Health communication
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Health communication · Jan 2014
Multicenter StudyRelational dialectics theory: Disentangling physician-perceived tensions of end-of-life communication.
Existing literature evidences the centrality of interpersonal communication during end-of-life care, but several barriers currently compromise its effectiveness. One of them is a common lack of communication skills among physicians in this challenging context. Several strategies have been suggested to enhance end-of-life interactions; however, a solid theoretical framework is needed for the development of effective systematic guidelines and interventions that can facilitate this goal. ⋯ The interviews probed whether and under what conditions Baxter and Montgomery's theoretical contradictions translate to physicians' end-of-life communication with their patients and the patients' family members. The results replicated and extended the original theoretical contradictions, evidencing that Relational Dialectics Theory is very applicable to end-of-life conversations. Thus, this study adds a theoretically framed, empirically grounded contribution to the current literature on the communicative challenges physicians commonly face during end-of-life interactions with their patients and their patients' family members.
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Health communication · Jan 2014
Doctors' emotion regulation and patient satisfaction: a social-functional perspective.
Emotion regulation has been identified as an important component of medical consultation but there is limited research on the topic. Two studies tested expected relationships between doctors' emotion regulation (ER) skills and patient satisfaction and quality of doctor-patient interaction, focusing in particular on the role patient perceptions' of doctors' emotion regulation skills play in these associations. Study 1 comprised 100 patients reporting on their perceptions of doctors' overall emotion regulation skills, communication quality and nonverbal immediacy, and their satisfaction with the care provided. ⋯ Doctors' suppression was also positively associated with patient satisfaction, while patients' gender moderated these effects. The two studies empirically document proposed links between doctors' emotion regulation and patient satisfaction. Notably, the results underline the role of patients' perceptions of doctors' emotion regulation skills and emotion expressions for patient outcomes and are in line with functional models of emotion in social interaction.
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Health communication · Jan 2014
Weighing women down: messages on weight loss and body shaping in editorial content in popular women's health and fitness magazines.
Exposure to idealized body images has been shown to lower women's body satisfaction. Yet some studies found the opposite, possibly because real-life media (as opposed to image-only stimuli) often embed such imagery in messages that suggest thinness is attainable. Drawing on social cognitive theory, the current content analysis investigated editorial body-shaping and weight-loss messages in popular women's health and fitness magazines. ⋯ The findings suggest that body shaping and weight loss are a major topic in these magazines, contributing to roughly one-fifth of all editorial content. Assessing standards of motivation and conduct, as well as behaviors promoted by the messages, the findings reflect overemphasis on appearance over health and on exercise-related behaviors over caloric reduction behaviors and the combination of both behaviors. These accentuations are at odds with public health recommendations.
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Health communication · Jan 2013
The milspouse battle rhythm: communicating resilience throughout the deployment cycle.
Military spouses (milspouses) enact resilience through communication before, during, and after military deployments. Based on an organizing framework of resilience processes ( Buzzanell, 2010 ), this study examined milspouses' communicative construction of resilience during an increasingly rapid military deployment cycle. Narratives from in-depth interviews with military spouses (n = 24) revealed how resilience is achieved through communication seeking to reconcile the often contradictory realities of milspouses who endure physical, psychological, and social difficulties due to prolonged separations from their partners.
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Health communication · Jan 2013
Randomized Controlled TrialFamily caregiver participation in hospice interdisciplinary team meetings: how does it affect the nature and content of communication?
Collaboration between family caregivers and health care providers is necessary to ensure patient-centered care, especially for hospice patients. During hospice care, interdisciplinary team members meet biweekly to collaborate and develop holistic care plans that address the physical, spiritual, psychological, and social needs of patients and families. The purpose of this study was to explore team communication when video-conferencing is used to facilitate the family caregiver's participation in a hospice team meeting. ⋯ Standard meetings that did not include caregivers were shorter in duration and task-focused, with little participation from social workers and chaplains. Meetings that included caregivers revealed an emphasis on biomedical education and relationship-building between participants, little psychosocial counseling, and increased socioemotional talk from social workers and chaplains. Implications for family participation in hospice team meetings are highlighted.