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University of Arizona
1.
Obahiagbon, Alzetta Clay.
Improving Patient-Provider Communication Utilizing Evidence-Based Tools
.
Degree: 2020, University of Arizona
URL: http://hdl.handle.net/10150/650811
► Purpose: The purpose of this quality improvement (QI) project was to implement a provider communication training utilizing evidence-based communication guidelines (American Academy of Family Physician…
(more)
▼ Purpose: The purpose of this quality improvement (QI) project was to implement a
provider communication training utilizing evidence-based
communication guidelines (American Academy of Family Physician [AAFP]
Patient-Centered
Communication [PCC] basic skills clinical guidelines) and tool (The Health Literacy Universal Precaution Communicate Clear Tool [literacy tool]) in hopes of improving provider’s
communication knowledge and confidence.
Background: Every year, approximately 98,000 patients die due to preventable medical errors.
Communication failures between healthcare professionals and patients are the major causes. Ineffective
patient-
provider communication has been shown to have adverse effects on patients’ health outcomes. Some of these adverse health outcomes are patients' non-adherence to medication and treatment plans, patients’ lack of understanding during their visits, and patients providing inadequate health information.
Methods: A descriptive qualitative approach using a pretest/post-test study design was used for this quality improvement (QI) project to improve
patient-
provider communication.
Results: When assessing providers’ knowledge on using an open-ended question, expressing empathy, and exploring patients’ cultural beliefs, 100% of providers selected the appropriate answer both on the pretest and posttest survey. The pretest survey showed that only 50% of providers selected the correct sequence of the teach-back method (“explain, assess, clarify, understanding”) compared to 70% of providers on the posttest. Providers’ confidence in breaking bad news increased from 60% pretest to 70% posttest with a “very confident” response. Also, there was a 20% increase in providers’ confidence in using the teach-back method after the
communication training presentation. Regarding communicating effectively with patients of diverse backgrounds, 50% of providers stated they were “very confident” before the training
communication versus 80% of providers after the
communication training.
Conclusion: This project’s outcomes reinforce the importance of implementing
communication skills training for practicing providers at MVP to increase their knowledge and confidence in communicating with patients effectively. Overall, QI project findings saw an improvement of 20% increase in providers’ knowledge and confidence, respectively, of the teach-back method. A 30% improvement in providers’ confidence level in breaking bad news and communicating with patients of diverse backgrounds was also observed.
Advisors/Committee Members: Martin-Plank, Lorraine (advisor), Allison, Theresa (committeemember), Gallagher, Shawn (committeemember).
Subjects/Keywords: doctor patient communication;
doctor patient relationship;
improving provider patient communication;
improving provider patient relationship;
provider patient communication;
provider patient relationship
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APA (6th Edition):
Obahiagbon, A. C. (2020). Improving Patient-Provider Communication Utilizing Evidence-Based Tools
. (Doctoral Dissertation). University of Arizona. Retrieved from http://hdl.handle.net/10150/650811
Chicago Manual of Style (16th Edition):
Obahiagbon, Alzetta Clay. “Improving Patient-Provider Communication Utilizing Evidence-Based Tools
.” 2020. Doctoral Dissertation, University of Arizona. Accessed March 05, 2021.
http://hdl.handle.net/10150/650811.
MLA Handbook (7th Edition):
Obahiagbon, Alzetta Clay. “Improving Patient-Provider Communication Utilizing Evidence-Based Tools
.” 2020. Web. 05 Mar 2021.
Vancouver:
Obahiagbon AC. Improving Patient-Provider Communication Utilizing Evidence-Based Tools
. [Internet] [Doctoral dissertation]. University of Arizona; 2020. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/10150/650811.
Council of Science Editors:
Obahiagbon AC. Improving Patient-Provider Communication Utilizing Evidence-Based Tools
. [Doctoral Dissertation]. University of Arizona; 2020. Available from: http://hdl.handle.net/10150/650811

University of Illinois – Chicago
2.
Lederer, Swati.
Promoting Patient Centered Care in Veterans with Chronic Kidney Disease.
Degree: 2017, University of Illinois – Chicago
URL: http://hdl.handle.net/10027/21884
► Background: Patients with chronic kidney disease (CKD) commonly have unmet information needs. Greater patient participation in healthcare discussions can address these needs and improve health…
(more)
▼ Background: Patients with chronic kidney disease (CKD) commonly have unmet information needs. Greater
patient participation in healthcare discussions can address these needs and improve health outcomes. We developed a
patient-centered question prompt sheet (QPS) to engage CKD patients in healthcare conversations.
Methods: We conducted a two phase, mixed-methods, cross-sectional study involving semi-structured telephone interviews. Patients with an estimated glomerular filtration rate (eGFR) <60ml/min/1.73m2, on dialysis, or with a kidney transplant were recruited from one Veterans Affairs (VA) nephrology clinic. Phase 1 interviews included open-ended questions assessing patients' CKD-related information needs and generated a preliminary 67-item QPS. Phase 2 interview participants rated the importance of asking each question on a 5-point Likert scale and provided open-ended feedback. All participants rated their willingness to use a CKD-QPS. Input from
patient ratings, a multidisciplinary team, and from members of the National Kidney Disease Education Program (NKDEP) Coordinating Panel helped to shorten and refine the QPS. A qualitative thematic approach was used to analyze open-ended responses. Quantitative data were analyzed for means and proportions.
Results: Eighty-five patients participated. Most were male (97%), non-Hispanic white (71%), and mean age was 67 years. Patients desired more information about CKD, particularly dialysis/transplant, and the relationship between CKD and comorbid medical conditions. The final QPS included 31-questions divided into 7 CKD subtopics. Most patients (88%) reported being 'completely' or 'very' willing to use a CKD-QPS in future doctor visits.
Conclusions: CKD patients have unmet information needs. We developed a QPS to engage CKD patients in healthcare discussions and to facilitate
patient-centered care. Future research should assess whether the CKD-QPS addresses patients' information needs, enhances doctor-
patient communication, and improves health outcomes.
Advisors/Committee Members: Zwanziger, Jack (advisor), Fischer, Michael J (committee member), Gordon, Elisa J (committee member), Gordon, Howard S (committee member), Zwanziger, Jack (chair).
Subjects/Keywords: chronic kidney disease
patient-provider communication
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Chicago ·
MLA ·
Vancouver ·
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APA (6th Edition):
Lederer, S. (2017). Promoting Patient Centered Care in Veterans with Chronic Kidney Disease. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/21884
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Lederer, Swati. “Promoting Patient Centered Care in Veterans with Chronic Kidney Disease.” 2017. Thesis, University of Illinois – Chicago. Accessed March 05, 2021.
http://hdl.handle.net/10027/21884.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Lederer, Swati. “Promoting Patient Centered Care in Veterans with Chronic Kidney Disease.” 2017. Web. 05 Mar 2021.
Vancouver:
Lederer S. Promoting Patient Centered Care in Veterans with Chronic Kidney Disease. [Internet] [Thesis]. University of Illinois – Chicago; 2017. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/10027/21884.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Lederer S. Promoting Patient Centered Care in Veterans with Chronic Kidney Disease. [Thesis]. University of Illinois – Chicago; 2017. Available from: http://hdl.handle.net/10027/21884
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Queensland University of Technology
3.
Bowd, Romana.
Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth.
Degree: 2012, Queensland University of Technology
URL: https://eprints.qut.edu.au/63812/
► Introduction: The delivery of health care in the 21st century will look like no other in the past. The fast paced technological advances that are…
(more)
▼ Introduction: The delivery of health care in the 21st century will look like no other in the past. The fast paced technological advances that are being made will need to transition from the information age into clinical practice. The phenomenon of e-Health is the over-arching form of information technology and telehealth is one arm of that phenomenon. The uptake of telehealth both in Australia and overseas, has changed the face of health service delivery to many rural and remote communities for the better, removing what is known as the tyranny of distance. Many studies have evaluated the satisfaction and cost-benefit analysis of telehealth across the organisational aspects as well as the various adaptations of clinical pathways and this is the predominant focus of most studies published to date. However, whilst comments have been made by many researchers about the need to improve and attend to the communication and relationship building aspects of telehealth no studies have examined this further. The aim of this study was to identify the patient and clinician experiences, concerns, behaviours and perceptions of the telehealth interaction and develop a training tool to assist these clinicians to improve their interaction skills.
Methods: A mixed methods design combining quantitative (survey analysis and data coding) and qualitative (interview analysis) approaches was adopted. This study utilised four phases to firstly qualitatively explore the needs of clients (patients) and clinicians within a telehealth consultation then designed, developed, piloted and quantitatively and qualitatively evaluated the telehealth communication training program. Qualitative data was collected and analysed during Phase 1 of this study to describe and define the missing 'communication and rapport building' aspects within telehealth. This data was then utilised to develop a self-paced communication training program that enhanced clinicians existing skills, which comprised of Phase 2 of this study to develop the interactive program. Phase 3 included evaluating the training program with 26 clinicians and results were recorded pre and post training, whilst phase 4 was the pilot for future recommendations of this training program using a patient group within a Queensland Health setting at two rural hospitals.
Results: Comparisons of pre and post training data on 1) Effective communication styles, 2) Involvement in communication training package, 3) satisfaction pre and post training, and 4) health outcomes pre and post training indicated that there were differences between pre and post training in relation to effective communication style, increased satisfaction and no difference in health outcomes between pre and post training for this patient group.
The post training results revealed over half of the participants (N= 17, 65%) were more responsive to non-verbal cues and were better able to reflect and respond to looks of anxiousness and confusion from a 'patient' within a telehealth consultation. It was also found that during post…
Subjects/Keywords: telehealth; communication; patient-provider communication; verbal and nonverbal; SF12v2; satisfaction; training
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Bowd, R. (2012). Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth. (Thesis). Queensland University of Technology. Retrieved from https://eprints.qut.edu.au/63812/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Bowd, Romana. “Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth.” 2012. Thesis, Queensland University of Technology. Accessed March 05, 2021.
https://eprints.qut.edu.au/63812/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Bowd, Romana. “Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth.” 2012. Web. 05 Mar 2021.
Vancouver:
Bowd R. Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth. [Internet] [Thesis]. Queensland University of Technology; 2012. [cited 2021 Mar 05].
Available from: https://eprints.qut.edu.au/63812/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Bowd R. Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth. [Thesis]. Queensland University of Technology; 2012. Available from: https://eprints.qut.edu.au/63812/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Washington
4.
Despres, Margaret Jocelyne.
Exploring the Quality of Communication during Interactions Between Medical Students and Standardized Patients Portraying Communication Disorders.
Degree: 2017, University of Washington
URL: http://hdl.handle.net/1773/40715
► Communication is important in healthcare because it is linked to patient safety. Patients with communication disorders are vulnerable to medical error due to increased communication…
(more)
▼ Communication is important in healthcare because it is linked to
patient safety. Patients with
communication disorders are vulnerable to medical error due to increased
communication breakdowns. The University of Washington created a seminar for training medical students how to effectively communicate with patients who have
communication disorders. The purpose of this study was to identify the key behaviors of competent
communication with patients with
communication disorders to inform modifications to the current measurement tool for medical students’ competency of
communication. This study employed two focus groups, in which participants viewed medical students conducting brief interviews with standardized patients portraying
communication disorders and discussed helpful and unhelpful
communication behaviors. A convenience sample of participants were recruited from the University of Washington graduate speech language pathology program. Analyses of focus group discussions revealed 9 key behaviors for competent
communication, which were based on the frequency with which behaviors were mentioned participants’ discussions about the importance of behaviors. These results will inform future changes to the rating tool for medical students’
communication competence with
communication impaired patients. It also may be used to re-evaluate the content of the training seminar for medical students, and could be a resource provided to speech language pathologists to help them educate colleagues in effective
patient provider communication with patients with
communication impairments.
Advisors/Committee Members: Burns, Michael I (advisor).
Subjects/Keywords: communication; disorder; medical; patient-provider communication; student; training; Speech therapy; Speech
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Despres, M. J. (2017). Exploring the Quality of Communication during Interactions Between Medical Students and Standardized Patients Portraying Communication Disorders. (Thesis). University of Washington. Retrieved from http://hdl.handle.net/1773/40715
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Despres, Margaret Jocelyne. “Exploring the Quality of Communication during Interactions Between Medical Students and Standardized Patients Portraying Communication Disorders.” 2017. Thesis, University of Washington. Accessed March 05, 2021.
http://hdl.handle.net/1773/40715.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Despres, Margaret Jocelyne. “Exploring the Quality of Communication during Interactions Between Medical Students and Standardized Patients Portraying Communication Disorders.” 2017. Web. 05 Mar 2021.
Vancouver:
Despres MJ. Exploring the Quality of Communication during Interactions Between Medical Students and Standardized Patients Portraying Communication Disorders. [Internet] [Thesis]. University of Washington; 2017. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1773/40715.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Despres MJ. Exploring the Quality of Communication during Interactions Between Medical Students and Standardized Patients Portraying Communication Disorders. [Thesis]. University of Washington; 2017. Available from: http://hdl.handle.net/1773/40715
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Arkansas
5.
Allison, Hannah O.
Patient-Provider Interaction: Person Centered Approaches to Patient Diversity and Evidence for Training.
Degree: MA, 2014, University of Arkansas
URL: https://scholarworks.uark.edu/etd/2270
► This study investigates the role of culture in patient-provider interactions. Physicians in Northwest Arkansas were interviewed on their experiences with cultural differences in interactions…
(more)
▼ This study investigates the role of culture in
patient-
provider interactions. Physicians in Northwest Arkansas were interviewed on their experiences with cultural differences in interactions with patients. Analysis using Grounded Theory methodology indicated that physicians define culture in various ways and the majority view culture as negatively impacting their interactions. The results from this study also reveal that physicians received minimal training in their medical education on how to handle these cultural differences and instead have learned on-the-job through trial and error methods. Finally, the research concludes that many of the physicians interviewed perceived deficits in training and offered suggestions on how to improve training and ultimately the
patient-
provider interaction through future
communication.
Advisors/Committee Members: Patricia Amason, Lynne Webb, Robert Brady.
Subjects/Keywords: Communication; Culture; Diversity; Patient-provider; Training; International and Intercultural Communication
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APA ·
Chicago ·
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Vancouver ·
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APA (6th Edition):
Allison, H. O. (2014). Patient-Provider Interaction: Person Centered Approaches to Patient Diversity and Evidence for Training. (Masters Thesis). University of Arkansas. Retrieved from https://scholarworks.uark.edu/etd/2270
Chicago Manual of Style (16th Edition):
Allison, Hannah O. “Patient-Provider Interaction: Person Centered Approaches to Patient Diversity and Evidence for Training.” 2014. Masters Thesis, University of Arkansas. Accessed March 05, 2021.
https://scholarworks.uark.edu/etd/2270.
MLA Handbook (7th Edition):
Allison, Hannah O. “Patient-Provider Interaction: Person Centered Approaches to Patient Diversity and Evidence for Training.” 2014. Web. 05 Mar 2021.
Vancouver:
Allison HO. Patient-Provider Interaction: Person Centered Approaches to Patient Diversity and Evidence for Training. [Internet] [Masters thesis]. University of Arkansas; 2014. [cited 2021 Mar 05].
Available from: https://scholarworks.uark.edu/etd/2270.
Council of Science Editors:
Allison HO. Patient-Provider Interaction: Person Centered Approaches to Patient Diversity and Evidence for Training. [Masters Thesis]. University of Arkansas; 2014. Available from: https://scholarworks.uark.edu/etd/2270

George Mason University
6.
MacArthur, Brenda.
Communication Beyond the Clinical Interaction: Delivering Comprehensive Healthcare to Patients with Intellectual Disabilities
.
Degree: 2017, George Mason University
URL: http://hdl.handle.net/1920/11137
► This dissertation develops, delivers, and evaluates an evidence-based communication skills training curriculum for healthcare providers (HCPs) servicing patients with intellectual disabilities (PWID). This dissertation also…
(more)
▼ This dissertation develops, delivers, and evaluates an evidence-based
communication skills training curriculum for healthcare providers (HCPs) servicing patients with intellectual disabilities (PWID). This dissertation also tests a theoretical model combining elements of interpersonal
communication (Anxiety/Uncertainty Management Theory;
Communication Accommodation Theory) and behavior change (Theory of Planned Behavior) theories to examine predictors of HCPs’
patient-centered
communication with PWID. Specifically, this dissertation examines HCPs’ attitudes, perceived behavioral control, uncertainty, and anxiety in predicting intention to engage in
patient-centered
communication. HCPs representing a variety of subspecialties participated in a two-hour face-to-face training intervention that included lecture, discussion, role-play, and case study analysis. Participants completed pre- and post-test questionnaires prior to and immediately following the completion of the training intervention, which contained items that represented each variable in the study. Paired-samples t-tests indicate that after exposure to the training intervention, HCPs reported increased intentions to engage in
patient-centered
communication, improved attitudes toward doing so, and decreased uncertainty about such interactions. HCPs reported no significant change in perceived behavioral control or anxiety levels following exposure to the intervention. With regard to the predictive power of variables in the theoretical model, multiple regressions determined perceived behavioral control to be the strongest predictor of intention. Uncertainty and anxiety were not significant predictors of intention when perceived behavioral control was included in the model. HCPs’ attitudes were significantly associated with uncertainty and anxiety, but did not predict intention. This dissertation provides support for the integration of interpersonal and behavior change theories when developing health
communication interventions, to directly target factors that are likely to influence a particular
communication interaction. This dissertation also holds implications for the Theory of Planned Behavior and highlights the unique role that perceived behavioral control plays in predicting HCPs’ intentions for
patient-centered
communication with PWID.
Advisors/Committee Members: Zhao, Xiaoquan (advisor).
Subjects/Keywords: Communication;
communication skills training;
evidence-based intervention;
intellectual disability;
patient-centered;
provider-patient interaction
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
MacArthur, B. (2017). Communication Beyond the Clinical Interaction: Delivering Comprehensive Healthcare to Patients with Intellectual Disabilities
. (Thesis). George Mason University. Retrieved from http://hdl.handle.net/1920/11137
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
MacArthur, Brenda. “Communication Beyond the Clinical Interaction: Delivering Comprehensive Healthcare to Patients with Intellectual Disabilities
.” 2017. Thesis, George Mason University. Accessed March 05, 2021.
http://hdl.handle.net/1920/11137.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
MacArthur, Brenda. “Communication Beyond the Clinical Interaction: Delivering Comprehensive Healthcare to Patients with Intellectual Disabilities
.” 2017. Web. 05 Mar 2021.
Vancouver:
MacArthur B. Communication Beyond the Clinical Interaction: Delivering Comprehensive Healthcare to Patients with Intellectual Disabilities
. [Internet] [Thesis]. George Mason University; 2017. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1920/11137.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
MacArthur B. Communication Beyond the Clinical Interaction: Delivering Comprehensive Healthcare to Patients with Intellectual Disabilities
. [Thesis]. George Mason University; 2017. Available from: http://hdl.handle.net/1920/11137
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Kentucky
7.
Anthony, Kathryn E.
THE ROLE OF THE MESSAGE CONVERGENCE FRAMEWORK IN OBSTETRICIANS’ CLINICAL AND COMMUNICATIVE PRACTICES.
Degree: 2013, University of Kentucky
URL: https://uknowledge.uky.edu/comm_etds/17
► Over the past few years, the rate of elective interventions in pregnancy in the United States, including elective inductions of labor and elective cesarean deliveries,…
(more)
▼ Over the past few years, the rate of elective interventions in pregnancy in the United States, including elective inductions of labor and elective cesarean deliveries, has increased dramatically. While scholars attribute some of the increase in elective interventions to the female patients who request elective procedures from obstetricians, some literature contradicts that notion and suggests physicians are actually the primary perpetuators of the growth in elective procedures. Although pregnant women may seek elective interventions because of desired convenience, physicians can also claim the benefit of convenience in scheduling deliveries. In addition, elective procedures provide physicians greater monetary compensation than labor and deliveries which evolve without intervention. The current dissertation investigates the communicative role of obstetricians in women’s delivery decisions through in-depth interviews with obstetricians practicing in the state of Kentucky (N=28). Guided by the framework of Message Convergence, the study assesses how obstetricians manage uncertainty surrounding patient care and make clinical decisions in the midst of either unclear evidence or competing messages. The study also reveals the ways that physicians utilize their medical expertise to engage in decision-making with patients. In addition, specific scenarios of decision-making regarding delivery are discussed, including patients’ requests and physicians’ provisions of requests; patients’ requests and physicians’ refusals of requests; and physicians’ recommendations for treatment and patients’ refusals of recommendations for treatment. Finally, the internal tensions and conflicts experienced by physicians in the decision-making process with patients are also examined.
Subjects/Keywords: message convergence; patient-provider communication; health communication; medical decision-making; risk communication; Communication
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Anthony, K. E. (2013). THE ROLE OF THE MESSAGE CONVERGENCE FRAMEWORK IN OBSTETRICIANS’ CLINICAL AND COMMUNICATIVE PRACTICES. (Doctoral Dissertation). University of Kentucky. Retrieved from https://uknowledge.uky.edu/comm_etds/17
Chicago Manual of Style (16th Edition):
Anthony, Kathryn E. “THE ROLE OF THE MESSAGE CONVERGENCE FRAMEWORK IN OBSTETRICIANS’ CLINICAL AND COMMUNICATIVE PRACTICES.” 2013. Doctoral Dissertation, University of Kentucky. Accessed March 05, 2021.
https://uknowledge.uky.edu/comm_etds/17.
MLA Handbook (7th Edition):
Anthony, Kathryn E. “THE ROLE OF THE MESSAGE CONVERGENCE FRAMEWORK IN OBSTETRICIANS’ CLINICAL AND COMMUNICATIVE PRACTICES.” 2013. Web. 05 Mar 2021.
Vancouver:
Anthony KE. THE ROLE OF THE MESSAGE CONVERGENCE FRAMEWORK IN OBSTETRICIANS’ CLINICAL AND COMMUNICATIVE PRACTICES. [Internet] [Doctoral dissertation]. University of Kentucky; 2013. [cited 2021 Mar 05].
Available from: https://uknowledge.uky.edu/comm_etds/17.
Council of Science Editors:
Anthony KE. THE ROLE OF THE MESSAGE CONVERGENCE FRAMEWORK IN OBSTETRICIANS’ CLINICAL AND COMMUNICATIVE PRACTICES. [Doctoral Dissertation]. University of Kentucky; 2013. Available from: https://uknowledge.uky.edu/comm_etds/17

Texas A&M University
8.
Jiang, Shaohai.
Promoting Online Patient-Provider Communication in China: An Internet-based Intervention.
Degree: PhD, Communication, 2017, Texas A&M University
URL: http://hdl.handle.net/1969.1/161365
► The Chinese health care system has suffered from severe tension between patients and doctors during the past decade. Violence towards health care providers has become…
(more)
▼ The Chinese health care system has suffered from severe tension between patients and doctors during the past decade. Violence towards health care providers has become a familiar occurrence in China. Faced with the increasing number of deaths and injuries of health care providers from angry health care consumers, Chinese scholars have made great efforts to explore possible ways to improve doctor-
patient relationships. Study 1 of the dissertation conducted a cross-sectional survey among 758 Chinese patients to examine pathways through which
patient-centered
communication (e.g., degree to which doctors are perceived as informative, supportive, and helpful making medical decisions) could influence
patient satisfaction and
patient trust, variables that could then contribute to better
patient-reported health outcomes. The findings showed that
patient-centered
communication significantly increased
patient satisfaction and
patient trust.
Patient satisfaction in turn significantly improved three types of health outcomes (general, emotional, and physical), and
patient trust significantly enhanced emotional health. Bootstrap analyses provided support for the mediation effects of satisfaction and trust.
While improving
patient satisfaction and
patient trust holds enormous potential to mitigate the conflicting doctor-
patient relationship in China, another important contributing factor to the crises in the health care system is the difficulties many Chinese patients are facing in receiving affordable health care. Online
patient-
provider communication may bring a new option for the delivery of affordable health services in a timely way. However, online
patient-
provider communication is still a relatively new concept to Chinese patients. Thus, to promote this new but important practice, study 2 of the dissertation conducted a four-week blog-based intervention among Chinese patients aged 40 or above. With the randomized control trial design and a general basis of the Social Cognitive Theory, this intervention was effective in promoting online
patient-
provider communication. Specifically, the findings indicated that this intervention resulted in improvements in the frequency of participants’ online
patient-
provider communication and related psychosocial constructs from Social Cognitive Theory (e.g., self-efficacy, outcome expectations, and awareness).
Advisors/Committee Members: Street, Richard (advisor), Goidel, Kirby (committee member), Lueck, Jennifer (committee member), Kwok, Oi-man (committee member).
Subjects/Keywords: Patient-provider communication; Internet-based intervention; Social cognitive theory; China
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Jiang, S. (2017). Promoting Online Patient-Provider Communication in China: An Internet-based Intervention. (Doctoral Dissertation). Texas A&M University. Retrieved from http://hdl.handle.net/1969.1/161365
Chicago Manual of Style (16th Edition):
Jiang, Shaohai. “Promoting Online Patient-Provider Communication in China: An Internet-based Intervention.” 2017. Doctoral Dissertation, Texas A&M University. Accessed March 05, 2021.
http://hdl.handle.net/1969.1/161365.
MLA Handbook (7th Edition):
Jiang, Shaohai. “Promoting Online Patient-Provider Communication in China: An Internet-based Intervention.” 2017. Web. 05 Mar 2021.
Vancouver:
Jiang S. Promoting Online Patient-Provider Communication in China: An Internet-based Intervention. [Internet] [Doctoral dissertation]. Texas A&M University; 2017. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1969.1/161365.
Council of Science Editors:
Jiang S. Promoting Online Patient-Provider Communication in China: An Internet-based Intervention. [Doctoral Dissertation]. Texas A&M University; 2017. Available from: http://hdl.handle.net/1969.1/161365

George Mason University
9.
Alpert, Jordan M.
Assessing the Communication Immediacy of an Online Health Portal: Analysis and Recommendations to Create a Communicatively Competent Health Information System
.
Degree: 2015, George Mason University
URL: http://hdl.handle.net/1920/9823
► Once promised to revolutionize health care, online health portals have yet to achieve their potential of transforming the communication process between patients and providers. Generally,…
(more)
▼ Once promised to revolutionize health care, online health portals have yet to achieve their potential of transforming the
communication process between patients and providers. Generally, online health portals are mainly used to deliver lab results, which often generate more questions and concerns without allowing patients an outlet to get answers. Their operation is mandated by the
Patient Protection and Affordable Care Act, which subsequently causes providers to minimally and begrudgingly use the technology. One particular online health portal, MyPreventiveCare.com, has attempted to reverse this trend by creating a platform that provides tailored health promotion recommendations based on family history, lifestyle habits and medical accounts.
This dissertation examined MyPreventiveCare.com to assess its levels of immediacy, including such factors as personalization, interactivity, engagement, approachability, clarity and the ability to take action. The purpose of the study was to determine how patients and providers regarded the system so that refinements could be recommended for future improvements. Multimethod design was employed with 31
patient interviews and two focus groups with providers utilizing the Critical Incident Technique. Over 140 incidents were gathered, of which 72% were negative and 28% were positive. Negative incidents among patients included the following categories: (1) content is generic and standardized, (2) it is unclear whether information is coming directly from the
provider, (3) website errors and (4) interpreting data is difficult. Negative incidents among providers centered on (1) ineffective one-way
communication, (2) the portal increases workload, (3) verbiage disrupts care and (4) website glitches.
In addition, a thematic analysis of the portal was conducted. Positive attributes included pleasant imagery, simple and encouraging language as well as historical medical data. Weaknesses comprised of inconsistent personalization, lack of interactivity and confusing language. Moreover, the Centers for Disease Control and Prevention (CDC) Clear
Communication Index, a research based tool that helps health
communication professionals assess and develop
communication materials was utilized to gauge the clarity of the portal. Once intercoder reliability was established, 37 internal and external webpages were evaluated. The total score among all of the pages was 72%, which falls below the 90% threshold to be considered clear
communication. Only four pages received scores of 90% or higher.
Findings from this study connect with several theories and concepts, such as the Diffusion of Innovations Model, Technology Acceptance Model, Relational Health
Communication Competence Model and the Self-Efficacy construct. Based upon the data collected, it was concluded that MyPreventiveCare.com must go beyond simply repeating patients’ self-reported information and instead create a dynamic environment that delivers an interactive and personalized experience. The data collected should inform…
Advisors/Committee Members: Kreps, Gary L (advisor).
Subjects/Keywords: Communication competence;
eHealth;
Health information technology;
Online Health Portal;
Patient-Provider
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Alpert, J. M. (2015). Assessing the Communication Immediacy of an Online Health Portal: Analysis and Recommendations to Create a Communicatively Competent Health Information System
. (Thesis). George Mason University. Retrieved from http://hdl.handle.net/1920/9823
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Alpert, Jordan M. “Assessing the Communication Immediacy of an Online Health Portal: Analysis and Recommendations to Create a Communicatively Competent Health Information System
.” 2015. Thesis, George Mason University. Accessed March 05, 2021.
http://hdl.handle.net/1920/9823.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Alpert, Jordan M. “Assessing the Communication Immediacy of an Online Health Portal: Analysis and Recommendations to Create a Communicatively Competent Health Information System
.” 2015. Web. 05 Mar 2021.
Vancouver:
Alpert JM. Assessing the Communication Immediacy of an Online Health Portal: Analysis and Recommendations to Create a Communicatively Competent Health Information System
. [Internet] [Thesis]. George Mason University; 2015. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1920/9823.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Alpert JM. Assessing the Communication Immediacy of an Online Health Portal: Analysis and Recommendations to Create a Communicatively Competent Health Information System
. [Thesis]. George Mason University; 2015. Available from: http://hdl.handle.net/1920/9823
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Sydney
10.
Milton, Alyssa Clare.
Communication at the time of a mental health diagnosis
.
Degree: 2016, University of Sydney
URL: http://hdl.handle.net/2123/15806
► Background: The process of communication at the time of a mental health diagnosis is an important but under researched area in mental health settings. Aims:…
(more)
▼ Background: The process of communication at the time of a mental health diagnosis is an important but under researched area in mental health settings. Aims: To understand the satisfaction levels, information requirements and support needs of people with a lived experience of diagnosis and what influences this. To explore what health professionals consider to be the barriers and facilitators to the communication process at the time of a mental health diagnosis. To synthesise strategies for support and best practice recommendations into a model of communication for use at the time of a mental health diagnosis. Methods: A systematic review (of 30 quantitative and qualitative papers), two qualitative studies (n=45 people with lived experience of diagnosis; n=19 health professionals) and two survey based quantitative studies (n=101 people with lived experience of diagnosis; n=131 health professionals) were undertaken. Results: There has been limited research into this area of mental health communication. The majority of individuals who experience a diagnosis want information; however, this is not always satisfactorily addressed. For clinicians, there was a lack of known specific health professional training programmes, and factors such as health professional background and confidence handling distress influenced beliefs and practice. Models of communication appraised by people with a lived experience of diagnosis were highly acceptable, however, consistently barriers, such as stigma and the need to address the changing circumstances of individuals, were identified as areas requiring further attention. The synthesised result is a more dynamic, multifaceted and less linear model of communication. Conclusion: Talking with an individual about a mental health diagnosis can be a non-linear, complex and changeable situation. The resulting model is offered to help further develop health professional communication training and support individuals at the time of mental health diagnosis.
Subjects/Keywords: mental health;
models of communication;
diagnosis;
patient-provider relationships;
stigma
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Milton, A. C. (2016). Communication at the time of a mental health diagnosis
. (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/15806
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Milton, Alyssa Clare. “Communication at the time of a mental health diagnosis
.” 2016. Thesis, University of Sydney. Accessed March 05, 2021.
http://hdl.handle.net/2123/15806.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Milton, Alyssa Clare. “Communication at the time of a mental health diagnosis
.” 2016. Web. 05 Mar 2021.
Vancouver:
Milton AC. Communication at the time of a mental health diagnosis
. [Internet] [Thesis]. University of Sydney; 2016. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/2123/15806.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Milton AC. Communication at the time of a mental health diagnosis
. [Thesis]. University of Sydney; 2016. Available from: http://hdl.handle.net/2123/15806
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Texas – Austin
11.
-0933-3947.
Modeling lesbian, gay, and bisexual patient disclosures : an exploration of the role of memorable messages, past experiences, perceived visibility, screening behaviors, and efficacy.
Degree: PhD, Communication Studies, 2015, University of Texas – Austin
URL: http://hdl.handle.net/2152/32170
► Lesbian, gay, and bisexual (LGB) people in the United States face unique challenges such as the denial of civil and human rights, discrimination, and societal…
(more)
▼ Lesbian, gay, and bisexual (LGB) people in the United States face unique challenges such as the denial of civil and human rights, discrimination, and societal stigma (HealthyPeople.gov). These challenges facilitate additive minority stress, as evidenced by significantly poorer physical and mental health outcomes for LGBs as compared to heterosexuals. One root of these health disparities is a disclosure-based dilemma in the
patient-
provider context. Summarized, this dilemma is: "Should I reveal my sexual orientation to my doctor and risk discrimination or stigmatization, or should I conceal my sexual orientation and risk not receiving quality medical care that is tailored to my needs as a
patient?" This study investigated competing, predictive models, all of which are grounded in existing research regarding interpersonal health
communication and LGB health. The models hypothesized that the following variables predict likelihood of disclosure of sexual orientation: Memorable messages about sexual orientation and receiving care, past disclosure experiences in the
patient-
provider context, self-perceived visibility of sexual orientation, and patients' pre-screening behaviors of providers. Disclosure efficacy and target efficacy were predicted to mediate these relationships. LGB individuals (N = 209) completed an online questionnaire about receiving health care. Results revealed that disclosure efficacy mediated the predictive relationship between positivity of a past disclosure experience and likelihood of future disclosure. Significance of a past disclosure experience directly, negatively predicted likelihood of future disclosure. Some evidence indicated that self-perceived visibility of sexual minority status positively predicted likelihood of future disclosure. Results failed to support the predictive power of memorable messages and patients' pre-screening behaviors of providers. Theoretical contributions to interpersonal
communication models of disclosure are offered, as are practical contributions meant to address
patient-
provider interactions and, more broadly, the reduction of health disparities for LGB individuals.
Advisors/Committee Members: Donovan-Kicken, Erin E. (advisor), Dailey, Rene (committee member), Vangelisti , Anita (committee member), McGlone, Matt (committee member), Whittaker , Tiffany (committee member).
Subjects/Keywords: Disclosure; LGB health; Patient-provider communication; Health disparities; Efficacy
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
-0933-3947. (2015). Modeling lesbian, gay, and bisexual patient disclosures : an exploration of the role of memorable messages, past experiences, perceived visibility, screening behaviors, and efficacy. (Doctoral Dissertation). University of Texas – Austin. Retrieved from http://hdl.handle.net/2152/32170
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Chicago Manual of Style (16th Edition):
-0933-3947. “Modeling lesbian, gay, and bisexual patient disclosures : an exploration of the role of memorable messages, past experiences, perceived visibility, screening behaviors, and efficacy.” 2015. Doctoral Dissertation, University of Texas – Austin. Accessed March 05, 2021.
http://hdl.handle.net/2152/32170.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
MLA Handbook (7th Edition):
-0933-3947. “Modeling lesbian, gay, and bisexual patient disclosures : an exploration of the role of memorable messages, past experiences, perceived visibility, screening behaviors, and efficacy.” 2015. Web. 05 Mar 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
-0933-3947. Modeling lesbian, gay, and bisexual patient disclosures : an exploration of the role of memorable messages, past experiences, perceived visibility, screening behaviors, and efficacy. [Internet] [Doctoral dissertation]. University of Texas – Austin; 2015. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/2152/32170.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Council of Science Editors:
-0933-3947. Modeling lesbian, gay, and bisexual patient disclosures : an exploration of the role of memorable messages, past experiences, perceived visibility, screening behaviors, and efficacy. [Doctoral Dissertation]. University of Texas – Austin; 2015. Available from: http://hdl.handle.net/2152/32170
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

University of Oklahoma
12.
Terui, Sachiko.
Cross-cultural comparisons on pathways between language barriers and health disparities.
Degree: PhD, 2016, University of Oklahoma
URL: http://hdl.handle.net/11244/47060
► Despite a large number of studies verifying the correlations among language barriers in healthcare settings and health disparities, the precise ways language barriers contribute to…
(more)
▼ Despite a large number of studies verifying the correlations among language barriers in healthcare settings and health disparities, the precise ways language barriers contribute to health disparities is less clear. This dissertation is an examination of the precise pathways and processes among language barriers and health disparities, the challenges and meanings of language barriers in across sociopolitical and sociocultural environments (Japan and the US), and how these differences influence the quality of health care. Japan is often characterized, in Hofstede’s (1980) terms, as a high-power distance, collectivistic culture, and a relatively homogeneous environment. The US, on the other hand, is described as a low-power distance (Hofstede, 1980), individualistic culture, and is well known as a country of immigrants. These two countries provide significantly different social environments, particularly useful for examining the functions and meanings of language barriers. Data presented in this study were collected through in-depth interviews with language-discordant immigrants and minorities living in Japan (N=30) and the US (N=30). Participants recruited in Japan are from 13 counties, and the participants recruited in the US are from 10 countries.
The current study employed the narrative approach (Fisher, 1987) along with constructivist grounded theory (Charmaz, 2006). Using the semi-structured interview guides, the author explored the ways these participants understand their experiences of facing language barriers in healthcare settings. Comparative analysis revealed the ways language barriers create challenges in accessing healthcare and related processes. In accessing healthcare, data show that language barriers create challenges in utilizing healthcare, especially in emergency situations and in managing identities and interpersonal relationships in host countries. In the process of healthcare, language barriers create challenges in asserting desirable identities, exchanging information, and building relationships with healthcare providers. The findings highlight the multidimensional nature of language barriers in healthcare settings. Based on these findings, the author presents a diagram of pathways and processes among language barriers and health disparities. Also, a broader definition of language barriers in healthcare settings is proposed.
Advisors/Committee Members: Elaine, Hsieh (advisor), Lee, Sunny (committee member), Kramer, Eric (committee member), Olufowote, James (committee member), Hirschfeld, Tassie (committee member).
Subjects/Keywords: language barriers; health disparities; patient-provider communication; access to healthcare
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Terui, S. (2016). Cross-cultural comparisons on pathways between language barriers and health disparities. (Doctoral Dissertation). University of Oklahoma. Retrieved from http://hdl.handle.net/11244/47060
Chicago Manual of Style (16th Edition):
Terui, Sachiko. “Cross-cultural comparisons on pathways between language barriers and health disparities.” 2016. Doctoral Dissertation, University of Oklahoma. Accessed March 05, 2021.
http://hdl.handle.net/11244/47060.
MLA Handbook (7th Edition):
Terui, Sachiko. “Cross-cultural comparisons on pathways between language barriers and health disparities.” 2016. Web. 05 Mar 2021.
Vancouver:
Terui S. Cross-cultural comparisons on pathways between language barriers and health disparities. [Internet] [Doctoral dissertation]. University of Oklahoma; 2016. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/11244/47060.
Council of Science Editors:
Terui S. Cross-cultural comparisons on pathways between language barriers and health disparities. [Doctoral Dissertation]. University of Oklahoma; 2016. Available from: http://hdl.handle.net/11244/47060

University of Toledo
13.
Evans, Na'Tasha Marie.
The Influences of Patient Provider Communication on the
Adherence to Prenatal Care Recommendations Among Pregnant
Women.
Degree: PhD, Health Education, 2016, University of Toledo
URL: http://rave.ohiolink.edu/etdc/view?acc_num=toledo1479847785425152
► Introduction: Infant mortality rate, defined as the number of deaths in children under one year of age per 1,000 live births in the same year,…
(more)
▼ Introduction: Infant mortality rate, defined as the
number of deaths in children under one year of age per 1,000 live
births in the same year, has been considered as a general measure
of population health (Reidpath & Allotey, 2003). Infant
mortality is an important indicator of the health of a nation due
to the fact that it is associated with factors such as maternal
health, quality and access to medical care, socioeconomic
conditions, and public health practices (MacDorman, Mathews,
Mohangoo, & Zeitlin, 2014). Subsequently, prenatal care plays a
significant role in infant mortality due to the fact that infants
without prenatal care are five times more likely to die than those
that received prenatal care (U.S. Department of Health and Human
Services, 2016).Furthermore, prenatal care is essential to
healthier pregnancy outcomes because it monitors the changes in the
health of the pregnancy, encourages preventative health, and
determines potential risk factors for the mother and fetus (Evans
& Lien, 2005). To improve prenatal care, effective and
efficient
patient provider communication that facilitates adherence
to prenatal medical recommendations is essential (Duggan, 2006).
Patient provider communication significantly predicts prenatal care
satisfaction, which ultimately is a key component in building a
long lasting
provider-
patient relationship (Dahlem, Villarruel,
& Ronis, 2015). Thus, making
patient provider communication a
high priority and a critical issue for U.S. health care
organizations (Bergman & Connaughton, 2013). Purpose: Although
prenatal care and
patient provider communication have been studied
separately, there is limited research investigating how
patient
provider communication is related to adherence to prenatal care
recommendations using an individual interview approach and a
proposed theoretical framework. The purpose of this study was to
examine how
patient provider communication and other associated
factors contribute to adherence to prenatal care recommendations
using a mixed methodological approach. Methods: A qualitative study
using face-to-face interviews was conducted to gain a better
understanding of prenatal care and
patient provider communication
among pregnant women between 18-45 years old in their second or
third trimester (N=30). In addition to the individual interviews, a
cross-sectional study of pregnant women between the same age range
in their second or third trimester of pregnancy (N=401) was
conducted. In both studies, the participants were recruited from
hospitals, clinics, private doctor’s offices, County Health
Department, community agencies, health fairs, and neighborhood
clinics in Lucas County, Ohio using flyers posted at the various
locations and through referrals from social workers, and hospital,
clinic, and health department staff. Results: The results in
chapter two indicated two salient themes regarding satisfaction
emerged: (1) overall quality of the encounter and (2) health care
system influences. Within the overall quality of the encounter,
factors that influence…
Advisors/Committee Members: Sheu, Jiunn-Jye (Committee Chair).
Subjects/Keywords: Health Education; Public Health; Infant Mortality, Prenatal Care, Patient Provider
Communication
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Evans, N. M. (2016). The Influences of Patient Provider Communication on the
Adherence to Prenatal Care Recommendations Among Pregnant
Women. (Doctoral Dissertation). University of Toledo. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=toledo1479847785425152
Chicago Manual of Style (16th Edition):
Evans, Na'Tasha Marie. “The Influences of Patient Provider Communication on the
Adherence to Prenatal Care Recommendations Among Pregnant
Women.” 2016. Doctoral Dissertation, University of Toledo. Accessed March 05, 2021.
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1479847785425152.
MLA Handbook (7th Edition):
Evans, Na'Tasha Marie. “The Influences of Patient Provider Communication on the
Adherence to Prenatal Care Recommendations Among Pregnant
Women.” 2016. Web. 05 Mar 2021.
Vancouver:
Evans NM. The Influences of Patient Provider Communication on the
Adherence to Prenatal Care Recommendations Among Pregnant
Women. [Internet] [Doctoral dissertation]. University of Toledo; 2016. [cited 2021 Mar 05].
Available from: http://rave.ohiolink.edu/etdc/view?acc_num=toledo1479847785425152.
Council of Science Editors:
Evans NM. The Influences of Patient Provider Communication on the
Adherence to Prenatal Care Recommendations Among Pregnant
Women. [Doctoral Dissertation]. University of Toledo; 2016. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=toledo1479847785425152

West Virginia University
14.
Ewell, Thomas W.
Examining Provider-Patient Communication and Family Knowledge of Treatment in Pediatric Asthma Care.
Degree: MS, Psychology, 2020, West Virginia University
URL: https://doi.org/10.33915/etd.7943
;
https://researchrepository.wvu.edu/etd/7943
► Asthma knowledge is an essential factor in being able to consistently and effectively manage asthma symptoms over time, which in turn reduces asthma morbidity…
(more)
▼ Asthma knowledge is an essential factor in being able to consistently and effectively manage asthma symptoms over time, which in turn reduces asthma morbidity and improves quality of life. The way in which certain
provider factors, such as
communication strategies or techniques, may differentially impact pediatric patients and their caregivers has little in the way of prior investigation. The current study involves a secondary analysis from a larger project. This larger study included 45 pediatric asthma patients (ages 8-17 years; M = 11.79) and their primary caregiver recruited from pediatric asthma and allergy clinics within the WVU Medicine system to take part in a pilot randomized controlled trial (RCT) to evaluate the relative impact of two types of asthma action plans (AAPs), text-based or pictorial. The asthma action plan education session during their initial session in clinic was audiotaped, in which the asthma care
provider described the child’s prescribed asthma care plan.
Patient and caregiver knowledge of the prescribed asthma care regimen was assessed separately via a structured interview immediately after asthma education. The overarching objective of this study was to evaluate the potential mediator role that
provider, parent, and child
communication plays in the effect of asthma education intervention type (i.e., type of AAP) on asthma treatment knowledge. While several significant correlations were found, none of the
communication variables considered were found to either significantly predict asthma knowledge or mediate the relation between the type of AAP the
patient received and AKI scores. These non-significant findings likely stem from limited variability and low frequency in key
communication variables (e.g., family questions to
provider,
provider assessment of family understanding). However, child age, time since diagnosis, and having had a pictorial AAP were all significantly and positively correlated with child AKI scores. Future studies should engage a larger number of providers from a wider range of expertise and include
communication training for providers and families when evaluating the utility of a pictorial AAP.
Advisors/Committee Members: Christina L. Duncan, Cheryl Bodiford McNeil.
Subjects/Keywords: Provider-Patient Communication; Pediatrics; Asthma; Treatment Knowledge; Health Psychology; Psychology
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ewell, T. W. (2020). Examining Provider-Patient Communication and Family Knowledge of Treatment in Pediatric Asthma Care. (Thesis). West Virginia University. Retrieved from https://doi.org/10.33915/etd.7943 ; https://researchrepository.wvu.edu/etd/7943
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ewell, Thomas W. “Examining Provider-Patient Communication and Family Knowledge of Treatment in Pediatric Asthma Care.” 2020. Thesis, West Virginia University. Accessed March 05, 2021.
https://doi.org/10.33915/etd.7943 ; https://researchrepository.wvu.edu/etd/7943.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ewell, Thomas W. “Examining Provider-Patient Communication and Family Knowledge of Treatment in Pediatric Asthma Care.” 2020. Web. 05 Mar 2021.
Vancouver:
Ewell TW. Examining Provider-Patient Communication and Family Knowledge of Treatment in Pediatric Asthma Care. [Internet] [Thesis]. West Virginia University; 2020. [cited 2021 Mar 05].
Available from: https://doi.org/10.33915/etd.7943 ; https://researchrepository.wvu.edu/etd/7943.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ewell TW. Examining Provider-Patient Communication and Family Knowledge of Treatment in Pediatric Asthma Care. [Thesis]. West Virginia University; 2020. Available from: https://doi.org/10.33915/etd.7943 ; https://researchrepository.wvu.edu/etd/7943
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Michigan
15.
Yan, Haoyang.
Aiding Difficult and High-Stakes Medical Decision Making - Research on Parental Tracheostomy Decisions for Critically Ill Children.
Degree: PhD, Psychology, 2020, University of Michigan
URL: http://hdl.handle.net/2027.42/162973
► This dissertation illustrated the multiple approaches necessary to improving decision making in applied settings. It consists of three studies that aimed to understand high-stakes pediatric…
(more)
▼ This dissertation illustrated the multiple approaches necessary to improving decision making in applied settings. It consists of three studies that aimed to understand high-stakes pediatric tracheostomy decisions and aid parents’ abilities to make these decisions. Chapter 1 involved an interview study of parents who had recently made a tracheostomy decision for their critically ill child. We found that parents were stressed and worried about future outcomes. They sought and desired information and emotional support for making this difficult decision. Despite these efforts, there seemed to exist opportunities to improve their understanding and forecasting of long-term challenges of a tracheostomy placement. Based on the literature of forecasting errors and narrative-form
communication, Chapter 2 involved a survey experiment to test a possible intervention approach. It showed that narratives describing challenges that affect the child’s and/or the family’s quality of life from the point of view of parents who had already experienced them reduced parents’ tendency to choose tracheostomy. The effect was particularly strong when the narratives focused on challenges in the child’s quality of life. These narratives also led to less optimistic forecasting. Based on findings from Chapters 1 and 2, Chapter 3 presented a user-centered design process used to create education materials that were designed to help parents understand major challenges in life after a tracheostomy placement. This dissertation extends the literature on using narrative-form
communication to help decision makers anticipate future experiences and reduce forecasting errors. It also demonstrates the multiple types of research needed to develop educational
communication that is ready for implementation in clinical settings.
Advisors/Committee Members: Deldin, Patricia J (committee member), Zikmund-Fisher, Brian J (committee member), Arslanian-Engoren, Cynthia M (committee member), Graham-Bermann, Sandra A (committee member), Pituch, Kenneth J (committee member).
Subjects/Keywords: decision making; provider-patient communication; pediatric tracheostomy; Psychology; Social Sciences
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Yan, H. (2020). Aiding Difficult and High-Stakes Medical Decision Making - Research on Parental Tracheostomy Decisions for Critically Ill Children. (Doctoral Dissertation). University of Michigan. Retrieved from http://hdl.handle.net/2027.42/162973
Chicago Manual of Style (16th Edition):
Yan, Haoyang. “Aiding Difficult and High-Stakes Medical Decision Making - Research on Parental Tracheostomy Decisions for Critically Ill Children.” 2020. Doctoral Dissertation, University of Michigan. Accessed March 05, 2021.
http://hdl.handle.net/2027.42/162973.
MLA Handbook (7th Edition):
Yan, Haoyang. “Aiding Difficult and High-Stakes Medical Decision Making - Research on Parental Tracheostomy Decisions for Critically Ill Children.” 2020. Web. 05 Mar 2021.
Vancouver:
Yan H. Aiding Difficult and High-Stakes Medical Decision Making - Research on Parental Tracheostomy Decisions for Critically Ill Children. [Internet] [Doctoral dissertation]. University of Michigan; 2020. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/2027.42/162973.
Council of Science Editors:
Yan H. Aiding Difficult and High-Stakes Medical Decision Making - Research on Parental Tracheostomy Decisions for Critically Ill Children. [Doctoral Dissertation]. University of Michigan; 2020. Available from: http://hdl.handle.net/2027.42/162973
16.
Becker, Karin L.
Developing A Chronic Pain Vocabulary: Communication Preferences Among Individuals With Chronic Pain.
Degree: PhD, Communication, 2015, University of North Dakota
URL: https://commons.und.edu/theses/1742
► In order to be acknowledged, chronic pain must be voiced yet disclosing of chronic pain is fraught with social and professional repercussions. Moreover, there…
(more)
▼ In order to be acknowledged, chronic pain must be voiced yet disclosing of chronic pain is fraught with social and professional repercussions. Moreover, there is a perceived disinterest in hearing about, and a stigma associated with the experience of chronic pain. This research explores the therapeutic value of communicating about pain. Nineteen individuals with chronic pain participated in a six-week online writing workshop to describe the way chronic pain impacts daily activities. These qualitative responses were analyzed using discourse analysis and four interpretive repertoires emerged which convey the multi-faceted impacts of living with chronic pain. These findings informed the creation of a quantitative survey tool which was widely disseminated using social media to chronic pain dedicated forums and websites.
Findings indicate that audience and gender have a large sway on
communication preferences. Individuals with chronic pain desire to receive cure-centered information from health care providers and care-centered information, including empathy, from family and friends when they communicate about their pain. Women in particular aspire to receive emotional support for their well-being and empathy upon communicating about their pain. These results help to fill in the void of
patient communication preference within the framework of delivering
patient centered care. Understanding patients’
communication preferences has high clinical value as providers can tailor their
communication practices to increase rapport, improve
patient satisfaction and promote treatment adherence. They place a heightened role on family and friends in the treatment plan as they can offer needed emotional support. Implications include educating family and friends to be aware of pain behavior so they can recognize early indicators and provide empathetic responses. Additionally, using computer mediated
communication is a recommended platform to engage individuals with chronic pain due to its convenience, low-cost, and anonymity as well as its potential to connect disparate individuals and build community among marginalized group.
Advisors/Committee Members: Timothy Pasch.
Subjects/Keywords: chronic pain; discourse analysis; gender; health education; patient centered care; provider patient communication
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APA (6th Edition):
Becker, K. L. (2015). Developing A Chronic Pain Vocabulary: Communication Preferences Among Individuals With Chronic Pain. (Doctoral Dissertation). University of North Dakota. Retrieved from https://commons.und.edu/theses/1742
Chicago Manual of Style (16th Edition):
Becker, Karin L. “Developing A Chronic Pain Vocabulary: Communication Preferences Among Individuals With Chronic Pain.” 2015. Doctoral Dissertation, University of North Dakota. Accessed March 05, 2021.
https://commons.und.edu/theses/1742.
MLA Handbook (7th Edition):
Becker, Karin L. “Developing A Chronic Pain Vocabulary: Communication Preferences Among Individuals With Chronic Pain.” 2015. Web. 05 Mar 2021.
Vancouver:
Becker KL. Developing A Chronic Pain Vocabulary: Communication Preferences Among Individuals With Chronic Pain. [Internet] [Doctoral dissertation]. University of North Dakota; 2015. [cited 2021 Mar 05].
Available from: https://commons.und.edu/theses/1742.
Council of Science Editors:
Becker KL. Developing A Chronic Pain Vocabulary: Communication Preferences Among Individuals With Chronic Pain. [Doctoral Dissertation]. University of North Dakota; 2015. Available from: https://commons.und.edu/theses/1742

Arizona State University
17.
Hoffman, Trisha.
Exploring Communal Coping: Witnessing the Process of
Empowerment Unfold During Shared Medical Appointments.
Degree: Communication Studies, 2015, Arizona State University
URL: http://repository.asu.edu/items/34865
► Chronic illness can be a stressful experience that requires coping and support. In the last twenty years, Shared Medical Appointments (SMAs) were developed in U.S.…
(more)
▼ Chronic illness can be a stressful experience that
requires coping and support. In the last twenty years, Shared
Medical Appointments (SMAs) were developed in U.S. healthcare as a
response to the rising rates and challenges of chronic disease
management. Due to the infancy of the SMA model, however, little is
known or understood about the benefits of group medical care for
patients. To date, scholars have not explored or systematically
observed the communicative aspects of the SMA model. Communal
coping, a theoretical framework that foregrounds group interaction
and communication, offers a pragmatic lens for exploring how
patients collectively cope with the stressors of chronic illness in
the context of SMAs. Using qualitative methods, I conducted
participant observation of SMAs at a Veterans Affairs hospital to
analyze the communicative, transactional nature of communal coping
as it unfolded among heart failure patients, family members, and
providers in context. I also conducted interviews with SMA
attendees. Analysis is based on 56 hours of fieldwork and 14 hours
of interviews. Findings of this dissertation revealed group members
who attended heart failure SMAs engaged in communal coping to
manage the stressors of chronic illness. Group members moved
through four primary phases of the communal coping process: (1)
establish a communal coping orientation; (2) discuss shared
stressors; (3) engage in cooperative action; and (4) practice
communal reflexivity. Findings suggest patients become empowered by
group interaction during SMAs as they move through each phase of
the communal coping process. This dissertation also highlights
various communicative strategies providers' use during SMAs to
facilitate communal coping and group interaction. Theoretically,
this dissertation expands upon existing knowledge of communal
coping by exploring how individuals embody and socially construct
the communal coping process. Specifically, this dissertation
extends past models of communal coping with the addition of the
communal reflexivity phase and through conceptualizing communal
coping as a facilitated process of empowerment. Pragmatically, this
research also offers insight to the benefits patients derive from
attending SMAs, such as reduced feelings of stigma and isolation
and improved motivation.
Subjects/Keywords: Communication; Communal coping; health communication; patient-centered care; patient empowerment; patient-provider interaction; shared medical appointments
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hoffman, T. (2015). Exploring Communal Coping: Witnessing the Process of
Empowerment Unfold During Shared Medical Appointments. (Doctoral Dissertation). Arizona State University. Retrieved from http://repository.asu.edu/items/34865
Chicago Manual of Style (16th Edition):
Hoffman, Trisha. “Exploring Communal Coping: Witnessing the Process of
Empowerment Unfold During Shared Medical Appointments.” 2015. Doctoral Dissertation, Arizona State University. Accessed March 05, 2021.
http://repository.asu.edu/items/34865.
MLA Handbook (7th Edition):
Hoffman, Trisha. “Exploring Communal Coping: Witnessing the Process of
Empowerment Unfold During Shared Medical Appointments.” 2015. Web. 05 Mar 2021.
Vancouver:
Hoffman T. Exploring Communal Coping: Witnessing the Process of
Empowerment Unfold During Shared Medical Appointments. [Internet] [Doctoral dissertation]. Arizona State University; 2015. [cited 2021 Mar 05].
Available from: http://repository.asu.edu/items/34865.
Council of Science Editors:
Hoffman T. Exploring Communal Coping: Witnessing the Process of
Empowerment Unfold During Shared Medical Appointments. [Doctoral Dissertation]. Arizona State University; 2015. Available from: http://repository.asu.edu/items/34865

University of South Florida
18.
Ketheeswaran, Nivethitha.
In Another's Voice: Making Sense of Reproductive Health as Women of Color.
Degree: 2019, University of South Florida
URL: https://scholarcommons.usf.edu/etd/7828
► The goals of this project are twofold. The first goal is to articulate my sense making of reproductive health for Women of color in the…
(more)
▼ The goals of this project are twofold. The first goal is to articulate my sense making of reproductive health for Women of color in the United States as a postcolonial condition; one that I trace back to the logics of elimination of settler colonialism (Wolfe, 2006) and frame as maintained through the colonial institutions, or racial projects (Omi & Winant, 2015), of the Prison Industrial Complex, the welfare system, and the health care system which create and perpetuate dominant cultural narratives of “the welfare queen”, “the negligent Black mother”, and “the wily patient”. I show how these narratives colonize the minds of health care providers and contribute to the current stratification of health care.
My second goal with this project is to show how postcolonial interpretive ethnography can be used as a narrative medicine educational intervention for providers. Currently, Narrative Medicine asks providers to read themselves, their patients, and their interactions as literature to emphasize the personal and interpersonal tensions that are often lost in the fast paced biomedical world (Charon, 2001). With this project I aim to expand the field of Narrative Medicine to consider the ways patient-provider interactions are postcolonial, and how analyses of these interactions can be a method of decolonization. I do so by analyzing three interpretive ethnographic narratives that I have created which story my interactions with three Women of color: Tiffany, Rose, and Jane. I then analyze each of these interactions for colonizing and decolonizing sense making.
Subjects/Keywords: narrative medicine; postcolonial; racial projects; reproductive justice; patient-provider communication; medical racism; qualitative research; Communication
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ketheeswaran, N. (2019). In Another's Voice: Making Sense of Reproductive Health as Women of Color. (Thesis). University of South Florida. Retrieved from https://scholarcommons.usf.edu/etd/7828
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ketheeswaran, Nivethitha. “In Another's Voice: Making Sense of Reproductive Health as Women of Color.” 2019. Thesis, University of South Florida. Accessed March 05, 2021.
https://scholarcommons.usf.edu/etd/7828.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ketheeswaran, Nivethitha. “In Another's Voice: Making Sense of Reproductive Health as Women of Color.” 2019. Web. 05 Mar 2021.
Vancouver:
Ketheeswaran N. In Another's Voice: Making Sense of Reproductive Health as Women of Color. [Internet] [Thesis]. University of South Florida; 2019. [cited 2021 Mar 05].
Available from: https://scholarcommons.usf.edu/etd/7828.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ketheeswaran N. In Another's Voice: Making Sense of Reproductive Health as Women of Color. [Thesis]. University of South Florida; 2019. Available from: https://scholarcommons.usf.edu/etd/7828
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Montana Tech
19.
Glidden, Charlotte M.
Improving Patient-Provider Communication in the Health Care context.
Degree: MA, 2012, Montana Tech
URL: https://scholarworks.umt.edu/etd/559
► The following study focuses on ways in which health care providers seem to competently breaking bad news to patients that are college age (18-25yrs old).…
(more)
▼ The following study focuses on ways in which health care providers seem to competently breaking bad news to patients that are college age (18-25yrs old). Breaking bad news is an inevitable and daunting part of working in the health care profession. Delivering this type of news to college age students could occur more frequently than with other cohorts. Buckman (1992) presents methodology for teaching breaking bad news to health care providers in the form of the SPIKES model, which are similar to the identified “essential elements” of communication in medical encounters described by communication scholars (Makoul, 2001). Several interviews were conducted with college age participants who had bad news broken to them by a health care provider. These bad news situations ranged from STDs, death of a family member, life long illness, and sport injuries. Two over arching themes of effective and ineffective ways to break bad news were present in the data; the sub-categories of express caring and being direct were shown as effective ways to break bad news to college age students and robotic and non-responsive as ineffective. The findings presented in this study can provide health care providers with insight on how to improve communication skills when working with college age patients.
Subjects/Keywords: breaking bad news; college students; Health communication; holistic health care; patient-provider communication
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Glidden, C. M. (2012). Improving Patient-Provider Communication in the Health Care context. (Masters Thesis). Montana Tech. Retrieved from https://scholarworks.umt.edu/etd/559
Chicago Manual of Style (16th Edition):
Glidden, Charlotte M. “Improving Patient-Provider Communication in the Health Care context.” 2012. Masters Thesis, Montana Tech. Accessed March 05, 2021.
https://scholarworks.umt.edu/etd/559.
MLA Handbook (7th Edition):
Glidden, Charlotte M. “Improving Patient-Provider Communication in the Health Care context.” 2012. Web. 05 Mar 2021.
Vancouver:
Glidden CM. Improving Patient-Provider Communication in the Health Care context. [Internet] [Masters thesis]. Montana Tech; 2012. [cited 2021 Mar 05].
Available from: https://scholarworks.umt.edu/etd/559.
Council of Science Editors:
Glidden CM. Improving Patient-Provider Communication in the Health Care context. [Masters Thesis]. Montana Tech; 2012. Available from: https://scholarworks.umt.edu/etd/559

Virginia Commonwealth University
20.
Burge-Hall, Valerie.
AFRICAN AMERICAN WOMEN’S PERCEPTIONS OF HIV PREVENTION COMMUNICATION WITH THEIR REPRODUCTIVE HEALTH PROVIDERS.
Degree: PhD, Education, 2015, Virginia Commonwealth University
URL: https://doi.org/10.25772/PRM4-0036
;
https://scholarscompass.vcu.edu/etd/3697
► In spite of a decline in HIV incidence rates among African American women, they still bear the most significant disease burden among U.S. women.…
(more)
▼ In spite of a decline in HIV incidence rates among African American women, they still bear the most significant disease burden among U.S. women. Findings from numerous studies indicate probable explanations for the disparity, such as the impact of poverty, limited healthcare access, low literacy, and living in areas with high HIV rates. Additionally, many study results provide insight regarding prevention strategies. However, the aim of this study is to explore African American women’s perceptions regarding what HIV prevention
communication, if any, occurred with their reproductive health providers (RHPs). In this study, 20 African American women with unknown HIV status participated in face-to-face interviews designed to explore their perceptions about HIV prevention
communication with their RHPs. Audio-taped interviews were transcribed verbatim and coded using NVivo10 software. Guided by constructs of the Health Belief Model, inductive and deductive coding yielded four key themes: (1) patients’ lack of expectation to receive information; (2) failure of RHPs to initiate and offer information; (3) patients’ desire to receive information; and (4) patients’ recommendations regarding their preferred methods to receive HIV prevention
communication. Results indicated that RHPs missed prime opportunities to initiate and offer HIV prevention information during routine reproductive health visits with women at greatest risk. These findings and recommendations for practice will be useful when designing, implementing and evaluating HIV prevention
patient education protocols. The recommendations provide strategies to help RHPs seize every opportunity to address HIV prevention with this highly vulnerable population.
Advisors/Committee Members: Dr. Joann T. Richardson, Dr. Quentin Alexander, Dr. Gonzalo Bearman, Dr. Maike Philipsen.
Subjects/Keywords: African American women; HIV prevention; patient-provider communication; reproductive health provider; qualitative; USA; Education; Health and Physical Education
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Burge-Hall, V. (2015). AFRICAN AMERICAN WOMEN’S PERCEPTIONS OF HIV PREVENTION COMMUNICATION WITH THEIR REPRODUCTIVE HEALTH PROVIDERS. (Doctoral Dissertation). Virginia Commonwealth University. Retrieved from https://doi.org/10.25772/PRM4-0036 ; https://scholarscompass.vcu.edu/etd/3697
Chicago Manual of Style (16th Edition):
Burge-Hall, Valerie. “AFRICAN AMERICAN WOMEN’S PERCEPTIONS OF HIV PREVENTION COMMUNICATION WITH THEIR REPRODUCTIVE HEALTH PROVIDERS.” 2015. Doctoral Dissertation, Virginia Commonwealth University. Accessed March 05, 2021.
https://doi.org/10.25772/PRM4-0036 ; https://scholarscompass.vcu.edu/etd/3697.
MLA Handbook (7th Edition):
Burge-Hall, Valerie. “AFRICAN AMERICAN WOMEN’S PERCEPTIONS OF HIV PREVENTION COMMUNICATION WITH THEIR REPRODUCTIVE HEALTH PROVIDERS.” 2015. Web. 05 Mar 2021.
Vancouver:
Burge-Hall V. AFRICAN AMERICAN WOMEN’S PERCEPTIONS OF HIV PREVENTION COMMUNICATION WITH THEIR REPRODUCTIVE HEALTH PROVIDERS. [Internet] [Doctoral dissertation]. Virginia Commonwealth University; 2015. [cited 2021 Mar 05].
Available from: https://doi.org/10.25772/PRM4-0036 ; https://scholarscompass.vcu.edu/etd/3697.
Council of Science Editors:
Burge-Hall V. AFRICAN AMERICAN WOMEN’S PERCEPTIONS OF HIV PREVENTION COMMUNICATION WITH THEIR REPRODUCTIVE HEALTH PROVIDERS. [Doctoral Dissertation]. Virginia Commonwealth University; 2015. Available from: https://doi.org/10.25772/PRM4-0036 ; https://scholarscompass.vcu.edu/etd/3697

University of Maryland
21.
Villani, Jennifer.
PERCEPTION OF PATIENT-PROVIDER COMMUNICATION AND ITS ASSOCIATION WITH HEALTH SERVICES UTILIZATION.
Degree: Health Services Administration, 2012, University of Maryland
URL: http://hdl.handle.net/1903/13706
► The Patient Protection and Affordable Care Act of 2010 has generated an unprecedented emphasis on patient satisfaction and patient-centered care. This dissertation is composed of…
(more)
▼ The
Patient Protection and Affordable Care Act of 2010 has generated an unprecedented emphasis on
patient satisfaction and
patient-centered care. This dissertation is composed of a series of papers on how patients perceive the quality of care delivered by their healthcare providers and its relationship to their usage of health services. The main hypothesis is that higher perceived quality of care is associated with more effective use of health services. The studies use nationally representative data from the Medical Expenditure Panel Survey (MEPS) with the research grounded in Andersen's Behavioral Model of Health Services Use.
In the first study, I explore whether differences in satisfaction between English- and Spanish-speaking Hispanics can be explained by acculturation and concordance with their providers with regard to race, ethnicity, gender, and language. I use the econometric Blinder-Oaxaca decomposition method to quantify the contributions of each measured characteristic for explaining disparities in
patient satisfaction.
In the second study, I examine whether a lack of
patient-centeredness and poor access to a regular
provider are associated with greater nonemergent emergency department (ED) utilization. I employ a hurdle model to account for the two-part decision making process of whether to use the ED and how often to use the ED for nonemergent purposes.
In the third study, I investigate the relationship between
patient-centered care and receipt of six recommended clinical preventive services including screening for breast cancer, cervical cancer, colorectal cancer, high cholesterol, hypertension, and vaccination against influenza. I use multivariate logistic regression models to determine the probability of compliance with national prevention guidelines.
The results reveal the importance of how patients perceive interpersonal
communication with their healthcare providers. In the first study, acculturation is implicated as a major contributor to differences in
patient satisfaction with
communication. Furthermore, the results from the second study indicate language concordance between patients and providers is related to less nonemergent ED use. Findings from the third study suggest a pattern of greater compliance with clinical preventive service recommendations when patients perceive receiving
patient-centered care from their providers. Implications for policy and practice are presented.
Advisors/Committee Members: Mortensen, Karoline (advisor).
Subjects/Keywords: Health care management; Health services research; Patient-centered care; Patient-provider communication; Patient satisfaction; Usual source of care
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Villani, J. (2012). PERCEPTION OF PATIENT-PROVIDER COMMUNICATION AND ITS ASSOCIATION WITH HEALTH SERVICES UTILIZATION. (Thesis). University of Maryland. Retrieved from http://hdl.handle.net/1903/13706
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Villani, Jennifer. “PERCEPTION OF PATIENT-PROVIDER COMMUNICATION AND ITS ASSOCIATION WITH HEALTH SERVICES UTILIZATION.” 2012. Thesis, University of Maryland. Accessed March 05, 2021.
http://hdl.handle.net/1903/13706.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Villani, Jennifer. “PERCEPTION OF PATIENT-PROVIDER COMMUNICATION AND ITS ASSOCIATION WITH HEALTH SERVICES UTILIZATION.” 2012. Web. 05 Mar 2021.
Vancouver:
Villani J. PERCEPTION OF PATIENT-PROVIDER COMMUNICATION AND ITS ASSOCIATION WITH HEALTH SERVICES UTILIZATION. [Internet] [Thesis]. University of Maryland; 2012. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1903/13706.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Villani J. PERCEPTION OF PATIENT-PROVIDER COMMUNICATION AND ITS ASSOCIATION WITH HEALTH SERVICES UTILIZATION. [Thesis]. University of Maryland; 2012. Available from: http://hdl.handle.net/1903/13706
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Waterloo
22.
Armas, Alana.
Primary care providers' observations on diabetes management for young adults in Ontario: Barriers and enablers to care and patient-provider communication.
Degree: 2017, University of Waterloo
URL: http://hdl.handle.net/10012/12554
► Background: Type 2 diabetes mellitus (T2DM) is a global epidemic that is only projected to impact more people in the coming years. In Canada, there…
(more)
▼ Background: Type 2 diabetes mellitus (T2DM) is a global epidemic that is only projected to impact more people in the coming years. In Canada, there has been a steady increase of people living with T2DM, including an increase in young adults living with the disease. To manage T2DM and minimize the complications of T2DM, primary healthcare providers often encourage their patients to partake in self-management care. This is an effective strategy to managing T2DM; however, there are several barriers people face when trying to self-manage. For young adults living with T2DM, there is very limited research on what prevents them from managing their diabetes. The research that has been conducted on young adults (aged 20 – 39) with T2DM suggests this patient population faces different barriers to care than other age groups because of their different circumstances and access to resources. Moreover, there is also very limited research on how patient-provider communication takes place in primary care settings with young adults living with T2DM, which is also problematic because patient-provider communication is a key component of self-management care. Thus, there is a need for research examining what prevents this patient population from engaging in care and communication with their primary care providers.
Research aim and objectives: The aim of the present study was to explore the barriers and facilitators to self-management care and communication between young adults with T2DM and their primary care providers. To achieve this aim there were two objectives for the study, which were: (1) to understand what providers perceive as barriers to self-management care and communication during the clinical encounter. (2) To understand what providers perceive as facilitators to self-management and communication during the clinical encounter.
Methods: This study used a convergent parallel mixed methods design that employed surveys to collect contextual and quantitative data, and semi-structured interviews to collect qualitative data. Data collection took place between November 2015 and February 2017 throughout southwestern Ontario. Purposive and snowball sampling techniques were used to recruit participants into the study. Two study populations were included in this study, healthcare providers and young adults living with T2DM. The inclusion criteria for healthcare providers were: (1) they were primary care providers, and (2) had experience treating young adults with T2DM. The inclusion criteria for young adults were: (1) they were aged 20 – 39, (2) had T2DM, and (3) had been living with the disease for at least 6 months. The data collected were analyzed using Ritchie and Lewis’ framework approach, which is made up of nine stages that create a structured and iterative process during analysis. The framework approach also integrates data from different sources, such as interviews and surveys.
Results: A total of 13 participants were included in the study, 11 were primary care providers and two were young adults with T2DM.…
Subjects/Keywords: Type 2 Diabetes; Self-management care; Patient-provider communication; Young adults; Canada; Primary care
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Armas, A. (2017). Primary care providers' observations on diabetes management for young adults in Ontario: Barriers and enablers to care and patient-provider communication. (Thesis). University of Waterloo. Retrieved from http://hdl.handle.net/10012/12554
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Armas, Alana. “Primary care providers' observations on diabetes management for young adults in Ontario: Barriers and enablers to care and patient-provider communication.” 2017. Thesis, University of Waterloo. Accessed March 05, 2021.
http://hdl.handle.net/10012/12554.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Armas, Alana. “Primary care providers' observations on diabetes management for young adults in Ontario: Barriers and enablers to care and patient-provider communication.” 2017. Web. 05 Mar 2021.
Vancouver:
Armas A. Primary care providers' observations on diabetes management for young adults in Ontario: Barriers and enablers to care and patient-provider communication. [Internet] [Thesis]. University of Waterloo; 2017. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/10012/12554.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Armas A. Primary care providers' observations on diabetes management for young adults in Ontario: Barriers and enablers to care and patient-provider communication. [Thesis]. University of Waterloo; 2017. Available from: http://hdl.handle.net/10012/12554
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

West Virginia University
23.
Ahrabi-Nejad, Corrine N.
Provider-Patient Communication and Transition Readiness Among Adolescents with Type 1 Diabetes.
Degree: MS, Psychology, 2019, West Virginia University
URL: https://doi.org/10.33915/etd.3830
;
https://researchrepository.wvu.edu/etd/3830
► The majority of adolescents with type 1 diabetes do not maintain a glycemic control within the recommended range. Poor diabetes control can yield both…
(more)
▼ The majority of adolescents with type 1 diabetes do not maintain a glycemic control within the recommended range. Poor diabetes control can yield both short term and long term acute health complications, making it critical for adolescents to achieve diabetes control. During this same time in development, adolescents are preparing for the transition from pediatric to adult diabetes care. Adolescents often transition to adult care based on their age rather than their transition readiness, which may result in a lack of support from their pediatric
provider, potentially exacerbating their already poor glycemic control. Transitioning from pediatric care to adult care among adolescents with type 1 diabetes (T1D) often occurs spontaneously and with little guidance from pediatric providers. This abruptness in uncoordinated transition leads to decreased illness adherence. Research in the field of transition has identified that adolescents receive little information regarding the transition process including how to find an adult care
provider, differences in adult care, and how to discuss their diabetes independently without a parent present. Adolescents who report poor transition readiness experienced gaps in care of 6 months or greater post-transition. Transition readiness can mitigate the negative effects that this transitional period often has. One potential method of increasing an adolescents’ readiness to transition into adult care is through information disseminated by their pediatric
provider. The current project assessed the relation between
provider-
patient communication and transition readiness in adolescents with type 1 diabetes. A total of 60 adolescents (ages 13 to 17) and their caregiver were recruited from West Virginia University Health Sciences Center. Participants were identified using the medical record database and eligible participants were approached and invited to participate at a regularly scheduled pediatric endocrinology clinic visit. Upon assent and consent, respectively, adolescents and their caregiver completed questionnaire measures using electronic tablets and all data were securely stored using REDCap software system. The aims of this study were to identify (1) whether adolescent better perceived
provider-
patient communication was associated significantly with greater transition readiness; and (2) if glycemic control acts as a moderator or mediator on this relation. Results from this study suggest that
provider patient communication, as measured, is not a significant predictor of transition readiness, nor is glycemic control. Future studies should consider using alternative methods for measuring
provider-
patient communication, broadening sample characteristics for both providers and patients, and expanding investigation to include other factors that could potentially influence transition readiness.
Advisors/Committee Members: Christina Duncan, Claire St. Peter, Claire St. Peter.
Subjects/Keywords: Type 1 Diabetes; Transition; Provider-Patient Communication; Child Psychology; Clinical Psychology; Health Psychology; Psychology
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ahrabi-Nejad, C. N. (2019). Provider-Patient Communication and Transition Readiness Among Adolescents with Type 1 Diabetes. (Thesis). West Virginia University. Retrieved from https://doi.org/10.33915/etd.3830 ; https://researchrepository.wvu.edu/etd/3830
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ahrabi-Nejad, Corrine N. “Provider-Patient Communication and Transition Readiness Among Adolescents with Type 1 Diabetes.” 2019. Thesis, West Virginia University. Accessed March 05, 2021.
https://doi.org/10.33915/etd.3830 ; https://researchrepository.wvu.edu/etd/3830.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ahrabi-Nejad, Corrine N. “Provider-Patient Communication and Transition Readiness Among Adolescents with Type 1 Diabetes.” 2019. Web. 05 Mar 2021.
Vancouver:
Ahrabi-Nejad CN. Provider-Patient Communication and Transition Readiness Among Adolescents with Type 1 Diabetes. [Internet] [Thesis]. West Virginia University; 2019. [cited 2021 Mar 05].
Available from: https://doi.org/10.33915/etd.3830 ; https://researchrepository.wvu.edu/etd/3830.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ahrabi-Nejad CN. Provider-Patient Communication and Transition Readiness Among Adolescents with Type 1 Diabetes. [Thesis]. West Virginia University; 2019. Available from: https://doi.org/10.33915/etd.3830 ; https://researchrepository.wvu.edu/etd/3830
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of California – San Francisco
24.
Trainor, Lauren Elizabeth Fadely.
Experiences of Perinatal Care by Im/migrant Mexican Women in California's Central Valley.
Degree: Nursing, 2016, University of California – San Francisco
URL: http://www.escholarship.org/uc/item/6kx5j1m6
► AbstractBackground: Im/migrant Mexican women represent a significant proportion of the obstetric patient population in California and have higher documented incidence of adverse obstetric outcomes such…
(more)
▼ AbstractBackground: Im/migrant Mexican women represent a significant proportion of the obstetric patient population in California and have higher documented incidence of adverse obstetric outcomes such as maternal postpartum hemorrhage and perinatal depression than their White counterparts. Little is known, however, about im/migrant Mexican women’s experiences of perinatal care, particularly communication within the patient-provider encounter.Objectives: (1) Describe the values, expectations, and needs im/migrant Mexican women bring to their US perinatal care encounters; (2) describe im/migrant Mexican women’s perceptions of patient-provider communication within perinatal care encounters; (3) describe im/migrant Mexican women’s experiences of perinatal care in the United States; and (4) construct an understanding of the processes that govern the patient-provider encounter for im/migrant Mexican women through an inductive grounded theory approach. Design: Secondary analysis of audio-recorded interview transcripts, field notes, original photographs, and analytic memos utilizing constant comparison consistent with grounded theory.Results: Themes of pregnancy as a special time and social isolation characterize expectations and values of pregnant im/migrant women. However, communication within the patient-provider encounter is often deflected and obscured by the complex past experiences and perceptions that occupy the space between the women and her provider. Negative experiences of perinatal care include deepening isolation and untreated depression. In contrast, positive experiences of perinatal care are associated with themes of receiving attention and shared worry. Conclusions: Im/migrant Mexican women experience internal and external barriers to communication with their healthcare providers that impact their experience of perinatal care.
Subjects/Keywords: Nursing; Obstetrics; Birth trauma; Grounded Theory; Immigrant Health; Patient Provider Communication; Perinatal Care
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Trainor, L. E. F. (2016). Experiences of Perinatal Care by Im/migrant Mexican Women in California's Central Valley. (Thesis). University of California – San Francisco. Retrieved from http://www.escholarship.org/uc/item/6kx5j1m6
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Trainor, Lauren Elizabeth Fadely. “Experiences of Perinatal Care by Im/migrant Mexican Women in California's Central Valley.” 2016. Thesis, University of California – San Francisco. Accessed March 05, 2021.
http://www.escholarship.org/uc/item/6kx5j1m6.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Trainor, Lauren Elizabeth Fadely. “Experiences of Perinatal Care by Im/migrant Mexican Women in California's Central Valley.” 2016. Web. 05 Mar 2021.
Vancouver:
Trainor LEF. Experiences of Perinatal Care by Im/migrant Mexican Women in California's Central Valley. [Internet] [Thesis]. University of California – San Francisco; 2016. [cited 2021 Mar 05].
Available from: http://www.escholarship.org/uc/item/6kx5j1m6.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Trainor LEF. Experiences of Perinatal Care by Im/migrant Mexican Women in California's Central Valley. [Thesis]. University of California – San Francisco; 2016. Available from: http://www.escholarship.org/uc/item/6kx5j1m6
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Washington
25.
Kiefer, Meghan M.
Diabetes Distress and Diabetes Outcomes: the Association between Distress and Patient-Provider Communication, Quality of Life, and Glycemic Control.
Degree: 2014, University of Washington
URL: http://hdl.handle.net/1773/26859
► Background: Diabetes-related distress is defined as the emotional burden associated with living with diabetes. In prior studies, elevated levels of diabetes distress, independent from depression,…
(more)
▼ Background: Diabetes-related distress is defined as the emotional burden associated with living with diabetes. In prior studies, elevated levels of diabetes distress, independent from depression, have been associated with worse glycemic control, as well as worse self-management and poorer medication adherence. Poor
patient-
provider communication has also been associated with worsened diabetes control and poorer diabetes self-care. The relationship between diabetes distress and
patient-
provider communication has not been examined in the primary care setting. We hypothesized that higher diabetes distress would be associated with worse health outcomes, including glycemic control and health-related quality of life. We further postulated that diabetes distress may be associated with worse
patient-
provider communication. Methods: This is a cross-sectional descriptive analysis of baseline survey data obtained in the Peer-AID study, a randomized controlled trial conducted by a partnership between the VA Puget Sound Healthcare System and Public Health Seattle King County (PHSKC), evaluating a 12-month community health worker intervention for low-income people with poorly controlled diabetes. Diabetes distress was measured using the 17-item diabetes distress scale (DDS). Health-related quality of life was assessed using the Diabetes-39 tool, the SF-12 mental health (MCS) and physical health (PCS) composite scores, as well as a single question ranking overall quality of life. The quality of
patient-
provider communication was assessed using a subsection of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) questionnaire as well as the three
Communication with Physician (CP) questions. Results: Of 287 participants, 116 (40.4%) were categorized as no/low distress, 97 participants (33.8%) were considered moderate distress, and 74 participants (25.8%) were considered to have high diabetes distress. High-distress participants had a higher HbA1c than moderate or low distress groups (9.7% vs. 8.8% vs. 8.8%, p=0.001) and were less likely to adhere to their medications or eat a healthy diet than those in other categories. High-distress participants also reported a lower diabetes-related and overall quality of life, and had lower self-efficacy than other participants. When adjusted for age, gender, and race, a one-level increase in diabetes distress category was associated with a 0.46% higher HbA1c (95% CI, 0.19-0.74; p=0.001). Higher diabetes distress was also associated with worsened quality of life and a significant decline in
patient-
provider communication, as measured by both CAHPS score (-0.19, 95%CI -0.29, -0.00; p <0.001) and
Communication with Physicians rating (-1.04, 95% CI -1.88, -0.21; p = 0.014). Discussion: In this multi-site, multilingual study of low-income people with poorly-controlled diabetes, diabetes distress was found to have a significant association with HbA1c and quality of life. Our work also establishes a novel association between diabetes distress and
patient perception of
communication with…
Advisors/Committee Members: Nelson, Karin M (advisor).
Subjects/Keywords: Diabetes distress; Health Behaviors; Patient-provider communication; Quality of Life; Public health; Medicine; health services
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kiefer, M. M. (2014). Diabetes Distress and Diabetes Outcomes: the Association between Distress and Patient-Provider Communication, Quality of Life, and Glycemic Control. (Thesis). University of Washington. Retrieved from http://hdl.handle.net/1773/26859
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kiefer, Meghan M. “Diabetes Distress and Diabetes Outcomes: the Association between Distress and Patient-Provider Communication, Quality of Life, and Glycemic Control.” 2014. Thesis, University of Washington. Accessed March 05, 2021.
http://hdl.handle.net/1773/26859.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kiefer, Meghan M. “Diabetes Distress and Diabetes Outcomes: the Association between Distress and Patient-Provider Communication, Quality of Life, and Glycemic Control.” 2014. Web. 05 Mar 2021.
Vancouver:
Kiefer MM. Diabetes Distress and Diabetes Outcomes: the Association between Distress and Patient-Provider Communication, Quality of Life, and Glycemic Control. [Internet] [Thesis]. University of Washington; 2014. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1773/26859.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kiefer MM. Diabetes Distress and Diabetes Outcomes: the Association between Distress and Patient-Provider Communication, Quality of Life, and Glycemic Control. [Thesis]. University of Washington; 2014. Available from: http://hdl.handle.net/1773/26859
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Washington
26.
Burns, Michael Ian.
Communication in Medical Interactions: Perspectives of Individuals with Communication Disorders, Their Caregivers, and Physicians.
Degree: PhD, 2014, University of Washington
URL: http://hdl.handle.net/1773/25001
► <underline/>Introduction</underline>: Individuals with communication disorders form a vulnerable patient population in health care. Their problems with communication in medical interactions can lead to higher rates…
(more)
▼ <underline/>Introduction</underline>: Individuals with
communication disorders form a vulnerable
patient population in health care. Their problems with
communication in medical interactions can lead to higher rates of medical errors, reduced accessibility to health care, and decreased satisfaction with services when compared with the average
patient population.
Communication Accommodation Theory (CAT) has recently been used in research to explain
communication during medical interactions involving patients with
communication disorders. However, this research focuses on dyadic medical interactions between patients and physicians, failing to consider the potential effects that caregivers can have on these interactions. The purpose of this study was to explore the experiences and perspectives of patients with
communication disorders, their family caregivers, and physicians related to
communication during medical interactions. In addition, this study examines the feasibility of CAT to help explain and predict
communication during these medical interactions. <underline>Methods</underline>: A total of 18 individuals - six patients with a primary
communication disorder diagnosis of aphasia, six family caregivers, and six practicing physicians - participated in semi-structured, face-to-face interviews. Participants were asked about their experiences with
communication during triadic medical interactions. Interviews were audio and/or video recorded and then transcribed. Transcripts were coded and a thematic analysis was conducted. <underline>Results</underline>: While patients and caregivers generally described their
communication experiences as positive, all participants discussed challenges and frustrations they experienced when communicating during medical interactions. Three themes emerged from participants' experiences and perspectives: 1) patients and caregivers work as a team, 2) patients and caregivers want physicians to "just try" to communicate with the
patient, and 3) physicians want to try to communicate with the
patient, but may not know how. Patients and caregivers provided advice to help physicians improve their
communication, and physicians suggested content areas to include in future
communication skills training for medical students and practicing physicians. <underline>Discussion</underline>: Results of this study suggested that although the participants' experiences were generally positive, the perspectives of patients and caregivers regarding
communication during medical interactions seemed to be somewhat misaligned with those of physicians. Patients and caregivers discussed how some physicians seemed to be either unaware when patients were struggling to communicate, or did not to change their
communication style to help patients. Physicians, on the other hand, seemed to acknowledge the importance of changing how they communicate to make accommodations for these patients, but discussed not having the education and training to know how. Results of this study also provided support for the use of CAT to…
Advisors/Committee Members: Yorkston, Kathryn (advisor).
Subjects/Keywords: Accommodation; Communication; Interaction; Medical; Patient-provider; Speech therapy; Health education; Health sciences; rehabilitation medicine
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Burns, M. I. (2014). Communication in Medical Interactions: Perspectives of Individuals with Communication Disorders, Their Caregivers, and Physicians. (Doctoral Dissertation). University of Washington. Retrieved from http://hdl.handle.net/1773/25001
Chicago Manual of Style (16th Edition):
Burns, Michael Ian. “Communication in Medical Interactions: Perspectives of Individuals with Communication Disorders, Their Caregivers, and Physicians.” 2014. Doctoral Dissertation, University of Washington. Accessed March 05, 2021.
http://hdl.handle.net/1773/25001.
MLA Handbook (7th Edition):
Burns, Michael Ian. “Communication in Medical Interactions: Perspectives of Individuals with Communication Disorders, Their Caregivers, and Physicians.” 2014. Web. 05 Mar 2021.
Vancouver:
Burns MI. Communication in Medical Interactions: Perspectives of Individuals with Communication Disorders, Their Caregivers, and Physicians. [Internet] [Doctoral dissertation]. University of Washington; 2014. [cited 2021 Mar 05].
Available from: http://hdl.handle.net/1773/25001.
Council of Science Editors:
Burns MI. Communication in Medical Interactions: Perspectives of Individuals with Communication Disorders, Their Caregivers, and Physicians. [Doctoral Dissertation]. University of Washington; 2014. Available from: http://hdl.handle.net/1773/25001

Arizona State University
27.
Naseyowma, Elizabeth J.
Pueblo Health: Examining Indigenous Concepts of Well-Being
and How Perceptions Have Shifted to Health Today.
Degree: Social Justice and Human Rights, 2020, Arizona State University
URL: http://repository.asu.edu/items/56979
► Indigenous Pueblo conceptualization of living well today has shifted mainly due to Federal policies that forced Pueblo people to conform to western way of living…
(more)
▼ Indigenous Pueblo conceptualization of living well
today has shifted mainly due to Federal policies that forced Pueblo
people to conform to western way of living moving away from a
lifestyle that embraced holistic practices. Native people cannot
escape how Western society has shaped the concept of health
however, the voices of the Pueblo people and others working in
health, acknowledged that Indigenous philosophies, beliefs and
practices need to be part of Native health conversations today. My
discussion problematizes Native health characterized today as
typically represented through the biomedical perspective with the
primary focus being the body. Such a limiting perspective dismisses
the importance of Indigenous philosophies that embraces broader
concepts of well-being to include holistic elements of physical,
mental, emotional and spiritual well-being. This study examines the
shift in perceptions seeking input from patient and medical
providers regarding their interactions, particularly communications
in a healthcare setting. Pueblo patients defined what was important
in their communications with their health provider. Likewise,
health providers referred to their experiences providing healthcare
to Native patients to describe what is important to know when
treating a Pueblo patient. Patients identified family (without
specific medical family histories disclosed), knowledge/beliefs
that were or were not associated to the patient’s culture, as well
as community and family dynamics (that did not delve into
traditional medicine or sacred ceremonial activities) as important
for their provider to know. The results from the research study
highlights the need to examine Native American cultural diversity
education in healthcare including advancing improvements in the
training of medical providers.
Subjects/Keywords: Health sciences; Communication; Health; Healthcare provider; Indigenous Philosophies; Native American patient; Well-being
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Naseyowma, E. J. (2020). Pueblo Health: Examining Indigenous Concepts of Well-Being
and How Perceptions Have Shifted to Health Today. (Doctoral Dissertation). Arizona State University. Retrieved from http://repository.asu.edu/items/56979
Chicago Manual of Style (16th Edition):
Naseyowma, Elizabeth J. “Pueblo Health: Examining Indigenous Concepts of Well-Being
and How Perceptions Have Shifted to Health Today.” 2020. Doctoral Dissertation, Arizona State University. Accessed March 05, 2021.
http://repository.asu.edu/items/56979.
MLA Handbook (7th Edition):
Naseyowma, Elizabeth J. “Pueblo Health: Examining Indigenous Concepts of Well-Being
and How Perceptions Have Shifted to Health Today.” 2020. Web. 05 Mar 2021.
Vancouver:
Naseyowma EJ. Pueblo Health: Examining Indigenous Concepts of Well-Being
and How Perceptions Have Shifted to Health Today. [Internet] [Doctoral dissertation]. Arizona State University; 2020. [cited 2021 Mar 05].
Available from: http://repository.asu.edu/items/56979.
Council of Science Editors:
Naseyowma EJ. Pueblo Health: Examining Indigenous Concepts of Well-Being
and How Perceptions Have Shifted to Health Today. [Doctoral Dissertation]. Arizona State University; 2020. Available from: http://repository.asu.edu/items/56979

East Tennessee State University
28.
Mathis, Stephanie M.
Prescription Drug Abuse and Provider-Patient Communication: A Qualitative Analysis of the Perspectives of Prescribers and Patients.
Degree: DrPH (Doctor of Public Health), Public Health, 2017, East Tennessee State University
URL: https://dc.etsu.edu/etd/3320
► Prescription drug abuse is a public health problem of epidemic proportions in the United States. Provider-patient communication underpins many initiatives aimed at preventing and…
(more)
▼ Prescription drug abuse is a public health problem of epidemic proportions in the United States. Provider-patient communication underpins many initiatives aimed at preventing and reducing the public health burden of prescription drug abuse. The characteristics of and factors contributing to this interpersonal process, however, have not been fully explored.
The purpose of this research was to examine: 1) the overall problem of prescription drug abuse and provider-patient communication about prescription drug abuse from the patient perspective; and 2) provider-patient communication about prescription drug abuse from the prescriber perspective. In 2014-2015, semi-structured interviews were conducted with 20 patients from primary care and addiction medicine and 10 prescribers from multiple health professions and medical fields in Central and South Central Appalachia. The interviews were audio-recorded and transcribed verbatim. Thematic analysis, facilitated by qualitative data analysis software, was used to generate themes.
Patients perceived prescription drug abuse as a problem, both in terms of its prevalence and contribution to negative consequences. Patients connected abuse to accessibility, identifying routes of access, routine practices, and rationales involved in the acquisition and distribution of prescription drugs for abuse. With regard to provider-patient communication, patients reported different levels of engagement in prescription drug abuse-related communication with healthcare providers—active, passive, and no/limited. Prescribers likewise reported different patterns of prescription drug abuse-related communication with patients—informative, counteractive, and supportive. Collectively, patients and prescribers described a range of factors—personal and environmental—that positively and negatively influence provider-patient communication and, by association, prescriber delivery and patient receipt of healthcare related to prescription drug abuse. When comparing the perspectives of patients and prescribers, multiple similarities in their prescription drug abuse-related communication perceptions and behaviors were identified.
The findings of this research have implications for: 1) clinical practice to mitigate prescription drug abuse and improve patient prescription drug abuse-related communication behaviors; 2) patient- and prescriber-targeted interventions to improve provider-patient communication about prescription drug abuse; and 3) future research to continue to advance understanding of provider-patient communication about prescription drug abuse.
Subjects/Keywords: prescription drug abuse; nonmedical use; provider-patient communication; qualitative research; Public Health
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mathis, S. M. (2017). Prescription Drug Abuse and Provider-Patient Communication: A Qualitative Analysis of the Perspectives of Prescribers and Patients. (Thesis). East Tennessee State University. Retrieved from https://dc.etsu.edu/etd/3320
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mathis, Stephanie M. “Prescription Drug Abuse and Provider-Patient Communication: A Qualitative Analysis of the Perspectives of Prescribers and Patients.” 2017. Thesis, East Tennessee State University. Accessed March 05, 2021.
https://dc.etsu.edu/etd/3320.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mathis, Stephanie M. “Prescription Drug Abuse and Provider-Patient Communication: A Qualitative Analysis of the Perspectives of Prescribers and Patients.” 2017. Web. 05 Mar 2021.
Vancouver:
Mathis SM. Prescription Drug Abuse and Provider-Patient Communication: A Qualitative Analysis of the Perspectives of Prescribers and Patients. [Internet] [Thesis]. East Tennessee State University; 2017. [cited 2021 Mar 05].
Available from: https://dc.etsu.edu/etd/3320.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mathis SM. Prescription Drug Abuse and Provider-Patient Communication: A Qualitative Analysis of the Perspectives of Prescribers and Patients. [Thesis]. East Tennessee State University; 2017. Available from: https://dc.etsu.edu/etd/3320
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
29.
Hudak, Nicole.
Identity disclosure in lesbian, gay, and bisexual patient-provider communication.
Degree: 2015, James Madison University
URL: https://commons.lib.jmu.edu/master201019/26
► Lesbian, gay, and bisexual individuals have encountered barriers in accessing healthcare. Barriers to accessing medical care can stem from discrimination within healthcare, which includes the…
(more)
▼ Lesbian, gay, and bisexual individuals have encountered barriers in accessing healthcare. Barriers to accessing medical care can stem from discrimination within healthcare, which includes the medicalization of homosexuality. Literature demonstrates that both providers and LGB patients recognize that there are inefficiencies in the current healthcare system for LGB patients. This thesis sought to find how LGB individuals navigated the disclosure of their sexual identities with their providers and what types of
communication barriers existed between them. Qualitative, in-depth interviews were conducted with 20 LGB identified participants. The recorded interviews were transcribed and analyzed using a constant comparative method. Four themes were found including: influences on disclosure, identity vs. practice, heterosexism, and barriers and consequences. The thesis concluded that how a LGB individual viewed their sexual identity impacted their choice to disclose to his or her
provider and the
communication barriers that occurred when a
provider was discriminatory towards his or her LGB
patient. In order to combat these discriminatory issues within healthcare, providers should undergo training on how to care for LGB patients.
Advisors/Committee Members: Heather Carmack.
Subjects/Keywords: sexuality; patient-provider; disclosure; health communication; heterosexism; Gender, Race, Sexuality, and Ethnicity in Communication; Health Communication
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hudak, N. (2015). Identity disclosure in lesbian, gay, and bisexual patient-provider communication. (Masters Thesis). James Madison University. Retrieved from https://commons.lib.jmu.edu/master201019/26
Chicago Manual of Style (16th Edition):
Hudak, Nicole. “Identity disclosure in lesbian, gay, and bisexual patient-provider communication.” 2015. Masters Thesis, James Madison University. Accessed March 05, 2021.
https://commons.lib.jmu.edu/master201019/26.
MLA Handbook (7th Edition):
Hudak, Nicole. “Identity disclosure in lesbian, gay, and bisexual patient-provider communication.” 2015. Web. 05 Mar 2021.
Vancouver:
Hudak N. Identity disclosure in lesbian, gay, and bisexual patient-provider communication. [Internet] [Masters thesis]. James Madison University; 2015. [cited 2021 Mar 05].
Available from: https://commons.lib.jmu.edu/master201019/26.
Council of Science Editors:
Hudak N. Identity disclosure in lesbian, gay, and bisexual patient-provider communication. [Masters Thesis]. James Madison University; 2015. Available from: https://commons.lib.jmu.edu/master201019/26

University of Kentucky
30.
Wombacher, Kevin A.
USING SOCIAL COGNITIVE THEORY TO UNDERSTAND CHILD AND ADOLESCENT PSYCHIATRISTS’ DISCUSSIONS OF SUBSTANCE ABUSE WITH THEIR PATIENTS.
Degree: 2017, University of Kentucky
URL: https://uknowledge.uky.edu/comm_etds/56
► This study investigates factors that influence the conversations that child and adolescent psychiatrists have with their patients about substance use. The goal of the study…
(more)
▼ This study investigates factors that influence the conversations that child and adolescent psychiatrists have with their patients about substance use. The goal of the study is to gain a better understanding of salient psychological and communication constructs in this context using social cognitive theory as a guide. The study consisted of a national online survey of child and adolescent psychiatrists (n = 170) focused on understanding factors that affect self-efficacy and communication competence related to discussing substance use with adolescent patients. Results show that communication apprehension has a strong negative association with perceptions of self-efficacy. Results also show that past positive experiences have a stronger association with self-efficacy than past negative experiences. Results related to communication competence were mixed, with self-efficacy not being significantly related to communication competence; which could indicate potential issues with measurement. Communication competence was found to be related to overall perceptions of training, as well as past positive experiences discussing substance use. These results have implications related to the design and implementation of training interventions for child and adolescent psychiatrists to improve their level of comfort in discussing substance use with their patients.
Subjects/Keywords: Health Communication; Patient-Provider Communication; Substance Use; Child and Adolescent Psychiatry; Social Cognitive Theory; Health Communication
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wombacher, K. A. (2017). USING SOCIAL COGNITIVE THEORY TO UNDERSTAND CHILD AND ADOLESCENT PSYCHIATRISTS’ DISCUSSIONS OF SUBSTANCE ABUSE WITH THEIR PATIENTS. (Doctoral Dissertation). University of Kentucky. Retrieved from https://uknowledge.uky.edu/comm_etds/56
Chicago Manual of Style (16th Edition):
Wombacher, Kevin A. “USING SOCIAL COGNITIVE THEORY TO UNDERSTAND CHILD AND ADOLESCENT PSYCHIATRISTS’ DISCUSSIONS OF SUBSTANCE ABUSE WITH THEIR PATIENTS.” 2017. Doctoral Dissertation, University of Kentucky. Accessed March 05, 2021.
https://uknowledge.uky.edu/comm_etds/56.
MLA Handbook (7th Edition):
Wombacher, Kevin A. “USING SOCIAL COGNITIVE THEORY TO UNDERSTAND CHILD AND ADOLESCENT PSYCHIATRISTS’ DISCUSSIONS OF SUBSTANCE ABUSE WITH THEIR PATIENTS.” 2017. Web. 05 Mar 2021.
Vancouver:
Wombacher KA. USING SOCIAL COGNITIVE THEORY TO UNDERSTAND CHILD AND ADOLESCENT PSYCHIATRISTS’ DISCUSSIONS OF SUBSTANCE ABUSE WITH THEIR PATIENTS. [Internet] [Doctoral dissertation]. University of Kentucky; 2017. [cited 2021 Mar 05].
Available from: https://uknowledge.uky.edu/comm_etds/56.
Council of Science Editors:
Wombacher KA. USING SOCIAL COGNITIVE THEORY TO UNDERSTAND CHILD AND ADOLESCENT PSYCHIATRISTS’ DISCUSSIONS OF SUBSTANCE ABUSE WITH THEIR PATIENTS. [Doctoral Dissertation]. University of Kentucky; 2017. Available from: https://uknowledge.uky.edu/comm_etds/56
◁ [1] [2] [3] ▶
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