Browsing by Author "Binion, Kelsey E."

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    A multi-site pilot study of a parent-centered tool to promote shared decision-making in hypospadias care
    (Elsevier, 2023) Binion, Kelsey E.; Rode, Akash Uday; Nortey, Gabrielle; Miller, Andrew D.; Misseri, Rosalia; Kaefer, Martin; Ross, Sherry; Preisser, John S.; Hu, Di; Chan, Katherine H.; Communication Studies, School of Liberal Arts
    Background: Using a user-centered design approach, we conducted a two-site pilot study to evaluate a decision aid (DA) website, the Hypospadias Hub, for parents of hypospadias patients. Objectives: The objectives were to assess the Hub's acceptability, remote usability, and feasibility of study procedures, and to evaluate its preliminary efficacy. Methods: From June 2021-February 2022, we recruited English-speaking parents (≥18 years old) of hypospadias patients (≤5 years) and delivered the Hub electronically ≤2 months before their hypospadias consultation. We collected website analytic data using an ad tracker plug-in. We inquired about treatment preference, hypospadias knowledge, and decisional conflict (Decisional Conflict Scale) at baseline, after viewing the Hub (pre-consultation), and post-consultation. We administered the Decision Aid Acceptability Questionnaire (DAAQ) and the Preparation for Decision-Making Scale (PrepDM) which assessed how well the Hub prepared parents for decision-making with the urologist. Post-consultation, we assessed participants' perception of involvement in decision-making with the Shared Decision-making Questionnaire (SDM-Q-9) and the Decision Regret Scale (DRS). A bivariate analysis compared participants' baseline and pre/post-consultation hypospadias knowledge, decisional conflict, and treatment preference. Using a thematic analysis, we analyzed our semi-structured interviews to uncover how the Hub impacted the consultation and what influenced participants' decisions. Results: Of 148 parents contacted, 134 were eligible and 65/134 (48.5%) enrolled: mean age 29.2, 96.9% female, 76.6% White (Extended Summary Figure). Pre/post-viewing the Hub, there was a statistically significant increase in hypospadias knowledge (54.3 vs. 75.6, p < 0.001) and decrease in decisional conflict (36.0 vs. 21.9, p < 0.001). Most participants (83.3%) thought Hub's length and amount of information (70.4%) was "about right", and 93.0% found most or everything was clear. Pre/post-consultation, there was a statistically significant decrease in decisional conflict (21.9 vs. 8.8, p < 0.001). PrepDM's mean score was 82.6/100 (SD = 14.1); SDM-Q-9's mean score was 82.5/100 (SD = 16.7). DCS's mean score was 25.0/100 (SD = 47.03). Each participant spent an average of 25.75 min reviewing the Hub. Based on thematic analysis, the Hub helped participants feel prepared for the consultation. Discussion: Participants engaged extensively with the Hub and demonstrated improved hypospadias knowledge and decision quality. They felt prepared for the consultation and perceived a high degree of involvement in decision-making. Conclusion: As the first pilot test of a pediatric urology DA, the Hub was acceptable and study procedures were feasible. We plan to conduct a randomized controlled trial of the Hub versus usual care to test its efficacy to improve the quality of shared decision-making and reduce long-term decisional regret.
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    Am I Broken?: A mixed-method analysis of an ethnotheatrical performance about women’s experiences with infertility and friendship
    (Taylor & Francis, 2024) Binion, Kelsey E.; Brann, Maria; Longtin, Krista J.; Health Policy and Management, Richard M. Fairbanks School of Public Health
    Background This study evaluated an ethnotheatrical performance about infertility to bring awareness to the health condition and its impact on friendships. Methods After each performance (N = 2), attendees participated in a talkback session to express thoughts and ask questions about the production; then, they completed a survey describing their overall experience. Analyses included descriptive statistics for Likert questions and a thematic analysis for open-ended responses. Results Eighty-six percent of attendees found the performance informative about the challenges infertility imposes on everyday life, and more than 60% gained new information and advice on how to talk about infertility. The thematic analysis revealed three themes: learn about the complexities of infertility experiences, develop empathy towards individuals with infertility, and respond appropriately to individuals coping with infertility. Conclusion The performance offered a safe environment for attendees to learn, understand, and process infertility’s complex nature. Creating awareness influenced participants’ perceptions and communicative behaviors.
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    Identifying communication behaviors and assessing effectiveness among interprofessional healthcare teams: A simulation study
    (Kentucky Communication Association, 2024) Binion, Kelsey E.; Brann, Maria; Communication Studies, School of Liberal Arts
    To deliver high quality health care, effective communication must exist among providers and between providers and patients. However, communicating across health disciplines is challenging because learners train in professional silos. Using a two-part simulation, this study's objectives were to identify effective communication behaviors of interprofessional healthcare teams and to evaluate their success in delivering team-based care for standardized patients. During the simulation, 10 standardized patients completed an evaluation to assess 46 teams of learners (n = 222). The evaluation included a patient-rated measure of healthcare providers' empathy and communication skills as well as a comment box for feedback. Of the 92 evaluations collected, four effective communication behaviors among interprofessional healthcare teams were identified: be aware of the patient's situation, participate in the interaction equally, create a comfortable environment, and nurture and strengthen a relationship. Learners demonstrated improvement in team communication between the first and second encounters with a standardized patient, and they exhibited five of the eight communication sub-competencies that are deemed necessary for interprofessional collaborative practice. This study demonstrated that learners' communicative behaviors improved during the simulation; thus, future interprofessional simulation activities should consider exercises that require learners to practice and refine their communication and teamwork skills.
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    “I’m not sure I’ll ever forget the experience”: a narrative analysis of Chrissy Teigen’s social media describing her miscarriage
    (Taylor & Francis, 2024) Binion, Kelsey E.; Brann, Maria; Communication Studies, School of Liberal Arts
    In August 2020, celebrity Chrissy Teigen shared on social media that she was pregnant with her third child. The following month, Teigen used social media to document her pregnancy complications. On September 30, 2020, Teigen posted five black and white photographs via Instagram that chronicled the emotional and physical pain of a miscarriage. One month later, Teigen published an online essay describing the circumstances surrounding her miscarriage and explaining the importance of documenting her experience. By using narrative criticism, this study describes the rhetorical features, specifically the characters, settings, and medium, to explain how Teigen, using social media, sparked a national conversation about miscarriage and the need for compassion and awareness. This analysis discusses the implications of using technology in removing the shroud of silence and stigma that exists around miscarriage in American culture.
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    “I’m not your mom, I’m your sister:” A Normative Approach to Understand How National Panhellenic Council Sorority Leaders Handle Honest Conversations
    (Association of Fraternity/Sorority Advisors, 2024) Binion, Kelsey E.; Unruh, Maggie A.; Brann, Maria; Communication Studies, School of Liberal Arts
    This study used Goldsmith’s normative rhetorical theory to explore dilemmas in honest conversations between National Panhellenic Council (NPC) sorority members. Researchers interviewed 16 leaders from one NPC sorority across 14 chapters in the United States. A phronetic iterative analytic approach revealed two communication dilemmas: I have to have this honest conversation with you, but I do not want to and I have power, but I am your equal. To manage these dilemmas, two communicative strategies were identified: intentional planning and message delivery. Findings offer guidance on navigating honest conversations to foster belonging and maintaining a supportive social network.