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Item Communication to Cultivate a Culture of Health: Lessons From 5-Star Achievewell Organizations(2021-12) Martin, Natalie R.; Brann, Maria; Bute, Jennifer; Goering, Elizabeth; Staten, LisaCreating a culture of health within an organization offers benefits such as reducing costs and supporting employees in becoming and staying healthy. A variety of health and wellness programs within an organization are important for establishing a culture of health. These programs are supported communicatively to encourage employee participation and healthful behavior changes. Recognized for their success in creating a culture of health, a group of organizations, distinguished as 5-Star AchieveWELL organizations, offer an opportunity to identify messaging strategies effective at promoting health and wellness within the workplace and therefore, creating a culture of health. The goals of this study included learning successful organization’s communication strategies utilized to create a culture of health, understanding how new employees are socialized into this culture, identifying how employees may resist the culture, and exploring how resistance is addressed. Based on in-depth interviews with 19 5-Star AchieveWELL organizational representatives and grounded theory analysis of collected data, evident themes related to the goals of this study were identified. Key communication strategies to support a culture of health include using multiple communication channels, demonstrating leadership support, and being willing to adapt and change over time. New employees are socialized into the culture of health during the recruitment process as well as new employee orientation. Resistance to health and wellness occurs in the form of non-participation and employee push-back, with this resistance often being met with compassion. These results offer practical implications for organizations desiring to create a culture of health as well as theoretical implications for scholars studying organizational socialization.Item Exploring Male And Female Healthcare Provider Communication With Alzheimer’s Patients: A Qualitative Study(2021-05) Lyu, Ying; Goering, Elizabeth; Head, Katharine J.; Bute, JenniferToday, Alzheimer’s is a devastating disease that affects more than 46.8 million people worldwide. Caring for people with AD is stressful and emotionally draining for both family members and healthcare providers and would be exacerbated by the breakdown in communication. While communication challenges can take many forms, one understudied area in AD patient-provider communication is how gender role might affect the outcomes and perceived feelings during interaction. Without knowledge and attentiveness of how gender may affect patient-provider communication, healthcare providers may become more frustrated in their attempts to apply unadjusted skills, which can cause further breakdown and stress. This study is to explore how gender might be a role affecting caregiving communication within the context of Alzheimer’s. Eleven participants were recruited to have a semi-structured interview through online flyers. The findings from this study yield broad suggestions for future work within the field of Alzheimer’s communication research and specific suggestions for designing the communication training.Item Identifying Metaphors Used by Clinicians That Help Patients Conceptualize Complex Cardiac Device Data for Managing Their Health(2021-12) Daley, Carly Noel; Holden, Richard; Jones, Josette; Bolchini, Davide; Bute, JenniferMetaphors are used to conceptualize one thing in terms of another that is more familiar or concrete. The use of metaphors in patient-provider communication has helped providers generate empathy and explain concepts effectively, improving patient satisfaction and understanding of health-related concepts. With advances in technology, concepts related to health monitoring have become increasingly complex, making the potential for using metaphors in health communication at its highest relevancy. With the increase in health data there is a need to improve tools to help people understand complex information. Ethical considerations, such as possible misinterpretation of health data, as well as the potential to widen disparities because of factors such as health literacy, must be addressed. Metaphors are powerful tools that can make explanation of information accessible, accurate, and effective for people who are monitoring their data. The current research aims to contribute design recommendations for using metaphors in communication between clinicians and patients for monitoring biventricular (BiV) pacing, a complex device data element used in the monitoring of patients with heart failure (HF) who have cardiac resynchronization therapy (CRT) devices. The overarching goal is to understand this process such that it can be applied to broader communication needs in health informatics. The study addresses the following aims: Aim 1: Identify metaphors clinicians use to conceptualize BiV pacing for CRT devices using semi-structured interviews with clinician experts. Aim 2: Identify metaphors that help patients conceptualize BiV pacing for CRT devices using semi-structured interviews with patients, and exploring the metaphors identified in Aim 1. Aim 3: Develop design recommendations for health informatics interventions using an understanding of metaphors that help patients understand BiV pacing for CRT devices. Themes from analysis of Aims 1 and 2 contribute to recommendations for the use of metaphors in health informatics interventions. The purpose of this work is to contribute to an in-depth understanding of metaphors in a specific health informatics context. Importantly, this research applies methods and principles from the field of health communication to address a communication-related issue in health informatics.Item Jennifer Bute and Maria Brann Research Introduction(Center for Translating Research Into Practice, IU Indianapolis, 2021-09-24) Brann, Maria; Bute, JenniferProfessors Jennifer Bute and Maria Brann briefly discuss their translational research that deals with COVID-19 Birth Stories.Item The Management of Privacy Boundaries for People with Visible Disabilities(2014) McAloon, Erin P.; Bute, Jennifer; Parrish-Sprowl, John; Goering, Elizabeth M.People who have disabilities that are visible often manage the boundaries around private information regarding their disability (Braithwaite, 1991) because the choice becomes how much should be revealed. The purpose of this study is to use Communication Privacy Management (CPM) theory to explore the way people who have a visible disability manage privacy boundaries in communicative interactions and also the way the boundaries around private information are managed over time. The study was conducted through in-depth interviews with seven individuals who have a visible disability about their experiences in managing private information. The individuals described experiences both among other people with a visible disability and with people do not have a disability. Results from a thematic analysis revealed the presence of five main themes and several sub-themes.Item Managing Uncertainty: Women's Perceptions of the COVID-19 Vaccine and Fertility(2023-05) Broeker, Chloe Elaine; Brann, Maria; Bute, Jennifer; Head, KatharineDuring the last two years, women of reproductive age (WRA) have experienced uncertainty about the COVID-19 vaccine, particularly as it relates to reproductive health (e.g., fertility) due to the COVID-19 infodemic. Because WRA are a pivotal population in pandemic control, it is important to understand how WRA manage vaccine-related uncertainty. Uncertainty management theory (UMT) considers the complexities of uncertainty, acknowledging that individual appraisals of, and responses to, uncertainty may vary from person to person and evolve over time. This study examined factors contributing to WRA’s hesitancy to receive the COVID-19 vaccine, including uncertainty about potential side effects, concern about safety and efficacy, and conflicting information. WRA most frequently felt neutral towards their uncertainty; however, negative emotional responses to uncertainty played an influential role in many WRA’s responses to uncertainty (e.g., avoiding information, seeking information, receiving the COVID-19 vaccine). The findings of this study provided insight on how WRA have experienced uncertainty about the COVID-19 vaccine, including their emotional responses to and subsequent appraisals of their uncertainty which ultimately influenced their responses.Item The Person That Asks the Question Controls the Conversation: College Students' Privacy Management with Physicians about Sexual Behavior(2019-09) Hernandez, Rachael; Petronio, Sandra; Bute, Jennifer; Hoffman-Longtin, Krista; Schwartz, PeterCollege students demonstrate a persistent lack of knowledge about safe sexual practices and engage in sexual behavior that puts them at risk for preventable health issues, specifically, sexually transmitted infections and unplanned pregnancy. Fortunately, physicians have an opportunity to provide accurate and timely information about safe sexual behavior to individuals in their care. However, many young people, and in particular young women, are reticent to talk to their physicians about sexual behavior because they typically consider the information to be private. They draw thick privacy boundaries around this information, leading to a missed opportunity to communicate about sexual behavior with their healthcare provider. Exacerbating this issue is the fact that many physicians are also uncomfortable discussing sexual topics with their patients. In this dissertation, Communication Privacy Management (CPM) theory is used to investigate the criteria that female college students employ to negotiate the disclosure and concealment of information about sexual behavior to physicians. Qualitative analysis of open-ended interviews with female college students were used to describe and explain the way college students perceive issues concerning disclosure of sexual behaviors to their physician. These findings have the potential to improve communication interventions both for female college students and healthcare professionals.Item A qualitative grounded theory study of Saudi female students: reentry, re-adaptation, and cultural integration(2017-01) Alamri, Wejdan; Goering, Elizabeth; Parrish-Sprowl, John; Bute, JenniferSince the King Abdullah Scholarship Program was initiated in 2006, more than 50,000 Saudi women are studying abroad. Each year hundreds of Saudi female students are returning every year from a study abroad experience from a western country. However, there is a lack of research examining their reentry experience and its effect on their re-adaptation and cultural integration. This study analyzes how the participants adapted the learned skills and communication style from the host culture to their home culture. Qualitative methods were used to explore the re-adaptation and cultural integration experience of the reentry experience. In-depth interviews were conducted with twelve returned Saudi female students. Grounded theory methodology was used to analyze the interviews, with Kim’s (2001) integrative theory of communication and cross-cultural adaptation (ITCCA) providing the theoretical framework for the analysis. This research provided an insight into the Saudi women experience, by examining their pre-entry characteristics, intercultural transformation, communication competence, and the formation of their intercultural personhood. Further, to help minimize the returners’ challenges and maximize their benefits. The reentry consolation program and reentry-training program that I proposed would help the returners understand the faced challenges to better adjust and grow in their home culture. Also, it will help the returners reflect in their professional lives and better understand their work environment to help enhance and integrate their skills to maximize their productivity.Item The Rhetoric of Rape-Revenge Films: Analyzing Violent Female Portrayals in Media from a Narrative Perspective of Standpoint Feminism(2018-07-09) Turner, Rachel; Dobris, Catherine; Bute, Jennifer; Hoffmann-Longtin, KristaIn this study, narrative analysis, informed by the perspective of standpoint feminism, is applied to movies featuring female protagonists throughout the past five decades of the “rape and revenge” genre of filmmaking to understand the extent to which probability and fidelity function in these five films to create empathy for the victims of sexual violence. Narrative criticism is used to assess motives behind stories told in media texts, while standpoint feminism illuminates epistemological implications to cultivate intersectional viewpoints. This study provides a narrative analysis through standpoint feminism of five films that each consider female portrayals of violence as a central part of its plot. Each film represents their respective time frames over the past five decades, falls under the criteria of what constitutes a “rape and revenge” film, have been viewed overall by mainstream audiences as films that are relatively well known, and portrays women as protagonists in the plot lines. Using the theoretical insights of narrative criticism, this study investigates the common themes observed in the films that fit these specific criteria to illuminate violent female portrayals in film and identify the extent to which probability and fidelity function in these five films to create empathy for the victims of sexual violence. Standpoint feminism provides the framework to reveal the broader cultural implications of violent rhetoric in gendered media portrayals of films from the past five decades featuring female protagonists.Item Validation of a Brief Measure for Complicated Grief Specific to Reproductive Loss(Springer Nature, 2023-04-20) Buskmiller, Cara; Grauerholz, Kathryn R.; Bute, Jennifer; Brann, Maria; Fredenburg, Michaelene; Refuerzo, Jerrie S.; Communication Studies, School of Liberal ArtsObjective: Complicated grief reactions follow some pregnancy outcomes, like miscarriage, stillbirth, neonatal death, infant death, selective reduction, or termination of pregnancy. Stigma can delay treatment and worsen outcomes. Screening tools such as the Edinburgh Postnatal Depression Scale detect complicated grief poorly, and specific tools for prolonged or complicated grief after a reproductive loss are cumbersome. In this study, a five-item questionnaire to detect complicated grief after reproductive loss of any type was designed and preliminary validated. Methods: A questionnaire patterned after the extensively validated Brief Grief Questionnaire (BGQ) was created by a group of physicians and lay advocates to employ non-traumatic but specific language related to grief after miscarriage, stillbirth, neonatal death, infant death, selective reduction, or termination of pregnancy. One hundred and forty women at a large academic center were recruited in person and via social media to validate the questionnaire with well-studied instruments for anxiety (7-item Panic Disorder Severity Scale, PDSS), trauma (22-item Impact of Events Scale), and reproductive grief and depressive symptoms (33-item Perinatal Grief Scale [PGS]). Results: The response rate was 74.9%. Of the 140 participants, 18 (12.8%) experienced their loss during high-risk pregnancies, and 65 (46.4%) were recruited via social media. Seventy-one (51%) respondents had a score > 4, a positive screen for the BGQ. On average, women experienced their loss 2 years prior to participation (IQR 1-5 years). Cronbach's alpha was 0.77 (95% CI: 0.69-0.83). The goodness of fit indices of the model met Fornell and Larker criteria (RMSEA = 0.167, CFI = 0.89, SRMR = 0.06). The AVE was 0.42 and the CR 0.78. Conclusions: This investigator-created screening tool is internally consistent and meets preliminary criteria for discriminant validity. This tool can be refined prior to testing for sensitivity and specificity in screening for complicated grief after a reproductive loss.