Health Communication Scholars Research Articles

Adolescents’ Preferences for Mainstream and Paraphilic Pornography and Sexual Health Components: Attention to Within-And Between-Person Dynamics Over Time

ABSTRACT Health communication scholars are becoming increasingly cognizant of the potential health implications of youths’ pornography consumption. However, while research on pornography viewing and adolescent health and development has become increasingly common, the possible importance of distinguishing between mainstream and paraphilic consumption and within-and-between person dynamics has been underemphasized. Accordingly, the present study explored relations between adolescents’ preferences for mainstream and paraphilic pornography and their sexual satisfaction and sexual arousability in three-wave panel data using random intercept cross-lagged panel models. At a between-person level, only mainstream pornography viewing was positively related to adolescents’ sexual arousability. No relations were found between mainstream and paraphilic pornography viewing and sexual satisfaction at a between-person level. Results further revealed that an increased exposure to mainstream pornography and paraphilic pornography was not associated with sexual arousability and sexual satisfaction at the individual level. Null findings regarding paraphilic pornography viewing may be explained by the presence of a floor effect. Further, no differences in the investigated relations were found between sexually inexperienced and experienced adolescents, and between single adolescents and adolescents in a relationship. The findings are discussed in light of recent commentary on the uses of random-intercept cross-lagged panel models in the communication discipline.

The Impact of Health Communication Research on Medical and Health Professional Education and Training

ABSTRACT In this essay, we review how health communication scholarship has been translated into various communication skills trainings (CSTs), we present four case studies of how health communication research informed the development and implementation of specific CSTs, and we reflect on how we can productively define “impact” in looking back as well as looking forward within this line of research.

Podcasting as Storycrafting and Translational Health Communication Scholarship

ABSTRACT Defining Moments is a podcast that extends the reach of articles published in Health Communication into public acoustic realms. In this essay, we locate Defining Moments in the broader realm of podcasting and highlight its inception, production, distribution, and impact through available data analytics. We approach podcasting as a relational experience in which meaning-making extends beyond any audio text to include reactions, interactions, and actions. Across three seasons and thirty-five episodes, the podcast has created space for scholars to translate research for general audiences and reflect on defining moments of their personal and professional lives, often situated in adverse experiences or unjust social contexts. Common to all episodes are stories of retrospective sensemaking in the service of prospective change.

Diminishing Psychological Reactance Through Self-Transcendent Media Experiences: A Self-Report and Psychophysiological Investigation

ABSTRACT Health communication scholars have provided ample evidence demonstrating the ways in which freedom-threatening language used in persuasive health messages evokes freedom-threat perceptions, state psychological reactance, and intentions to engage in behaviors opposite of those recommended by the health message. This study examined a novel mitigation strategy for diminishing these outcomes. We examined whether prior exposure to entertainment portrayals of moral virtue (versus a neutral video) can dampen audiences’ psychological reactance, intentions to consume alcohol, and defensive message processing via their psychophysiological responses to a subsequent, freedom-threatening excessive alcohol consumption public service announcement (PSA). The results revealed that participants who viewed entertainment portrayals of moral virtue (N = 50 college-aged participants) self-reported higher levels of elevation, moved, and inspiration relative to participants in the control condition (N = 50 college-aged participants). Participants who were exposed to entertainment portrayals of moral virtue prior to the excessive alcohol consumption PSA also self-reported less psychological reactance and fewer behavioral intentions to consume alcohol following the excessive alcohol consumption PSA than participants in the control condition. Consistent with these self-report data, participants in the entertainment portrayals of moral virtue condition exhibited less defensive message processing of the excessive alcohol consumption PSA via their psychophysiological responses relative to the control group. The results indicate that initial exposure to entertainment portrayals of moral virtue can dampen audiences’ cognitive, emotional, and behavioral responses to a subsequent, freedom-threatening health message, thereby increasing the chances of improved health outcomes.

Understanding Trends in Health Communication and Appropriate Design for Outstanding Research Outcome in Nigeria

This study evaluated the frequency of health communication issues published in Journal of Communication and Media Research (JCMR) as a percentage of the total publications, the dominant themes on health communication in the JCMR and the dominant research designs used in the studies on health communication in the JCMR. A qualitative research design was employed in this study with survey of literature in the JCMR. The study found that the average coverage of health communication by health communication scholars in JCMR. was the predominant thematic area of health communication covered by JCMR. It established that the theme of assessment and evaluation of health interventions and campaigns and the theme of Doctor-Patient Communication is the lowest area of attention. This can be justified by the fact that it is relatively a new area of health communication research in Nigeria. It was discovered that majority of researchers did not specify the research design employed in the various articles in JCMR while case study research was the dominant design that scholars used in JCMR.

Abstract P6-09-03: Examining recollections of Black women with breast cancer who participated in clinical trials: A grounded practical theory study of patient-provider communication

Abstract Introduction: The presence of strong barriers to research participation for Black and Brown women is indisputable. However, existing evidence clearly supports the possibility of equal levels of participation among members of minoritized populations in past breast cancer clinical trials, demonstrating that while these participation barriers do undoubtedly exist, they are not always insurmountable. A main implication of this current study is that researchers should take greater strides to remove the onus of recruitment responsibility from racialized population members, and instead leave it with the providers, investigators, and health care teams who hold enough power to make change. Purpose: This project takes a grounded practical theory (GPT) approach to engage with Black women who have been diagnosed with breast cancer and have participated in a breast cancer clinical trial and explores their recollections of conversations with their providers. GPT focuses on reconstructing particular communication practices, highlighting both the important procedural role of communication in practice and its ability to present intricate complications that echo society’s norms and values. The aim of this work is to investigate and analyze those patient-provider conversations to try to illuminate how providers can better engage these women in ways that will positively influence their perceptions of breast cancer clinical trial participation. Methods: The current study was part of a larger project examining the recruitment of Black women to breast cancer clinical trials. Fourteen women (N=14) from six different states in the U.S., all of whom self-identified as Black, Black American, or African American, agreed to be interviewed as part of a larger study. All participants had participated or were currently participating in a breast cancer clinical trial. The interviews yielded a wealth of interesting and potentially important additional data about Black female breast cancer patients and their communication experiences with their providers. Employing grounded practical theory as a framework helped increase insight into the patient-provider communication needs of Black women who have participated in a breast cancer clinical trial. Results: Findings were summarized into four categories: 1) the participants held differing perspectives and personal impressions toward their providers; 2) the women reflect on their individual breast cancer journeys through richly described incidences, describing searching for, and finding trials on their own, or being guided by healthcare providers who suggested a clinical trial for them; 3) each participant’s shared details of their unique communication relationship with medical and research providers; and 4) the cultural aspects of participants’ patient-provider communication, focusing primarily on their expressions of faith. These findings have important implications for health communication scholars, healthcare providers, and breast cancer clinical trial research principal investigators and team members. Conclusion: As opposed to the conclusion that one may draw from most published explanations of poor minority accrual to clinical trials, which appear to put the blame on the minoritized population members themselves, the current work outlines the actions and non-actions of many providers, and suggests that adjusting to approaches that demonstrate more encouragement and acceptance of their patients might result in better clinical trial participation outcomes from these group members. Citation Format: Precious Okoruwa, Katherine E. Ridley-Merriweather. Examining recollections of Black women with breast cancer who participated in clinical trials: A grounded practical theory study of patient-provider communication [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P6-09-03.

“What Do You Do if They Say ‘No’?”: Agency, Materiality, and Justice in Pelvic Exams

ABSTRACT In this defining moments essay, I take up feminist new materialist and reproductive justice theories to explore communication, autonomy, consent, and in/justice in the context of pelvic exams. I use feminist new materialism and reproductive justice to illustrate the ways in which traditional medical education practices, histories of misogynoir, speculums, patient gowns, and more communicate and matter in pelvic exam teaching and practice. In so doing, I move between academic prose and short narratives drawn from my lived experiences as both a patient and a Gynecological Teaching Associate (a role in which I instruct medical students learning to perform pelvic exams). Ultimately, I argue that attending to influence of other-than-humans and adopting relational conceptions of agency can help health communication scholars and practitioners advance equity and justice in pelvic exams.

Abstract B041: An examination of patient-provider communication through recollections of Black breast cancer clinical trial participants

Abstract Introduction: Despite the indisputable presence of strong barriers to research participation for Black and Brown women, evidence exists that clearly supports the possibility of nearly equal levels of participation among members of minoritized populations in past breast cancer clinical trials (BC CTs), demonstrating that while these participation barriers do undoubtedly exist, they are not always insurmountable. Purpose: The current project takes a grounded practical theory approach to engage with Black women who have been diagnosed with BC and have participated in a BC CT and explores their recollections of conversations with their providers. The aim of this work was to investigate and analyze those patient-provider conversations to try to illuminate how providers can better engage these women in ways that will positively influence their perceptions of BC CT participation. Methods: Fourteen women (N=14) from six different states in the U.S., all of whom self-identified as Black, Black American, or African American, agreed to be interviewed as part of a larger study. All participants had participated or were currently participating in a BC CT. Employing grounded practical theory as a framework helped increase insight into the patient-provider communication needs of Black women who have participated in a BC CT. Results: Findings were summarized into four categories. The first category focused on the differing perspectives and personal impressions the participants held toward their providers. In the second category, the women reflect on their individual BC journeys through richly described incidences, describing searching for and finding trials on their own, or being guided by healthcare providers who suggested a CT for them. The shared details of each participant’s unique communication relationship with medical and research providers are shared in the third category. Finally, category four highlights the cultural aspects of participants’ patient-provider communication, focusing primarily on their expressions of faith. Each of these findings has important implications for health communication scholars, healthcare providers, and BC CT research PIs and team members. Conclusions: This study amplified voices of Black women w/BC diagnoses enrolled in CTs through richly described incidences of patient/provider (P/P) communication experiences and individual BC CT paths & journeys. The study highlighted the salience of promoting cultural P/P conversations. This work centers on the ineffective explanations for low racial/ethnic minority CT presence, which can be interpreted as placing blame on the members of underserved populations themselves. Implications: Researchers must take greater strides to remove the onus of recruitment responsibility from racialized population members, and instead leave it with the members of the healthcare industry, who hold enough power to make change. Citation Format: Katherine E. Ridley-Merriweather. An examination of patient-provider communication through recollections of Black breast cancer clinical trial participants [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B041.

Hesitancy in the Home: The Relationship between Family Communication Patterns and Willingness to Converse about Covid-19 Vaccination

While family communication has repeatedly been found to be related to health decisions and outcomes, the role of family communication within the study of Covid-19 vaccine hesitancy has not received adequate attention. The present study ( N = 1,005) assesses the relationship between family communication patterns and willingness to converse about the Covid-19 vaccine with a family member, while also considering trust in government as a moderator. Findings revealed that individuals coming from high conversation-oriented homes who are also younger, unvaccinated, and imagining the vaccine conversation with their mother or father (as opposed to other family members) were more willing to converse with a family member about the Covid-19 vaccine. Conformity orientation only negatively predicted such willingness to converse when moderated by age. Surprisingly, trust in government was not found to moderate the relationship between either family communication pattern orientation and willingness to converse about the Covid-19 vaccine. Theoretical implications relevant for family and health communication scholars and healthcare professionals designing vaccine messaging are discussed.

A dose of public health and community pride: American local radio at the outset of the COVID-19 pandemic

The March 2020 onset of the COVID-19 pandemic in the United States created an immediate need for news, information and interaction. Public health communication scholars recommended media strategies that emphasized accurate information about the virus and mitigation measures, providing access to experts, and using opinion leaders to relay recommendations to the public. Local radio is a critical medium during a crisis because it can inform the public while comforting listeners with reminders of community pride. This study analysed programming on four local talk radio stations in New Jersey, Minnesota and Rhode Island, documenting how the stations and their announcers served the public during those chaotic early days. Despite notable exceptions, these stations properly kept listeners informed about what their leaders were doing about the pandemic, while also calling upon local symbols and aspects of culture, comforting and reassuring listeners, and giving them a space to share their stories.

Search Term Identification Methods for Computational Health Communication: Word Embedding and Network Approach for Health Content on YouTube

BackgroundCommon methods for extracting content in health communication research typically involve using a set of well-established queries, often names of medical procedures or diseases, that are often technical or rarely used in the public discussion of health topics. Although these methods produce high recall (ie, retrieve highly relevant content), they tend to overlook health messages that feature colloquial language and layperson vocabularies on social media. Given how such messages could contain misinformation or obscure content that circumvents official medical concepts, correctly identifying (and analyzing) them is crucial to the study of user-generated health content on social media platforms.ObjectiveHealth communication scholars would benefit from a retrieval process that goes beyond the use of standard terminologies as search queries. Motivated by this, this study aims to put forward a search term identification method to improve the retrieval of user-generated health content on social media. We focused on cancer screening tests as a subject and YouTube as a platform case study.MethodsWe retrieved YouTube videos using cancer screening procedures (colonoscopy, fecal occult blood test, mammogram, and pap test) as seed queries. We then trained word embedding models using text features from these videos to identify the nearest neighbor terms that are semantically similar to cancer screening tests in colloquial language. Retrieving more YouTube videos from the top neighbor terms, we coded a sample of 150 random videos from each term for relevance. We then used text mining to examine the new content retrieved from these videos and network analysis to inspect the relations between the newly retrieved videos and videos from the seed queries.ResultsThe top terms with semantic similarities to cancer screening tests were identified via word embedding models. Text mining analysis showed that the 5 nearest neighbor terms retrieved content that was novel and contextually diverse, beyond the content retrieved from cancer screening concepts alone. Results from network analysis showed that the newly retrieved videos had at least one total degree of connection (sum of indegree and outdegree) with seed videos according to YouTube relatedness measures.ConclusionsWe demonstrated a retrieval technique to improve recall and minimize precision loss, which can be extended to various health topics on YouTube, a popular video-sharing social media platform. We discussed how health communication scholars can apply the technique to inspect the performance of the retrieval strategy before investing human coding resources and outlined suggestions on how such a technique can be extended to other health contexts.

Using Animated Videos to Increase Patient Knowledge: A Meta-Analytic Review.

This article meta-analyzed 21 studies that tested the effectiveness of animated videos in improving learning in clinical and nonclinical settings compared with standard education. Animation was defined as the use of moving objects that are typically drawn or simulated. Videos ranged from just over 2 min in duration to 16 min in duration in articles published from 2009 through 2020. Mayer's Cognitive Theory of Multimedia Learning provided the theoretical model to frame the current analyses. Findings indicated an overall positive effect (d = 0.35) for use of animation in improving viewers' learning across a variety of health and clinical contexts, including surgery and diabetes. Moderator analyses indicated learning effects were greater in patient samples and samples with a higher proportion of male participants. Study findings were discussed in terms of the theoretical and practical implications for health communication scholars and practitioners.

A Scoping Review of Emerging COVID-19 Health Communication Research in Communication and Media Journals

ABSTRACT This article reports a scoping review of emerging research on COVID-19 health communication. We reviewed and analyzed 206 articles published in 40 peer-reviewed communication journals between January 2020 to April 2021. Our review identified key study characteristics and overall themes and trends in this rapidly expanding field of research. Our review of health communication scholarship during the early stages of the COVID-19 pandemic suggests that health communication scholars have risen to the challenges and interrogated important issues in COVID-19 communication at the individual, group, organizational, and societal levels. We identified important gaps that warrant future research attention including experimental research that seeks to test the causal effects of communication, studies that evaluate communication interventions in under-served populations, research on mental health challenges imposed by the pandemic, and investigations on the promise of emerging communication technologies for supporting pandemic mitigation efforts.

Comparing how information source and trust influence risk perception about Ebola in Ghana and Liberia.

The increasing occurrence of diseases across geographical borders creates a need to understand how information source preferences and trust in those sources influence risk perception across contexts. However, cross-context studies about information sources are not common in health communication and promotion scholarship. Using a survey, the research team compared how information sources, perceived usefulness of Ebola information, interpersonal and social trust and context influence risk perception and self-efficacy in an Ebola-affected (Liberia) and -unaffected (Ghana) country. Respondents from the unaffected country trusted the information they received significantly more and had higher levels of interpersonal and social trust than respondents from the affected country. These findings reinforce the use of community health workers as channels to support behavior and social change-focused programs, particularly in crisis situations, in addition to other information channels and sources.

Art Advocacy: Applying a Public Memory Rhetorical Framework to Health Crisis Communication

ABSTRACT Health campaigns and public health messaging strategies often rely on text-based efforts to communicate with audiences. As research grows in the areas of health and visual media, this essay puts a rhetorical framework of public memory in conversation with health campaign communication to show possibilities for audiences who are less likely to be moved by traditional institutional health narratives. The artifact for analysis is an art installation by Domenic Esposito, who in 2018 designed and placed a large scale “Opioid Spoon” at the headquarters of Purdue Pharma in Stamford, Connecticut. After situating public art as an effective way to advance health crisis messaging, we then preview the next phase of this research project that analyzes COVID-19 art as a counterpublic health narrative. We conclude by suggesting future health communication scholarship engage with the intersections of public health art, memory, and advocacy in order to reflect more accurately how communities experience health inequity.

Testing Narrative Persuasion of a Culturally Grounded, School-Based “Dale Se REAL” Entertainment-Education Intervention and Peer Communication on Nicaraguan Adolescent Substance Use

Guided by narrative engagement theory and social cognitive theory, the present study investigates effects of narrative persuasion and peer communication on Nicaraguan adolescent substance use. Eighth-grade students in Nicaragua were recruited to participate in the culturally grounded, school-based prevention intervention Dale se REAL and to watch five entertainment-education intervention videos that teach drug refusal communication strategies. Using the cross-sectional survey (N = 224), a path analysis was run to examine the mediated moderation effects of narrative engagement (e.g., interest, realism, and identification with main characters) and peer communication about the intervention videos (e.g., frequency and valence of communication) on adolescent refusal self-efficacy and substance use behaviors. Results revealed that realism was significantly related to adolescent refusal self-efficacy and frequent peer communication moderated the association between refusal self-efficacy and the past 30-day marijuana use. Findings suggest that health communication scholars should take into consideration social factors and cultural contexts for adolescent substance use prevention research.

Emergent Health Communication Scholarship from and about African American, Latino/a/x, and American Indian/Alaskan Native Peoples

ABSTRACT It is a privilege and honor to welcome you to this special issue of Health Communication which is based on scholarship that advances various divergent health issues pertinent to African American, Latino/a/x, and American Indian/Alaskan Native (AI/AN) peoples. The vision for this special issue which is a microcosm of the impactful research literature emerging from our field by Black, Latino/a/x, and American Indian peoples was to call attention to and acknowledge the breath of theoretically grounded and methodologically appropriate research in health communication. The 16 original articles featured in this issue reflect a robust compilation of topics from medical mistrust to tribal and elder leaders as health communicators and health promoters. The vision for the issue is that these articles serve as a platform that starts a meaningful and needed dialog within the field of health communication about the need for accessible and diverse scholarship from often-absent voices and/or narratives.

COVID Compatibility and Risk Negotiation in Online Dating during the COVID-19 Pandemic

We interviewed 31 individuals about their online dating life and behaviors during the COVID-19 pandemic. We use literature on risk and health behaviors to generate four frames for dealing with risk associated with COVID-19 while dating: 1) Unconcerned about Risk, 2) Preliminary Risk Assessment, 3) Active Risk Negotiation, and 4) Risk Aversion. Further, we argue that risk perception causes daters to use implicit and explicit communication about health behaviors to determine COVID compatibility, a state of being in agreement with a partner about how to best minimize risk of contracting COVID-19. Daters want to know that their partner is behaving with similar regard for health guidance and that they are doing their best to keep those in their communities safe. Though daters may transition between frames throughout the course of the pandemic, we use these four frames to identify sets of beliefs, routines, and personal health practices across our sample that have relevance for social scientists, health communication scholars, and health care practitioners.

Do Descriptive Norm Appeals in Public Service Ads Reduce Freedom Threats? Examining the Effects of Normative Messages and Media Literacy Skills on Decreasing Reactance

ABSTRACT While health communication campaigns seek to encourage and promote healthy behaviors, they are not always successful. Health communication efforts may fail for several reasons, such as viewers experiencing excessive freedom threats and reactance. This study (n = 201) proposes and demonstrates that descriptive norm appeals in health PSAs can indirectly lead to enhanced behavioral intentions toward the message advocacy via reducing perceived freedom threats, inhibiting psychological reactance, and improving message credibility. However, this serial mediation was only found for message viewers with relatively low media literacy skills – precisely, who did not show considerable critical thinking toward media content. For participants who reported a high level of critical thinking toward media content, the use of descriptive norm appeals did not decrease freedom threats, nor did it indirectly affect behavioral intentions. The findings of this study contribute to the theory of psychological reactance and norms-based research. Both theoretical and practical implications are provided for health communication scholars and practitioners.

Promoting COVID-19 vaccination through music and drama-Lessons from early phase of the pandemic.

Promoting COVID-19 vaccination through music and drama-Lessons from early phase of the pandemic.