Communication Strategies Research Articles

Application of Self-Determination Theory to Wildlife Disease Risk Communication

The effective response to managing wildlife-associated diseases, such as chronic wasting disease (CWD), requires meaningful cooperation between managers and affected groups. According to self-determination theory (SDT), a broad theory of motivation, communication efforts supportive of the basic psychological needs of autonomy, competence, and relatedness are more likely to motivate voluntary cooperation among affected groups than efforts centered on control. In this study, we applied a conceptual framework based on SDT to analyze state agency communication strategies. We surveyed key state agency personnel about their approach to CWD communication and conducted a content analysis of communication materials. We then conducted a qualitative analysis of open-ended responses from state agency personnel to identify patterns in appeals to autonomous motivation compared to more controlled forms of individual motivation. Our analysis suggests that agency communications provide variable support for individual basic psychological needs, and we suggest guidelines that may improve future communication efforts.

A systematic literature review of online communication and promotion for sustainable tourism

PurposeThe purpose of this study is to systematically review the literature on how sustainable tourism is communicated online and who the main stakeholders involved in the communication are.Design/methodology/approachConducting a quantitative approach based on the systematic literature review, we searched five academic databases and examined 747 papers published from 2009 to 2022. A total of 87 articles were systematically analysed.FindingsSustainable online communication has mainly been explored through structured data rather than alternative ones. Different stakeholders have been studied about online sustainable communication. However, few studies have focused on the relationships between them as a unique and complex ecosystem of subjects.Originality/valueTo the best of the authors’ knowledge, this study is the first attempt to synthesise sustainable online communication and the stakeholders involved. It provides an in-depth understanding of central papers discussing the topic and offers insights for future research to foster growth in both research and practice. Overall, this research highlights the lack of research on the topic and its importance for a planned sustainability-oriented online communication strategy to raise awareness and inspire sustainable choices.

Identification of Customer Through Voice Biometric System in Call Centres

In recent times, there has been a growing emphasis on adjusting communication strategies to foster strong customer relationships. This shift is driven by intensified competition, market maturation, and swift advancements in business technology. Consequently, companies have established call centers to efficiently handle customer support and fulfil customer inquiries. A pivotal aspect of enhancing service quality within these call centers involves accurately identifying customers during their interactions. The primary objective of this study is to introduce a methodology for identifying customers within call centers by analyzing their voice characteristics. Voice authentication (VA) has gained prominence in critical security operations, including banking transactions and conversations within call centers. The susceptibility of automatic speaker verification systems (ASVs) to deceptive spoofing attacks has prompted the development of countermeasures (CMs). These countermeasures are designed to differentiate between authentic and fabricated speech. ASVs and CMs collectively constitute contemporary VA systems, positioned as robust access control mechanisms. To achieve this goal, various customer identification systems within call centers have been examined, along with an analysis of audio signal attributes. Ultimately, the manuscript presents a novel approach to customer identification through voice biometrics. Notably, this method excels in recognizing customers even when provided with limited voice data. Empirical findings demonstrate that the suggested speaker identity confirmation method outperforms alternative techniques utilizing different algorithms, exhibiting a higher recognition rate. The present research work is based on two important perspectives of the call centres: a. call center agents experience and b. customer experience. The data collected separately from customers and agents for understanding the effective usage of voice biometric system in call centres. The data represented and satisfies the effectiveness of voice biometric system from both the perspectives. From the data it is also cleared that, the implementation of voice biometric system in call centres still have long way to go but will be a major technological change for the industries worldwide.

Political Communication Strategy of Indonesian Republic President Joko Widodo Through Political Diction and Strategic Grammar

This study aims to explore Joko Widodo’s political communication strategy through political diction and strategic grammar. At this point, language is a tool that is full of political interests to gain and maintain power. With a critical paradigm in a qualitative approach, the data are the text of President Joko Widodo’s state speeches in the 2019-2023 period. Data analysis was performed using Fowler’s version of CDA (critical discourse analysis). In the end, the results show that the hidden meanings of using political diction in President Joko Widodo’s speech include embracing political opponents, gathering support, responding to demands, boosting image, growing optimism, and issuing warnings. Apart from that, Joko Widodo in his State of the Union speech also makes use of grammar strategically to highlight positive things or successes by packing them into active sentences and disguising (covering) negative things or failures by packing them into passive sentences. Keywords: political diction, strategic grammar, hidden meaning, political communication strategy

Strategic Communication of Shopee Affiliators on TikTok for Consumer Engagement

Background: The rise of social media has transformed marketing strategies, particularly in e-commerce. Specific Background: This study examines how affiliate marketers on TikTok enhance consumer engagement and purchasing decisions. Knowledge Gap: Limited understanding exists regarding the specific communication strategies that TikTok affiliates use to influence consumer perceptions. Aims: The research analyzes the communication concepts employed by a TikTok affiliate account to attract consumers. Results: Findings reveal that product reviews by creators serve as credible sources of information, reducing consumer uncertainty and building trust. Novelty: This study offers unique insights into the dynamics of affiliate marketing on TikTok, highlighting benefits for both creators and store owners through authentic promotions. Implications: The research emphasizes the importance of effective communication in affiliate marketing, suggesting that these strategies not only enhance consumer trust but also facilitate organic campaigns that expand market reach with minimal advertising costs. Highlights : Credible Information: Product reviews by creators help reduce consumer uncertainty. Trust Building: Honest evaluations foster stronger relationships between creators and audiences. Organic Reach: Effective communication strategies enhance marketing campaigns without high advertising costs. Keywords: TikTok, Affiliate, Marketing, Consumer, Trust

Analisis Media Statement Kasus Lion Air Penerbangan Jt-610 Boeing 737 Max 8 Dengan Pendekatan Storytelling Michael L. Kent

The focus of this study is on how Lion Air managed crisis communication following the Boeing 737 MAX 8 crash of Flight JT-610. The research delves into the use of storytelling in media statements as a strategy for crisis communication during the aftermath of the crash. It outlines Lion Air's goals in sharing information and engaging with the public and media in the midst of this crisis. The study utilizes a qualitative text analysis to scrutinize three specific media statements released during the crisis. By applying Michael L. Kent's storytelling elements, the analysis of the media statements concentrates on factors like emplotment, narrative theory, identification, form, and masterplots. The selected statements cover the immediate aftermath of the crash on October 29, 2018; a subsequent statement on March 13, 2019, addressing broader safety concerns surrounding the Boeing 737 MAX 8; and a final statement on October 26, 2019, summarizing findings from the National Transportation Safety Committee's investigation. The research findings suggest that employing storytelling through straightforward text in media statements, incorporating credible character depiction, structured narrative, empathy, and compelling storytelling, can notably influence an organization's reputation recovery and improvement. Well-crafted and timely media releases are essential as primary information sources for the media, especially in crisis scenarios where prompt and precise information dissemination is critical. This method ensures that information, though disseminated quickly, maintains relevant and impactful storytelling aspects. The study concludes that storytelling, characterized by humanistic, empathetic, and coherent narratives across media statements, can be effectively utilized by Lion Air to uphold consistent and narrative-focused communication with the public through the media.

Critical Vulnerability in Leadership as a Key Factor in Successful Change Management Communication

This research explores the relationship between the discovered phenomenon of critical vulnerability in leadership during organizational change and its successful outcome. The phenomenon under study is fundamentally distinguished from vulnerable leadership, which is covered in literature as a deliberate tactic leaders use to improve interpersonal relationships and performance. This study concentrates on challenging and uncontrollable leader vulnerability manifested as a decline in the authority and influence of the leader among stakeholders. The main reason for the observed critical leader vulnerability is hypothesized to be the gap in leadership mindset levels between the leader and stakeholders at the onset of the organizational change. It is also hypothesized that the change communication of an authentic leader, predetermined by a high level of leadership mindset, triggers the leader's vulnerability and, at the same time, paradoxically contributes to the evolution of stakeholders' leadership mindset. This, in turn, is a prerequisite for achieving remarkable prosocial results. Relying on the described assumptions, we executed preliminary research, aiming to identify the change communication patterns of leaders in the state of vulnerability (hereinafter referred to as "vulnerable change communication") and to explore how they catalyze the stakeholder mindset evolution. The final sample group involved 9 top managers who faced vulnerability while leading the change process and made significant contributions to the development of their organizations. The research methodology relied on qualitative methods—in-depth interviews on which narrative and thematic analysis was based. Leaders were asked questions to discover goals of change, the presence of periods of vulnerability, the causes and consequences of its occurrence, their communication patterns, and results achieved. The obtained data were analyzed by applying recognized frameworks such as the Michigan Model of Leadership with its Competing Values Framework (CVF), the Approach of Management of Organizational Change Paradoxes, Programmed and Adaptive Approaches to Change, and Stakeholder Communication Model of Change. The present study has taken the first steps towards confirming the existence of an unambiguous connection between certain patterns of leadership change communication, embracing vulnerability by leaders, and remarkable prosocial outcomes. We found that change communication strategy based on embracing personal vulnerability and a high level of leadership mindset characterized by a value-based position, commitment to outstanding prosocial results, and synthetic decision-making ensures the leader the following: 1) Construction of Shared Leadership. The leader creates an organizational culture that transforms stakeholder resistance based on self and group interests into the evolution of a stakeholder leadership mindset and consolidation of the company. The formula for combining the best of both programmed and adaptive approaches to change includes preserving the integrity of the vision and managing meaning and outcome on the one hand, and supporting the strategy by the deployment of communication and bottom-up initiative on the other. 2) Managing Organizational Change Paradoxes. The leader addresses institutional contradictions and stakeholder divergent interests that naturally arise during the change process and creates the basis for subsequent institutionalization on a much stronger and healthier foundation. The paradoxical effect of a leader's personal vulnerability on organizational vulnerability is that the leader helps to reduce the organization's risks by taking them on themselves. Further exploration of the phenomenon of vulnerability will allow us to consider the inclusion of this component in the framework of change management models, to identify vulnerable leaders, specify the vulnerable communication model of change, and develop a list of recommendations for leaders to more consciously navigate the difficult stage of vulnerability as a systemic and inevitable attribute of achieving remarkable prosocial results.

Feasibility of Implementing Dementia Collaborative Coaching into Routine Care in Nursing Homes

ABSTRACT Objectives The study evaluated the feasibility of implementing Dementia Collaborative Coaching (DCC) into the routine workflow of speech-language pathologists (SLPs) working in nursing homes (NHs). DCC is an intervention delivered by SLPs to train nursing assistants (CNAs) in communication strategies to support people living with dementia (PLWD). Methods We assessed the feasibility of identifying eligible PLWD; estimated intervention fidelity; evaluated suitability of outcome measures; and determined the preliminary impact on behavioral and psychological symptoms of distress (BPSD) among PLWD. SLPs completed a semi-structured interview to collect further acceptability data. Results Four SLPs in four NHs completed DCC with 10 CNAs and 15 eligible PLWD that they appropriately identified from their caseloads. SLPs conducted 90 DCC sessions with 64% fidelity and billed Medicare for all sessions. The outcome measure of Minimum Data Set item E0200B: Rejection of Care did not vary enough to be useful, but positive changes were noted on the Cohen-Mansfield Agitation Inventory, t(14) = 10.51, p < .001, Cohen’s d = 2.76. Interviews further indicated feasibility. Conclusions It is feasible to implement DCC into the workflow of SLPs in NHs. Clinical Implications Given the feasibility and preliminary positive impacts, SLPs could consider implementing DCC in routine care.

A scoping review of evidence on routine cervical cancer screening in South Asia: investigating factors affecting adoption and implementation.

Adopting the "Arksey and O'Malley and Levac et al." methodology, databases such as PubMed, CINAHL, Web of Science, and Scopus were scrutinized in the pursuit of relevant studies. Subsequently, the collected data were synthesized by adopting the Consolidated Framework for Implementation Research (CFIR) model. A total of 837 records were initially identified and screened for eligibility, including 55 studies. The successful adoption and implementation of cervical cancer screening in South Asia encounter numerous obstacles within the health system, including the absence of a comprehensive program protocol for screening, inadequate health infrastructure, and the presence of multiple sociocultural factors, such as social stigma, low levels of education, and concerns related to modesty. To optimize adoption and implementation, it is imperative to construct a customized policy framework that incorporates a risk communication strategy tailored to the specific contexts of these nations. Drawing insights from the experiences of South Asian countries in executing cervical cancer screening programs can inform the formulation of policies for similar healthcare initiatives aimed at facilitating the expansion of HPV vaccination efforts.

When adults with speech-language impairment meet law enforcement: A qualitative analysis of client experiences

IntroductionMembers of law enforcement and the general public who have limited knowledge of persons with communication impairments (PCI) may misinterpret their communication behaviors. Few studies exist about communication between PCI and law enforcement, and data are lacking about the factors that may influence their interactions. Considering this need, we addressed the following research questions: How will PCI describe their attitudes and experiences related to interacting with law enforcement? What individual characteristics may influence these attitudes and experiences? MethodsIn individual semi-structured interviews, we asked 10 adults with speech-language differences (aphasia, dysarthria, or stuttering) to describe their experiences of interacting with members of law enforcement, the communication strategies they would use when interacting with law enforcement, and what they would like members of law enforcement to know about their communication needs. In qualitative analyses, we generated themes from the data. ResultsThree main themes and four subthemes were evident in participant responses. Participant emotions and communication behavior were affected in complex ways during their interactions with a person of authority in uniform. In this sample of PCI, levels of confidence about communicating with strangers were lower for participants with no visible characteristics versus those who exhibited these signs. The participants recommended communication strategies for use by members of law enforcement. ConclusionsThese findings extend the limited literature on this topic to include factors that appear to influence the attitudes and experiences of PCI during their interactions with law enforcement. In clinical application, speech-language pathologists have an important role to play in assisting clients to practice individualized communication strategies for interactions with law enforcement in various contexts. Further research is needed into the perspectives of PCI and the attitudes and experiences of law enforcement when interacting with PCI.

ENGINEERING MANAGEMENT PERSPECTIVES ON SAFETY CULTURE IN CHEMICAL AND PETROCHEMICAL PLANTS: A SYSTEMATIC REVIEW

This systematic review examines the influence of engineering management practices on cultivating and sustaining a strong safety culture in chemical and petrochemical plants. Given the high-risk nature of these industries, establishing a robust safety culture is essential for mitigating operational hazards, reducing risks, and preventing accidents that can have serious human and environmental impacts. The review synthesizes findings from 135 peer-reviewed studies, focusing on key elements such as leadership commitment, employee engagement, regulatory compliance, safety management systems, and the integration of advanced technologies like automation and artificial intelligence (AI). The results highlight that safety performance in these industries is closely linked to management's active involvement in promoting safety practices, clear communication strategies, and the continuous assessment and improvement of safety protocols. Engineering managers play a critical role in driving safety initiatives and fostering an organizational culture where safety is a shared responsibility. The review also underscores the importance of regulatory compliance as a foundation for safety, while emphasizing that the most successful organizations go beyond compliance to embed safety deeply into their operational practices. Technological advancements, particularly in automation and real-time monitoring, were found to significantly enhance safety outcomes by enabling proactive risk identification and mitigation. Overall, this review offers valuable insights and practical guidelines for engineering managers aiming to strengthen safety protocols, reduce risks, and enhance safety performance in high-hazard industrial environments.

Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties

ABSTRACT Human papillomavirus (HPV) infection is an important public health concern, with nearly 2,900 cases of HPV-related cancers reported in New York State (NYS) each year. Despite concerted efforts to enhance vaccine uptake in NYS, HPV vaccination rates among 13–15-year-olds failed to meet the 2020 healthy People target, and continue to lag behind the 2030 goal, of 80%. In counties with low immunization levels, understanding factors influencing decision-making among unvaccinated adolescents is crucial. This study aimed to identify barriers, facilitators, and potential interventions to improve HPV vaccine uptake. Qualitative semi-structured interviews were conducted with key informants in 15 NYS counties within the lowest quartile of HPV vaccine coverage among 13-year-old adolescents. Public health representatives, including Immunization Quality Improvement for Providers (IQIP) consultants, vaccine coordinators, medical directors, and primary care providers, were identified through purposive and snowball sampling. Interviews explored vaccination coverage knowledge, barriers and facilitating factors, and recommended strategies for improvement. All conversations were audio-recorded, transcribed, and analyzed using ATLAS.ti. Forty-four interviews were conducted, revealing barriers to HPV vaccination such as limited vaccine knowledge, vaccine misinformation, and accessibility. Key informants asserted barriers could be primarily addressed through education efforts, such increased public awareness, improved parent–doctor conversations, additional provider education on vaccine benefits, and supplementary education in patient spaces. Targeted education efforts and improved provider communication strategies have the potential to bolster HPV vaccination rates in NYS. These findings offer valuable insights for guiding future initiatives in communities facing significant barriers to vaccination.

Requesting care in a medical encounter: How patients make requests and how general practitioners respond

ObjectivesGeneral practitioners (GPs) often deal with patient requests, yet little is known about the types of requests and how GPs respond. We used real-life Dutch consultations (recorded in 2015) to identify how care is requested in clinical practice. MethodsWe analysed sixty-six consultations using an inductively and deductively developed codebook. Coders categorised five items of patient requests: type, speaker, formulation, GP response, and resolution. Correlations between these items were analysed with chi-square analyses. ResultsWe identified 257 patient requests. Most requests concerned information or advice (n = 191, 74.3 %). When patients requested medical care, they often did so indirectly (χ2 (1)= 69.66, p < .001). Request type predicted the resolution: GPs were more likely to meet requests for information than for medical care (χ2(1) = 5.45, p = .019). More than half of the medical care requests that were followed by an explanation were not met (n = 5, 55.6 %). When a request was not met, GPs used communication strategies such as offering alternatives, referencing examination results, and depersonalisation. ConclusionsAsking questions, co-construction of a request, and explaining are important diagnostic and therapeutic tools for GPs in conversing with the patient. Practice implicationsThese conversational strategies could be trained to help GPs evaluate requests while maintaining a good GP-patient relationship.

Asbestos: Communicating the Health Issues Derived from Fibrous Minerals to Society

Asbestos, also known by its commercial name “amianthus”, has been widely used in various industries due to its unique properties. However, the extensive use of asbestos has had serious consequences for human health, most notably asbestosis, an irreversible chronic lung disease. Asbestosis increases the risk of lung cancer and malignant mesothelioma, both of which are fatal. Applied sciences such as microscopy (optical and scanning electron microscopy) and geochemistry have been fundamental in characterizing the mineral fibers of asbestos to understand its role in human health. We previously used these techniques to characterize these fibers; in this study, we explored the issues associated with asbestos and asbestosis, as well as the challenges facing science communication strategies in effectively informing society and workers about these risks. The lack of scientific culture, in general, has led to a lack of public awareness of the risks of asbestos. As such, effective communication and outreach plans and strategies, including the visualization of the fibers to demonstrate why problems arise if inhaled, must be implemented to address these challenges. Educational campaigns, guidelines, and plans that are informative and actionable, teaching workers, communities, and the public about the risks of asbestos are crucial. A general knowledge of mineralogy and geochemistry is needed, and providing and disseminating proper scientific communication may help to close the knowledge gap. We use examples and experience from Spain and Italy to illustrate this matter, as we have been working on the characterization of ultramafic complexes in these countries for more than ten years. Additionally, because these countries have strict laws for asbestos-containing materials, they are currently involved in retiring and demolishing buildings and infrastructure that contain asbestos.

Using Politeness Theory to Deconstruct How Preregistrant Pharmacists Approach Disagreement in the Workplace

ObjectiveUsing politeness theory, this study investigates how preregistrant pharmacists engage in workplace disputes. MethodsOverall, 56 students participated in 2 mock job judgment scenarios. In scenario A (n = 25), the conflict was with a colleague of lower hierarchical status, while in scenario B (n = 32), the conflict was with a colleague of equal hierarchical status. Using politeness theory, responses were coded into 3 tiers: (1) engagement in the face-threatening act (FTA); (2) use of on/off-record approaches; and (3) communicative strategies. For tier 1, reasons for engaging in the FTA were also coded. Results89% of the participants indicated they would unequivocally engage in the FTA. For scenario A, the pharmacist’s roles and responsibilities (40%) and for scenario B, situational urgency/safety (65%) were the key drivers. Scenario A participants were more likely to use an on-record approach (80%) than those in scenario B (68%). Empathetic approaches (56%) were more common in scenario A, while explanatory approaches (64%) were more frequent in scenario B. ConclusionThis study shows that preregistrant pharmacists are aware of the principles of face-work. While the study only reflects what participants believe they would do, not their actual ability in professional disputes, it supports current research that students need simulated low-stakes opportunities to practice communication skills before entering the workplace, especially where situational urgency is present. Integration of politeness theory in workshop and feedback design could help students to link awareness to actual interaction, although the theory should be expanded to integrate urgency as a factor impacting all levels of interactional decision-making.

Image restoration strategies in pandemic crisis communication: a comparative analysis of Chinese and American COVID-19 political speeches

This study explores the effectiveness of image restoration strategies in pandemic crisis communication at the highest levels of administration. By integrating corpus-assisted discourse analysis with Image Repair Theory, it aims to uncover the prevailing strategies adopted by Chinese and American leaders to restore or enhance a positive national image in the post-COVID era. Lancsbox 6.0 was utilized to extract excerpts and analyze linguistic devices from a self-built corpus of 144 political speeches delivered by top leaders in China and the United States. The results reveal that Chinese leaders, through the use of shared image restoration strategies such as bolstering and transcendence, shape a positive national image of a responsible country. In contrast, American leaders construct a confident and ambitious national image, projecting a leading geopolitical role in the world. These strategies have distinct features that contribute to the image restoration process. Apart from contributing significantly to the comparative research on Chinese and American pandemic-related political speeches, the research findings carry implications for the practice and promotion of national ideologies. The study also highlights the diverse ways in which credible and accurate crisis messages are employed, providing valuable insights for handling pandemics or other crises in the foreseeable or distant future.

New Turkey, social policy, and a daytime talk show as a remedy: Müge Anlı as a modern Çalıkuşu

ABSTRACT ‘Müge Anlı ile Tatlı Sert’, which investigates unresolved criminal cases with interactive audience support, is one the most popular daytime television shows in contemporary Turkey. The neoliberal restructuring of the welfare system in New Turkey posits that providing protection and security against social risks is the sole responsibility of individuals and families. In line with this approach, the show individualizes social problems ready to be resolved by ‘Müge Abla’ (Sister Müge) and her audience. Müge Anlı's image, which conforms to the ideal modern and modest Republican woman, allows her to gain authority, trust, respect, and popularity. The show’s discourses, structure, and communicative strategies are the product of the New Turkey where ‘the sacred family’ is the central political unit and the nation is an extended, happy family reproduced through this show.

Digital communication between mothers and community health workers to support neonatal health (CHV-NEO): study protocol for a randomized controlled trial

BackgroundProvision of essential newborn care at home, rapid identification of illness, and care-seeking by caregivers can prevent neonatal mortality. Mobile technology can connect caregivers with information and healthcare worker advice more rapidly and frequently than healthcare visits. Community health workers (CHWs) are well-suited to deliver such interventions. We developed an interactive short message service (SMS) intervention for neonatal health in Kenya, named CHV-NEO. CHV-NEO sends automated, theory-based, actionable, messages throughout the peripartum period that guide mothers to evaluate maternal and neonatal danger signs and facilitate real-time dialogue with a CHW via SMS. We integrated this intervention into Kenya’s national electronic community health information system (eCHIS), which is currently used at scale to support CHW workflow.MethodsThe effect of CHV-NEO on clinical and implementation outcomes will be evaluated through a non-blinded cluster randomized controlled trial. Twenty sites across Kisumu County in Western Kenya were randomized 1:1 to provide either the national eCHIS with integrated CHV-NEO messaging (intervention) or standard of care using eCHIS without CHV-NEO (control). We will compare neonatal mortality between arms based on abstracted eCHIS data from 7200 pregnant women. Secondary outcomes include self-reported provision of essential newborn care (appropriate cord care, thermal care, and timely initiation of breastfeeding), knowledge of neonatal danger signs, and care-seeking for neonatal illness, compared between arms based on questionnaires with a subgroup of 2000 women attending study visits at enrollment in pregnancy and 6 weeks postpartum. We will also determine CHV-NEO’s effect on CHW workflows and evaluate determinants of intervention acceptability, adoption, and fidelity of use through questionnaires, individual interviews, and messaging data.DiscussionWe hypothesize that the CHV-NEO direct-to-client communication strategy can be successfully integrated within existing CHW workflows and infrastructure, improve the provision of at-home essential newborn care, increase timely referral of neonatal illness to facilities, and reduce neonatal mortality. The intervention’s integration into the national eCHIS tool will facilitate rapid scale-up if it is clinically effective and successfully implemented.Trial registrationClinicalTrials.gov, NCT05187897. The CHV-NEO study was registered on January 12, 2022.

Developing a Public Health Course to Train Undergraduate Student Health Messengers to Address Vaccine Hesitancy in an American Indian Community.

The purpose of the Diné Teachings and Public Health Students Informing Peers and Relatives about Vaccine Education (RAVE) project was to develop strategies for health communication that addressed COVID-19 vaccine safety for residents of the Navajo Nation. The RAVE project developed a 16-week course using the Diné Educational Philosophy as a framework to train Diné College (DC) public health undergraduate students (n = 16) as health messengers to share COVID-19 vaccine safety information with unvaccinated peers and relatives. An online community survey (n = 50) was used to assess DC community vaccination perceptions to guide course development. The two primary reasons survey participants got vaccinated were to protect the health of others [82% (n = 41)] and to protect their own health [76% (n = 38)]. A pretest/post-test and a retrospective pretest (n = 13) were implemented to determine course effectiveness. A finding approaching significance was related to student confidence in being health messengers (9.1% increase). RAVE offers the first example in the published literature of successfully training American Indian undergraduate students in the context of a public health course to contribute to the response workforce during a public health crisis.

Subjective and functional outcome measures to evaluate performance of pediatric cochlear implant

BackgroundThe majority of research on the effects of cochlear implants has been on clinical evaluations of efficacy (hearing and speech skills and auditory thresholds). But it is unclear how much clinical efficacy metrics (speech, hearing, and language tests) actually demonstrate how beneficial cochlear implants (CI) are in everyday circumstances. In this study, we aim to assess the performance of a child’s current CI with both subjective and functional outcomes measures. Also, we aimed to assess factors affecting these outcomes after CI.MethodsThe study group included 45 cochlear-implanted children, and their chronological age ranges between 4 and 12 years. Children were divided according to their language age into three groups: group 1 (G1) includes15 children with a language age of less than 2 years, group 2 (G2) includes 15 children with a language age of 2 to less than 4 years, and group 3 (G3) includes 15 children with language age 4 to 6 years. Assessment was done in two sessions: one for phoniatric evaluation and another for audiological evaluation.ResultsCI enabled children to develop speech perception in a closed manner evidenced by the early speech perception (ESP) test with pattern perception being the easiest and monosyllabic words being the most difficult and the least to develop. Most children with CI were able to control their voice, to a lesser extent to use speech in meaningful use in social situations and to develop communication strategies in oral situations which were the least to develop, and this was evident by Meaningful Use of Speech Scale. Children with CI were able to acquire language, and their receptive language was better than expressive language, but their language age was below their chronological age.ConclusionThe cochlear implant is an effective rehabilitative tool for the treatment of prelingually deafened children, and this was evident by our results. A hierarchal approach of speech assessment according to the language age of the child and selection of age-appropriate speech perception test is very important to assess cochlear-implanted children Speech recognition had a high degree of variability. Early implantation age and increased duration of implant experience were the most important factors associated with good performance with CI, better speech perception, and better language outcomes.