College of Arts & Humanities
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The collections in this community comprise faculty research works, as well as graduate theses and dissertations.
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Item #ISOLATEDNOTALONE DURING COVID-19: EXTENDING THE SITUATIONAL THEORY OF PROBLEM SOLVING TO ONLINE ABUSE INTERVENTION CAMPAIGNS(2023) Dias, Shawna; Aldoory, Linda; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Domestic abuse has long been regarded as a significant public health issue, but intimate partner violence cases increased dramatically during the COVID-19 pandemic, leading some reporters to label it as “an opportunistic infection.” The United Nations attributed the increase in domestic abuse to COVID-19 quarantines and shelter-in-place orders, which forced victims to remain trapped in their homes with their abusers. Cosmetics brand, Avon, which has a history of responding to women’s health issues, launched the #IsolatedNotAlone abuse intervention campaign on its social media platforms. The campaign sought to educate the public about the ubiquitousness of domestic abuse and inform victims about available intervention resources. The #IsolatedNotAlone campaign was most active during the spring and summer months of 2020. During that time, the campaign reached an estimated 2.9 million social media users and provided supportive services to nearly 16,000 domestic abuse survivors. Although the campaign was a success, it didn’t reach near as many social media users as other abuse-related initiatives, like the #MeToo movement, which achieved 12 million reposts within its first 24 hours.This dissertation explores the usefulness of the Situational Theory of Problem Solving (STOPS) for understanding how publics organize and react to #IsolatedNotAlone and similar abuse intervention campaigns. STOPS is commonly used to examine public reactions to organizational crises, but this dissertation took an alternative approach and examined its applications for health communication. The research questions ask how situational antecedents, as outlined in STOPS, motivate social media users to learn more about domestic abuse, and how situational motivations and referent criteria influence the communicative actions of social media users. Additionally, the research questions ask how communicative behaviors influence online social support group formation and organization. The sample in this research included ethnically diverse men, women, and non-binary participants who identified as white, Black, Native American, Asian, and Hispanic. I chose to keep the sample demographics wide because I wanted to better understand how diverse groups experience and understand domestic abuse and domestic abuse intervention messages, and their motivations for communicating or not communicating about abuse. Twenty-eight social media users participated in semi-structured qualitative interviews via telephone or Zoom. The data suggests social media users with alike situational antecedents are similarly motivated to communicate about domestic abuse interventions unless they individually recognize significant constraints. Individuals with strong problem recognition and involvement recognition display a wider range of communicative actions than those with low problem recognition and involvement recognition. Based on the findings, this study produces practical implications for abuse intervention message design and distribution. The findings also demonstrate that STOPS has some utility for understanding public response to health intervention messages, though the framework may require adaptation for use in future health communication initiatives. The data suggest that referent criteria, time, and power have a larger role in health communication and influence audience members’ problem recognition, involvement recognition, and communicative actions.Item COMPUTER-MEDIATED HEALTH COMMUNICATION AND LENNOX-GASTAUT SYNDROME: UNDERSTANDING SOCIAL SUPPORT AND INFORMATION SHARING IN A CLOSED, RARE-DISEASE FACEBOOK SUPPORT GROUP(2021) SanInocencio, Christina; Anderson, Lindsey B; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Computer-mediated health communication (CMHC) has increasingly played a role in connecting individuals across the globe to health information and online support groups. For individuals living with a rare disease, and their caregivers, CMHC can serve as a critical tool for social support and information seeking, while addressing feelings of isolation due to the low prevalence of living with a rare disease. Over the past two decades, there has been an increase in scholarship surrounding CMHC and social support. However, scholarship within the context of CMHC in rare diseases has only increased within the past few years and lacks an explicit connection to important theoretical constructs in both communication and public health. Thus, this dissertation aims to explore the intersection of CMHC, interpersonal communication, and social support among caregivers who use Facebook groups as a CMHC tool for Lennox-Gastaut Syndrome, a rare, catastrophic epilepsy syndrome. Long-standing communication theories, including social penetration theory and communication privacy management, guide the theoretical framework for this dissertation while theoretical constructs from public health, including social support and health literacy are addressed.Item Maryland, the Marine Hospital Service, and the Medical Relief of Chesapeake Oyster Dredgers, 1870-1900(2017) Kibler, Austin Todd; Zeller, Thomas; History; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The thesis will be challenging the notion that the federal government took a hands-off approach to industrial health during the Gilded Age by examining the stances taken by the Maryland government and that of the federal Marine Hospital Service (MHS) in specific relation to oyster dredgers of the Chesapeake Bay. It will highlight the important role played by newly professionalized bureaucracies in developing public policy through its examination of the creation of the MHS Relief Station at Solomons Island in Southern Maryland. It will also show that policymakers viewed the Chesapeake Bay as an industrial space and how that construction refracted responses to the oyster dredgers’ health problems.Item SCENE MATTERS: STRATEGIC USE OF SIMILARITY AND FRAMING IN NARRATIVE RISK COMMUNICATION(2014) Kirby-Straker, Rowena Rowie Jean-Louise; Hample, Dale J.; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Human health risks and environmental risks are different and are perceived differently; health risks primarily threaten human health, whereas environmental risks threaten both human and environmental health. Nonetheless people tend to view environmental risks as impersonal, primarily threatening nonhuman elements or distant others, making it difficult for risk communicators to motivate target audiences to take risk-mitigating actions. This dissertation argues that because environmental risks threaten both health and the environment, messages about this category of risk can be framed in either a health or an environmental context as a means of altering risk perceptions. It is further asserted that, all things being equal, message features that are more or less relevant to either the health or the environmental frame will achieve different results depending on which message frame is used. As a means of investigating this claim, two types of similarity (demographic similarity and scene similarity) were manipulated in a 2 (risk frame: health, environmental) × 2 (demographic similarity: high, low) × 2 (scene similarity: high, low) between-subjects experiment (N = 568), in which participants were exposed to a message about drought framed as either a health or an environmental risk. The results show that scene similarity interacts with the two message frames (health and environmental) for narrative persuasion and behavior-related variables. Specifically, high (versus low) scene similarity resulted in better persuasive outcomes for the health frame than for the environmental frame, whereas low (versus high) scene similarity resulted in better persuasive outcomes for the environmental frame than for the health frame. Additionally, the study found that framing an environmental risk as a health risk increased behavioral intention and behavioral expectation. Furthermore, high (versus low) personal relevance improved risk perception, narrative persuasion, behavioral intention and expectation, and response efficacy. The study has implications for health and environmental risk communication, particularly for impersonal risks that people perceive to be of low personal relevance, and opens up new avenues for research and practice in areas such as climate change communication and entertainment-education. Limitations, implications, and recommendations for replications and extensions are discussed.Item Health, Multiculturalism and Social Integration(2013) Na, Ling; Hample, Dale; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)This project was inspired by Durkheim's (1897, 1951) pioneering theory of social integration and its health benefits, as well as relatively more contemporary work on contact hypothesis by Allport (1951) and intercultural communication theory by Kim (2001). Durkheim proposed that the underlying cause of suicide was lack of social integration. More recent research also suggested that social integration had health benefits, such as reduced mortality and morbidity, better mental health and wellbeing. What is often missing from this picture is the role of network homophily and possible psychological pathways in the relationship between social integration and health. This study explored social integration, health outcomes, and psychological wellbeing of different groups in Canada using the Canadian General Social Survey 2008, tested the potential predictors of ethnic homophily with multilevel modeling and regression analysis based on Allport's contact hypothesis, examined how ethnic homophily and racial diversity in the neighborhood affected individuals psychologically, and how social integration affected health outcomes (physical health, mental health, and psychological wellbeing) via psychological pathways (personal control, sense of belonging and generalized trust) for each group of Canadians using structural equation modeling. The study found that visible minority immigrants were least socially integrated, and their health outcomes remained at a comparable level as the native-born whites. The Aboriginal Peoples reported poorest physical health, mental health, and psychological wellbeing and lowest level of income and education achievement. They were however integrated at a comparable level as the native-born Whites. Compared to visible minorities, whether they were immigrants or not, Aboriginal Peoples had more ethnically and linguistically homophilous social networks. Living in diverse neighborhoods decreased the sense of belonging felt by the native-born Whites, whereas having less homophilous networks increased the generalized trust of white immigrant and increased the sense of belonging felt by visible minority immigrants. The study also showed social integration had positive impacts on health outcomes across five groups, even though not all effects were significant. When a total effect of a social integration variable on a health outcome variable was significant, it was very likely to be mediated by a psychological pathway. Limitations of the study were discussed as well as its theoretical and policy implications.Item AN EXTENSION OF THE RISK PERCEPTION ATTITUDE (RPA) FRAMEWORK: EXAMINING THE RELATIONSHIPS BETWEEN THINKING STYLE, LOCUS OF CONTROL, ANXIETY, AND INFORMATION SEEKING(2013) Patel, Sejal; Wolvin, Andrew; Turner, Monique M; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The purpose of this dissertation was to reexamine the effects of psychological determinants, specifically risk perceptions and self-efficacy beliefs as predicted by the Risk Perception Attitude Framework (RPA) (Rimal & Real, 2003) on anxiety, information seeking behavior, and knowledge acquisition. Additional goals of this dissertation were to test anxiety as a mediating variable between RPA group membership and information seeking, as well as between RPA group membership and knowledge acquisition; to begin to understand what types of information each of the RPA groups seek; and to test the RPA framework as a model. Furthermore, this dissertation extended the RPA framework by incorporating the effects of cognitive processing, namely thinking style (Nisbett, Peng, Choi, & Norenzayan, 2001) and locus of control (Rotter, 1954) on anxiety to increase the predictive power of the RPA framework model. After conducting a pilot test, it was determined that the context of the experimental messages would be about human papillomavirus (HPV). The data supported the hypotheses that those in the anxious group (individuals with high risk perceptions and low self efficacy beliefs) experienced higher levels of anxiety than the other groups, that the RPA framework was a viable model for predicting information seeking and knowledge acquisition, and finally, that cognitive processing (i.e. thinking style and locus of control) increased the predictive power of the RPA framework. However, the data indicated that that the relationship between RPA group membership (based on an interaction between perceived risk and self efficacy beliefs) and HPV information seeking, as well as knowledge acquisition was not mediated by anxiety. Participants who engaged in HPV information seeking were predominantly interested in finding out general information regarding the virus, rather than specific to risk or efficacy information. Limitations, implications, practical application and future directions are discussed.Item WOMEN'S VOICES: INTEGRATING DIFFUSION OF INNOVATIONS THEORY WITH SOCIAL MARKETING TO UNDERSTAND WOMEN'S HEALTH(2012) Sundstrom, Beth Lee; Aldoory, Linda; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Women's health serves as a marker for societal health and wellness. Women champion access to health care services for their children and families. The mother-child dyad provides a unique view of the duality of women's reproductive health. Particularly in the time period following the birth of a child, the health of mother and baby remain inextricably linked. This study focused on biological mothers of newborns. The purpose of this study was to explore how biological mothers of newborns made meaning of health. A secondary purpose of this study was to explore how women made meaning of current social marketing campaigns targeting their health. The theoretical goal of this study was to elaborate conceptual opportunities for the integration of diffusion of innovations theory within a social marketing framework. Literature regarding social marketing, diffusion of innovations theory, and women's health contributed to this study. The literature review suggested the potential to apply diffusion of innovations theory to a social marketing framework in order to better understand women's health and the health of their families. A qualitative research methodology was used to collect and analyze data. Specifically, 44 in-depth interviews with mothers of newborns provided insight into how these women made meaning of their health. Analytical techniques from the grounded theory approach were used to analyze these data. A feminist research perspective situated this study as praxis-oriented audience research to uncover new mother's health needs within a social marketing framework. Themes emerged regarding social marketing, diffusion of innovations theory, and women's health. Findings suggested that these mothers of newborns embody and challenge the mother-child dyad in various ways, resist the biomedical paradigm, and envision new ways to interact in their social networks. This study contributes to the social marketing scholarly body of knowledge by developing the application of diffusion of innovations as a particularly relevant and useful theory. Results indicate that diffusion of innovations theory offers an audience segmentation opportunity based on innovativeness and adopter categories. Findings suggest opportunities to apply diffusion of innovations theory within a social marketing framework to better understand women's health and the health of their families.Item "BUT I'M JUST A LITTLE VOICE:" EXPLORING FACTORS THAT AFFECT RURAL WOMEN'S MEANING MAKING OF EMPOWERMENT AND HEALTH(2011) Austin, Lucinda; Aldoory, Linda; Communication; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)This research study explores how empowerment can be incorporated as an element of health communication campaigns to positively affect rural women's everyday health activities. This study questions how rural women make meaning of empowerment and health, the factors that affect rural women's empowerment, and how health communication campaigns may bolster individual and community empowerment. Building from multiple theoretical--including empowerment theory, the situational theory of publics, the theory of planned behavior, the social cognitive theory, and a socio-ecological perspective--this study explores empowerment as a critical link in health communication and public relations theory. Dimensions of individual empowerment such as self-efficacy and perceived behavioral control were explored in more depth, as were other factors that affected empowerment, including social support, religiosity, and involvement as a construct of the situational theory of publics. This study employed a qualitative research method to explore empowerment through these rural women's lived experiences. Research was conducted through 41 qualitative, in-depth interviews with women residing in a small rural community; 15 of these women also participated in photovoice as a research method. Findings from this research demonstrate the importance of multi-level and multi-faceted socio-ecological approaches to health communication campaigns, involving communication at many levels such as the individual, organizational, and community levels. As findings from this research highlight, rural women's notions of empowerment may be impacted by their community and social interactions, their religious involvement, and their experiences with personal and family health problems. Physical and structural factors in women's lives also left them with feelings of powerlessness in certain health situations, suggesting the need for health communication campaigns to also address larger changes in structure and policy. Based upon the research findings and the prior literature, a model is proposed to aid in understanding of the factors that influence women's feelings of empowerment.