage and sentence complexity in presentations, but no significant differences were found in Culture outcomes between the groups or in Communication in posters. Expert raters’ reflections further highlighted that students using VR games exhibited more innovative and integrated use of scientific content, critical thinking, and multimodal expressions, reflecting deeper engagement with the material. This study empirically demonstrates that game-based virtual reality learning environments (VRLEs) significantly enhance students’ multimodal output in content and cognitive skills. Theoretically, it extends the application of SRL in CLIL contexts by highlighting the potential of VRLEs to foster advanced cognitive skills and emphasizes the importance of multimodal assessments in capturing comprehensive student learning outcomes. Future research should explore integrating cultural content into VR environments to enhance students’ cultural awareness and sensitivity.

A Secure and Decentralized Using Blockchain and Ring‐Based Cryptosystem

ABSTRACTThe advancement of Intelligent Transport Systems (ITSs) and the Internet of Vehicles (IoVs) introduces significant security challenges, particularly in ensuring secure communication between vehicles and vehicles (V2V), vehicles and Road Side Units (V2RSU). These vulnerabilities could potentially compromise the integrity of vehicular networks, making robust security measures essential. This paper aims to develop a secure communication framework for IoV environments that addresses these security concerns by enhancing authentication and encryption processes. The proposed approach combines the Ring‐Based Degree Truncated Polynomial Cryptosystem (RNTPC) with a Blockchain framework incorporating an enhanced proof‐of‐authentication (BEPoAuth) consensus algorithm. The approach is initiated from the registration phase and managed by a Trusted Authority (TA), ensuring secure vehicle and RSU registration. Authentication is carried out in two ways: V2V authentication through vehicle signatures and V2RSU authentication via batch verification of cluster members. Group keys are generated using RNTPC for secure communication, and blockchain technology is integrated to secure transactions within the IoV environment. The proposed methodology is evaluated using various performance metrics, demonstrating a 15%–20% improvement in throughput compared to existing techniques such as Practical Byzantine Fault Tolerance (PBFT), Secure and Highly Efficient Blockchain PBFT Consensus Algorithm (SG‐PBFT), credit‐based PBFT consensus algorithm (CPBFT) and Geographic‐PBFT (G‐PBFT). The system also exhibited minimal computational and communication latency while enhancing V2V and V2RSU communication efficiency. The RNTPC‐BEPoAuth framework offers a robust and secure solution for IoV communications, significantly outperforming existing methods in terms of throughput and efficiency. This approach provides a reliable foundation for secure ITSs, addressing critical security concerns in vehicular networks.

Development of the cognitive-behavioral communication (CBC) framework: A novel approach for mass communication in contact tracing during infectious disease outbreaks

The Cognitive-Behavioral Communication (CBC) Framework was developed to improve public compliance with contact tracing during infectious disease outbreaks, addressing the gaps exposed by the COVID-19 pandemic in the United States. These gaps, including public distrust, misinformation, and privacy concerns, hindered traditional contact tracing efforts. The CBC Framework integrates mass communication theories, cognitive-behavioral strategies, and AI-driven message personalization to enhance public engagement. The framework was tested through comparative field trials, with one group receiving personalized communication via the CBC model and another receiving standard public health messages. Results showed that the CBC group achieved a significantly higher compliance rate (85.6% vs. 66.4%) and a 33% reduction in privacy concerns. AI-driven messages also increased relevance over time, with 86.2% of participants reporting improved message relevance. Public trust was significantly higher in the CBC group, with positive sentiment at 67.5% compared to 45.2% in the control group. These findings have particular relevance to the U.S., where challenges like distrust and privacy concerns have impeded the effectiveness of contact tracing. The CBC Framework presents a scalable solution to improve compliance, trust, and overall public health outcomes during future outbreaks.

Immersive remote telerobotics: foveated unicasting and remote visualization for intuitive interaction

Abstract Precise and efficient performance in remote robotic teleoperation relies on intuitive interaction. This requires both accurate control actions and complete perception (vision, haptic, and other sensory feedback) of the remote environment. Especially in immersive remote teleoperation, the complete perception of remote environments in 3D allows operators to gain improved situational awareness. Color and Depth (RGB-D) cameras capture remote environments as dense 3D point clouds for real-time visualization. However, providing enough situational awareness needs fast, high-quality data transmission from acquisition to virtual reality rendering. Unfortunately, dense point-cloud data can suffer from network delays and limits, impacting the teleoperator’s situational awareness. Understanding how the human eye works can help mitigate these challenges. This paper introduces a solution by implementing foveation, mimicking the human eye’s focus by smartly sampling and rendering dense point clouds for an intuitive remote teleoperation interface. This provides high resolution in the user’s central field, which gradually reduces toward the edges. However, this systematic visualization approach in the peripheral vision may benefit or risk losing information and burdening the user’s cognitive load. This work investigates these advantages and drawbacks through an experimental study and describes the overall system, with its software, hardware, and communication framework. This will show significant enhancements in both latency and throughput, surpassing 60% and 40% improvements in both aspects when compared with state-of-the-art research works. A user study reveals that the framework has minimal impact on the user’s visual quality of experience while helping to reduce the error rate significantly. Further, a 50% reduction in task execution time highlights the benefits of the proposed framework in immersive remote telerobotics applications.

A Robotic Teleoperation System with Integrated Augmented Reality and Digital Twin Technologies for Disassembling End-of-Life Batteries

Disassembly is a key step in remanufacturing, especially for end-of-life (EoL) products such as electric vehicle (EV) batteries, which are challenging to dismantle due to uncertainties in their condition and potential risks of fire, fumes, explosions, and electrical shock. To address these challenges, this paper presents a robotic teleoperation system that leverages augmented reality (AR) and digital twin (DT) technologies to enable a human operator to work away from the danger zone. By integrating AR and DTs, the system not only provides a real-time visual representation of the robot’s status but also enables remote control via gesture recognition. A bidirectional communication framework established within the system synchronises the virtual robot with its physical counterpart in an AR environment, which enhances the operator’s understanding of both the robot and task statuses. In the event of anomalies, the operator can interact with the virtual robot through intuitive gestures based on information displayed on the AR interface, thereby improving decision-making efficiency and operational safety. The application of this system is demonstrated through a case study involving the disassembly of a busbar from an EoL EV battery. Furthermore, the performance of the system in terms of task completion time and operator workload was evaluated and compared with that of AR-based control methods without informational cues and ‘smartpad’ controls. The findings indicate that the proposed system reduces operation time and enhances user experience, delivering its broad application potential in complex industrial settings.

Designing persuasive communication models for vaccine acceptance in isolated communities: A mass communication approach

This study introduces the Persuasive Communication Model as a novel approach to address vaccine hesitancy in isolated U.S. communities, where infectious diseases such as measles and influenza continue to pose significant public health threats. By integrating mass communication theories like the Elaboration Likelihood Model (ELM) and Social Cognitive Theory (SCT), with AI-driven message personalization, the model effectively tailors health communication strategies to the cultural, cognitive, and socio-economic contexts of vaccine-hesitant populations. In a randomized controlled trial, the model increased vaccination uptake by over 20% compared to traditional methods, while also enhancing trust in healthcare systems. The model’s adaptive communication, utilizing both digital platforms and community leaders, was instrumental in overcoming barriers related to geographic isolation, religious beliefs, and cultural resistance. These findings are particularly relevant for enhancing national public health security and reducing the economic burden of vaccine-preventable diseases. The study highlights the model's superiority over static communication frameworks, offering scalable applications for broader public health interventions.

Full-duplex cooperative relaying systems for simultaneous wireless information and power transfer with non-orthogonal multiple access

In this research, we propose a system model based on cooperative non-orthogonal multiple access (NOMA) for simultaneous wireless information and power transfer (SWIPT) within a full-duplex (FD) communication framework. We investigate two protocols - time switching protocol (TSR) and power splitting protocol (PSR) - designed to accommodate delay-tolerant-transmission (DTT) as well as delay-limited-transmission (DLT), thereby improving data processing and energy harvesting (EH). We present explicit formulas for pivotal performance measures such as energy efficiency, ergodic rate, throughput, and outage probability. These performance measures are thoroughly evaluated in numerous specifications, encompassing inter-user separation, required spectral efficiency, EH efficiency, time and power splitting ratios in moderate-to-high signal-to-noise ratio scenarios. The results expose improved EH efficiency, hence meliorated transmission reliability. Importantly, NOMA in the proposed system model is proved to be considerably better than traditional orthogonal multiple access.

Exploring Quantum Entanglement for Secure Communication: A Study on Quantum Cryptography Protocols

Quantum Ensnarement, a wonder at the heart of quantum mechanics, has risen as a promising road for revolutionizing secure communication through Quantum Cryptography. This inquiries about digs into the investigation of Quantum Ensnarement as an establishment for creating vigorous and secure communication conventions. The think about includes an in-depth examination of different Quantum Cryptography conventions, exploring their hypothetical underpinnings and viable executions. The investigate strategy utilizes a combination of hypothetical modeling and exploratory approval to survey the viability and security of Quantum Cryptography conventions in assorted scenarios. Key angles beneath investigation incorporate the era, conveyance, and utilization of snared particles to build up secure communication channels. Quantum key dispersion (QKD) conventions, such as BB84 and E91, will be inspected in detail to comprehend their qualities, vulnerabilities, and potential for commonsense execution in real-world communication frameworks. Moreover, the inquire about investigates the challenges and progressions in quantum innovation that contribute to the effective arrangement of Quantum Cryptography conventions.

Cathedrals as Instruments of Influence on Public Consciousness in Medieval Western Europe (10th-16th Centuries)

This study explores the functional impact of Christian cathedrals in Western Europe on medieval public consciousness. Utilizing a systemic analysis method and a values-based approach, cathedrals are examined as structural elements within the framework of religious communication, serving as key instruments for shaping public consciousness during the Middle Ages. Through these edifices, the core tenets of Christianity were disseminated to the masses. Special attention is given to the art of stone calendars, which are considered a significant factor in the formation of a Christian worldview during this period. The study identifies the value-laden, symbolic, and functional characteristics of medieval cathedrals as tools of religious communication. It outlines the overarching principles of architectural organization in Catholic churches in relation to their roles in influencing public consciousness. The influence of Romanesque cathedrals on the trajectory of public consciousness in medieval Western Europe is also examined. The author concludes that Christian cathedrals, as instruments of influence on medieval public conscious-ness, possessed a pronounced managerial and motivational effect, fulfilling a wide range of sociocultural functions that contributed to the stabilization and spiritual-moral development of medieval Western European society.

From Online to Offline: How Different Sources of Online Health Information Seeking Affect Patient-Centered Communication in Chinese Older Adults? The Roles of Patient Activation and Patient–Provider Discussion of Online Health Information

ABSTRACT Despite the increasing prevalence of online health information seeking (OHIS) among older adults, its impact on patient-centered communication (PCC) outcomes remains unclear. Drawing from Street’s ecological framework of communication in medical encounters, the present study examined the mediation role of patient activation in the relationship between OHIS across three media channels – social media, search engines, and mobile health applications (mHealth apps) – and PCC. Furthermore, it examines the moderation effect of patient-provider discussions of online health information. A national survey of 916 older Chinese adults aged 60–78 was conducted. The findings indicate that OHIS across the three channels can indirectly enhance PCC through patient activation. Moreover, OHIS via mHealth apps is positively associated with PCC, while the relationship between OHIS via social media/search engines and PCC is not significant. The interaction between patients and healthcare providers regarding online health information positively moderated all indirect paths. Notably, a great proportion of older adults (77.7%) engaged in discussions about online health information with healthcare providers. These findings emphasize the importance of considering various media channels and highlight the pivotal role of patient activation in bridging the gap between OHIS and satisfactory healthcare interactions, especially in the Chinese context.

MDC2: An Integrated Communication and Computing Framework to Optimize Edge-Assisted Caching for Improved Multimedia Services in UAV-Based IoT Networks

MDC²: An Integrated Communication and Computing Framework to Optimize Edge-Assisted Caching for Improved Multimedia Services in UAV-Based IoT Networks

Optimizing trainee handoffs on a busy transfusion medicine service

Abstract Objective Within the healthcare system, handoff processes are critical to maintain safety & continuality of care. Many handoff platforms exist for clinical inpatient housestaff specialties. However, these do not always align with the needs of clinical pathologists. Academic transfusion medicine (TM) services often oversee a hybrid of laboratory management, clinical services including apheresis therapy, and blood product management. To date, the literature is limited in describing the effectiveness of TM handoff in addressing these needs. Methods Our institution transitioned from using Microsoft Word document-based handoff to a Microsoft Sharepoint, browser-based handoff accessible via campus intranet or virtual private network (VPN). A verbal handoff accompanying the document remains unchanged. The previous Word document-based handoff followed the known structured communication framework (situation, background, assessment, and recommendation (SBAR)) structure for each patient. This document could only be concurrently edited by one user and was distributed via closed-loop encrypted email to ensure Health Insurance Portability and Accountability Act (HIPAA) compliance. The new Sharepoint-based handoff features an expanded format including patient name/medical record number (MRN), date of contact, category of service, history, assessment and a task (to-do) list. This site can be concurrently edited and viewed by multiple users. It is version-controlled and searchable. It is also customizable to enable tracking of issues that are not associated with a MRN, such as product inventory, on-call staffing, and product investigation. Six months following the handoff transition, trainees’ feedback towards both formats were solicited with a Likert scale-based survey. The survey was open to any trainee that had rotated on the TM service, regardless of whether they had experienced both handoff formats. Handoff measures that were surveyed included effectiveness at communicating important information, ease of use, time spent, impact on patient care, amount of detail, integration in patient management and general attitudes towards TM call. Trainee demographics were also collected. Results Out of 18 potential participants, 15 trainees responded to the survey. Trainees reported that the Word document-based handoff contained significantly more extraneous detail, took excessive time to write and required more time overall to draft compared to the Sharepoint-based handoff (all p=<0.05). They also found that the Sharepoint-based handoff was significantly easier to use compared to the Word document-based handoff (p=<0.05). Additionally, the Sharepoint-based handoff was reported to convey important information more effectively and reduced the duration of verbal handoff compared to the Word document-based handoff, though these were not statistically significant. Conclusions TM services have unique responsibilities and benefit from customized handoffs with discrete categories that reflect the TM service’s distinct role. Such structure can help create a more standardized, focused handoff that requires less drafting time and improves efficiency and user satisfaction.

The Role of Workplace Communication on Employees’ Performance in Tanzania: A Case of Tanzania Electric Supply Company (TANESCO)

Effective workplace communication is pivotal in enhancing employee performance, particularly in today's global business environment characterized by diversity and remote work dynamics. This study aimed to examine the role of workplace communication on employee performance within Tanzania Electric Supply Company Limited (TANESCO), focusing on how communication influences job correctness, decision-making, planning, and overall employee productivity. The study utilized a descriptive research design to collect data. A total of 36 participants were sampled using simple random. Data were gathered through questionnaires and analyzed using SPSS for quantitative data insights. The findings indicate a significant correlation between effective communication and enhanced employee performance. Specifically, open communication with supervisors was strongly linked to increased job correctness and performance (mean = 4.81). Communication was also found to facilitate decision-making and planning (mean = 3.53), and there was a recognized relationship between effective communication and overall employee performance (mean = 3.97). However, the traditional top-down communication approach was noted, with a mean score of 3.65, suggesting areas for improvement in adopting more inclusive communication practices. The study confirms the critical role of effective workplace communication in enhancing employee performance at TANESCO. Open and transparent communication, particularly with supervisors, significantly contributes to job accuracy and employee productivity. The study recommends that TANESCO implements structured programs to foster open dialogue, develops comprehensive communication strategies that balance hierarchical and inclusive approaches, and invests in regular training and assessment of communication practices. Additionally, adopting an 'open door' policy and engaging in active listening are suggested to enhance the communication framework within the organization.

Focusing on the educational environment for harmonic child development

The study aims to enlighten the need for a focusing towards some psychological aspects of a child`s functioning in a pluralistic, pulsating, and flexible educational environment. It reveals resources for its harmonious development through a model of its construction. It is based on the synergistic effect between sustainable transversal skills and variables, according to socio-economic conditions and key competences. The synergy integrates in the model the personality, communicative, sociocultural, methodological, emotional, practical, and physical components. This is achieved through the psychological aspects of the two levels of education of suggestopedic communicative framework - the level of conscious activity and the level of the unconscious psychological reactivity of the learner. Its utilization provides transforming pedagogy into an art and the teacher into a creator.

Bridging the Generation Gap: Communication Strategies at Golkar Sidoarjo DPD

Background: Effective communication in organizations is crucial for fostering collaboration, especially in diverse generational settings. Specific Background: This study investigates the communication dynamics at DPD Golkar Sidoarjo, using a qualitative approach to explore interactions among staff from different generations. Knowledge Gap: While previous research has addressed generational gaps in workplace performance, there is limited understanding of how communication strategies can effectively bridge these divides. Aims: The study aims to analyze vertical and horizontal communication, alongside openness and feedback, in addressing generational differences. Results: Findings reveal that adaptive communication strategies successfully manage these differences, enhancing inclusivity and productivity. Novelty: This research provides insights into tailored communication approaches that respect generational preferences. Implications: The study highlights the need for strategic communication frameworks in human resource management to facilitate effective interactions among diverse generational cohorts, improving organizational performance. Highlights : Adaptive Strategies: Effective communication tailored to generational preferences enhances collaboration. Team Dynamics: Horizontal communication fosters teamwork and idea-sharing among staff. Productivity Impact: Addressing generational gaps through communication improves overall organizational performance. Keywords: organizational communication, generational differences, qualitative study, DPD Golkar Sidoarjo, inclusivity