Exploring the Role of Social Support in Promoting Patient Participation in Health Care among Women with Breast Cancer
Abstract: Scholars have adopted Street’s (2003) ecological model of communication in medical encounters to investigate the factors promoting patient participation in health care. However, factors demonstrated in the ecological model were bounded in the context of medical care primarily focusing on health care providers and patients. Social factors, such as patients’ relationships and supportive communication with others outside the context of health care remain relatively unexplored. To expand the purview of our understanding of factors that influence patient participation, this research integrated social support literature into the research on physician-patient communication and proposed a model which described a process through which social support can enhance patient participation in health care. The data analyzed in this study were a part of two larger clinical trials in which 661 women with breast cancer were recruited from three cancer institutions in the United States. The results from structural equation modeling analysis from cross-sectional and longitudinal data provided strong evidence for the hypotheses predicting that perceived social support was positively associated with health information competence, which in turn fully mediated the association between social support and patient participation in health care. Theoretical and practical implications are discussed.
Protest Paradigm Alignment Discrepancies Between a Mask Mandate Protest and a Black Lives Matter Protest
Morgan Gonzales (Grady MA student) Abstract: Three people were arrested during a Black Lives Matter march in September of 2020. A day later, a mask mandate protest doubling as a psalm sing also led to the arrests of three people. Despite the similarities between the two demonstrations, local and national news coverage of the two […]
Computer-tailored Intervention Increases Colorectal Cancer Screening Among Low-Income African Americans in Primary Care: Results of a Randomized Trial
Abstract: Background: African Americans have the highest colorectal cancer (CRC) incidence and mortality rates of any racial/ethnic group and screening rates remain well below the National Colorectal Cancer rountable screening goal of 80%. Purpose: This randomized trial compared the efficacy of two clinic-based interventions for increasing CRC screening among African American primary care patients. Conclusions: […]