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PubMed1991

The effect of planned walking on communication in Alzheimer's disease.

One of the effects of Alzheimer's disease is a diminution in the ability to communicate. A randomized, non-blinded two-group experimental study was undertaken to determine if planned walking has the capacity to improve the communication performance of patients with moderate to severe Alzheimer's disease. Thirty subjects meeting NINCDS-ADRDA diagnostic criteria for probable Alzheimer's disease, selected from two nursing homes, participated in the study. Intervention and comparison groups were each made up of subjects from both nursing homes. Subjects in one group were walked individually for 30 minutes three times a week for 10 weeks. Subjects in the comparison group were engaged in conversation for the same amount of time for 10 weeks. A multivariate analysis of variance (MANOVA) was performed on the communication data. Analysis of the data at post-testing indicated that communication performance improved significantly in the planned walking group over the conversation-only group (f = 4.29; df = 2.28; P = 0.024). The results suggest that a planned walking program has the capacity to improve the communication performance of patients with Alzheimer's disease.

Aged↗
PubMed2006

Effect of gender on communication of health information to older adults.

OBJECTIVES: To examine the effect of gender on three key elements of communication with elderly individuals: effectiveness of the communication, perceived relevance to the individual, and effect of gender-stereotyped content. DESIGN: Survey. SETTING: University of Connecticut Health Center. PARTICIPANTS: Thirty-three subjects (17 female); aged 69 to 91 (mean+/-standard deviation 82+/-5.4). MEASUREMENTS: Older adults listened to 16 brief narratives randomized in order and by the sex of the speaker (Narrator Voice). Effectiveness was measured according to ability to identify key features (Risks), and subjects were asked to rate the relevance (Plausibility). Number of Risks detected and determinations of plausibility were analyzed according to Subject Gender and Narrator Voice. Narratives were written for either sex or included male or female bias (Neutral or Stereotyped). RESULTS: Female subjects identified a significantly higher number of Risks across all narratives (P=.01). Subjects perceived a significantly higher number of Risks with a female Narrator Voice (P=.03). A significant Voice-by-Stereotype interaction was present for female-stereotyped narratives (P=.009). In narratives rated as Plausible, subjects detected more Risks (P=.02). CONCLUSION: Subject Gender influenced communication effectiveness. A female speaker resulted in identification of more Risks for subjects of both sexes, particularly for Stereotyped narratives. There was no significant effect of matching Subject Gender and Narrator Voice. This study suggests that the sex of the speaker influences the effectiveness of communication with older adults. These findings should motivate future research into the means by which medical providers can improve communication with their patients.

Accidental Falls↗
PubMed1987

Health risk communication at the Agency for Toxic Substances and Disease Registry.

I have described areas for which ATSDR has responsibilities that we see as involving risk communication. I conclude by indicating, based on our professional experience and from meetings with the public where we have presented health information, what we consider to be five elements required of successful risk communication. The first element we suggest is the credibility of the source. If you have no credibility, no matter how accurate, how truthful, how up-to-date, how important, how dramatic your message is, you are not going to be heard. So you start with credibility. The quality of the message is the second building block of successful risk communication. By quality of the message, I mean whether it is accurate, truthful, up-to-date, and based on current scientific knowledge. The third element is the degree of involvement of the receiver of the message in the shaping of the message. If the receiver has not been involved in the process, then the likelihood of successful risk communication is going to be diminished. Get the receivers involved up front. That means, in the case of community health studies, get those persons involved in the community who have been most concerned about the health issues. To the extent possible, involve community leaders, citizen groups, physicians, the news media, and concerned individual citizens in the design, conduct, and evaluation of community health surveys and studies. The fourth element is the quality of the delivery. If you present the message in government jargon and do not speak with, but to, the audience, you are going to find difficulties in successful communication.(ABSTRACT TRUNCATED AT 250 WORDS)

Communication↗
PubMed1994

Role for risk communication in closing military waste sites.

Lessons learned from environmental and occupational hazard risk management practices over the past 30 years have led the Department of Defense to explore alternative risk management approaches. Policies for cleanup of environmentally hazardous waste sites are undergoing examination and are being reframed. A Demonstration Risk Communication Program is described which incorporates principles that integrate risk-based scientific information as well as community values, perceptions, and needs in a democratic process that includes the public as an active participant from the earliest stages. A strong scientific foundation for assessment and characterization of risk is viewed as necessary but not sufficient; the public's values must be actively integrated into the negotiated criteria. The Demonstration Program uses a model to prepare the participants and to guide them through the process. A five-step process is presented: (1) create risk communications process action team including at least one member of the specific site audience; (2) professionally train participants on team dynamics including interpersonal communication skills; (3) train risk communicators to deliver a cogent presentation of the message to secure a decision acceptable to both the government and the public; (4) identify existing biases, perceptions, and values held by all participants; and (5) develop risk message incorporating science and values. The process action team approach assumes the participants enter into the effort with the goal of improved environment and safeguarded public health. The team approach avoids confrontational or adversarial interactions and focuses on a dialogue from which a negotiated team response develops. Central to the program is the recognition that communication is only effective when the dialogue is two-way.

Communication↗
PubMed1994

Designing risk communications: completing and correcting mental models of hazardous processes, Part I.

Many risk communications are intended to help the lay public make complex decisions about risk. To guide risk communicators with this objective, a mental models approach to the design and characterization of risk communications is proposed. Building on text comprehension and mental models research, this approach offers an integrated set of methods to help the risk communication designer choose and analyze risk communication content, structure, and organization. An applied example shows that two radon brochures designed with this approach present roughly the same expert facts as a radon brochure widely distributed by the U.S. EPA but meet higher standards on other content, structure, and organization criteria.

Communication↗
PubMed1982

Parental communication deviance as a predictor of competence in children at risk for adult psychiatric disorder.

Measures of communication deviance derived from three different Rorschach situations were obtained from parents of 62 children vulnerable to future psychiatric disturbance. The families were maritally intact, with one parent having a history of previous psychiatric hospitalization and a male index child, 7 or 10 years of age. Amount of parental communication deviance in one situation was not significantly related to amount of communication deviance observed in another setting. However, mothers who exhibited high levels of communication deviance in both the Individual and Family Consensus situations tended to have offspring who were judged as low functioning in multiple settings, based on teacher ratings, peer ratings, and parental report. Conversely, children judged as high functioning in multiple settings had mothers who were free of high levels of communication deviance in both Rorschach situations.

Child↗
PubMed1983

Communication styles and marital satisfaction in Israeli and American couples.

This study examined the conflict-related communication styles of American and Israeli couples and how these communication styles related to marital satisfaction in the two groups. An Israeli sample was recruited from Israeli couples currently living in New York City; the American sample was selected from the friendship circles of the Israeli couples. In spite of the close social ties of the two groups, we predicted that the conflict-related communication styles of the Israelis would be less calm and rational than those of the Americans and that such rational modes of communication would be positively associated with marital satisfaction for the Americans but not for the Israelis. The principle instruments were Straus' Conflict Tactics Scale, Ryder's Imagined Situation Inventory, and Spanier's Dyadic Adjustment Scale. Results largely confirmed the hypotheses. Israeli couples were more apt to be verbally aggressive (but less physically violent) and less apt to behave calmly during marital conflict, but these communication styles did not relate to marital satisfaction as strongly for the Israelis as for the Americans. These findings are discussed as a demonstration of the importance of considering cultural context when treating families.

Adult↗
PubMed1987

Communication deviances: a comparison between parents of learning-disabled and normally achieving students.

This study explored the relationship between parents' communication deviances and children's placement in a learning disability class. Participants were the parents of 30 learning-disabled students and 30 average students attending junior high school. Samples of communication were taken from parents' participation in an experimental task. Using a "blind" sorting procedure, raters were able to identify 87% of the learning-disabled students' parents by their high communication deviance scores and 77% of the average students' parents by their low communication deviance scores on the experimental communication task (p less than or equal to .0001). Implications for future research on the etiology and remediation of learning disabilities are discussed.

Adolescent↗
PubMedDate not supplied

Communication strategies for the intrapartum nurse.

Communication is a dynamic process involving the use of verbal and nonverbal techniques. The intrapartum nurse must use effective communication techniques when eliciting information during the initial interview and throughout the labor and delivery process. The use of effective communication techniques positively affects the clients birth outcome and satisfaction with the birthing experience. This article provides an overview of communication techniques and illustrates specific communication interventions useful in the clinical setting.

Communication↗
PubMed1978

Schizophrenia and communication efficiency. A modified replication taking ecological variation into consideration.

An earlier study (Sølvberg & Blakar (1975)) testified to subtle differences in communication efficiency over different communication situations by parental couples with and without schizophrenic offspring. The present study is offered as a replication of this study, but whereas the participating couples in the original study were recruited from a big city (Oslo), the parental couples in the present replication come from a typical rural district. The main findings of the original study are reproduced, but the very same method which was sensitive with respect to the "normality-schizophrenia" variable, also proved to be highly sensitive with regard to the cultural variation represented by the rural-urban dimension. Therefore, the present study is used as basis for discussing more general methodological problems involved in communication-oriented studies on psychopathology. In particular the underlying (often implicit) model of "normal communication", from which pathological communication deviates, is seriously questioned.

Communication↗
PubMed1993

Disqualifying family communication and anxiety in offspring at risk for psychopathology.

The association between disqualifications in parental and family communication and manifest anxiety in boys (7 or 10 years) was investigated. The sample consisted of 59 families where one of the parents had previously been hospitalized for a functional mental disorder. Parental and family communication was observed in the Couples Rorschach (CR) and Family Rorschach (FR) tasks, respectively. The results showed that the amount of one particular type of disqualification, self-disqualification, correlated positively with the boy's anxiety level. Self-disqualification refers to utterances in which the speaker communicates in vague, egocentric or paradoxical ways, which makes it impossible for the receiver to know what has been said. This correlation was evident both with respect to the communication between the parents during CR and the communication from the family to the index boy during FR. The relationship between self-disqualification and anxiety was attributable to neither the boy's age or intelligence quotient nor the dimensions of parental psychopathology or functional impairment.

Adult↗
PubMed1991

Communication about dental health in Norwegian adults.

The present study describes the amount and distribution of communication on dental health issues in Norwegian adults. The empirical data stem from a representative sample of Norwegians aged 15 and above, and were collected by means of personal interviews by the poll organization Norges Markedsdata in 1983. Edentulous subjects were excluded, and the study group finally comprised 1225 subjects. The dependent variable - dental communication - was a dichotomy based upon whether or not the respondents had communicated with friends about dental health during the last 6 months. The following independent variables were used: age, sex, marital status, education, use of dental services, number of teeth, knowledge of prevention, information about dental health from dentists and media, use of dental floss and toothpicks. The empirical analysis was performed using contingency table analysis and Multiple Classification Analysis (MCA). Separate analyses were performed for men and women. Significantly more women (27.6%) than men (14.5%) reported dental communication. In addition, the model provided a better fit to the data on women compared to men in terms of R2 (12.5% and 8.9%). These observations can to some extent be accounted for by the existing sex-role pattern. The only predictor which showed a consistent direct effect across sex was whether the respondents had received information about dental health from media. This means that reference to the interpersonal context of mass communication perhaps best describes the complex transactional interplay of media and interpersonal sources in dental health matters.

Adolescent↗
PubMed1993

Oxysterols inhibit gap junctional communication between rat hepatocytes in primary culture.

Several oxysterols were examined for their effect on gap junctional communication between rat hepatocytes in primary culture. 25-Hydroxycholesterol, 22(S)-hydroxycholesterol and 7 beta-hydroxycholesterol, in decreasing order of potency, markedly inhibited gap junctional communication. In contrast, 7-ketocholesterol showed no inhibitory effect. The inhibition of gap junctional communication by oxysterols was not a consequence of changes in cell viability, as measured by lactate dehydrogenase leakage and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) reduction activity. The addition of exogenous cholesterol to the culture medium did not abolish the effect of 25-hydroxycholesterol, suggesting that the capacity of oxysterols to inhibit gap junctional communication is independent of their inhibitory effect on cholesterol synthesis. We suppose that inhibition of gap junctional communication may be an early sign of oxysterols-induced toxicity on hepatocytes.

Animals↗
PubMed1996

Inhibition of cell-cell communication by commercial chlorinated paraffins in rat liver epithelial IAR 20 cells.

The effects of six commercial chlorinated paraffins of different carbon chains length and chlorine content (Cereclor 50LV [C50LV], Hüls 60 [H60], Cereclor S45 [CS45], Cereclor S52 [CS52], Cereclor 42 [C42] and Cereclor 48 [C48] on cell communication have been investigated in the scrape-loading/dye-transfer assay in IAR 20 rat liver epithelial cells, as well as the effects of these compounds on connexin 43 (cx 43), the main gap junction protein in this cell line. The results clearly demonstrated that at non-cytotoxic concentrations C50LV, H60, CS45 and CS52 completely inhibited the cell communication within 1 hr. The short carbon chain length chlorinated paraffins (C50LV and H60) were inhibiting the cell communication at lower concentration than the intermediate carbon chain length chlorinated paraffins (CS45 and CS52). Almost complete inhibition of the cell communication was maintained for at least 24 hrs of H60 exposure. Immunoblots of IAR 20 cell extracts after H60-exposure showed a decreased phosphorylation of cx 43 after 1, 4 and 24 hrs of treatment. The phosphorylation pattern of cx 43 prepared from H60- or CS52-exposed cells was different from that prepared from 12-O-tetradecanoylphobol-13-acetate (TPA)-exposed cells after 1 hr treatment. The results show that the short and intermediate, but not the long carbon chain length chlorinated paraffins, are potent inhibitors of gap junction intercellular communication. Thus, our findings suggest that these compounds may act as tumour promoters.

Animals↗
PubMed2002

Spousal communication and family planning behavior in Navrongo: a longitudinal assessment.

The poor performance of most family planning programs in the 1980s, especially in sub-Saharan Africa, generated concern among researchers and led to a quest for explanations. In most countries, the alienation of men from participation in these programs was subsequently identified as one of the major causes, a finding that led researchers to redirect their attention to couples instead of individuals as the focus of such programs. Lack of spousal communication about family planning was identified as one reason for the low level of contraceptive use among women. Subsequent research has persistently demonstrated a positive relationship between spousal communication and contraceptive use. Most prior studies on this topic have been based on cross-sectional data, so that whether the identified relationships are causal remains unclear. Does communication, in fact, predict contraceptive use, or does the use of contraceptives generate communication among couples? This study addresses the question of causality by using longitudinal data from the Navrongo Health Research Centre panel survey. Results from both cross-sectional and longitudinal analysis demonstrate that spousal communication does, indeed, predict contraceptive behavior, even when other factors are controlled.

Adolescent↗
PubMed2006

Erectile dysfunctions in patient-physician communication: optimized strategies for addressing sexual issues and the benefit of using a patient questionnaire.

INTRODUCTION: Erectile dysfunctions are prevalent but underdiagnosed and undertreated health problems. Communication barriers between patients and physicians are one of the main reasons for this and responsible for a low report rate of sexual dysfunction. AIM: The main aim of the study was to investigate which phrasing and communication strategies gained the highest acceptance from physicians and their patients and were considered the most effective. MAIN OUTCOME MEASURES: A documentation form on which each consultation was rated by the participating physicians. METHODS: A large group of physicians was asked to hand out a short patient questionnaire to all male patients over 30 years. The physician was instructed to discuss the questionnaire with the patient and to ask him about sexual problems. A total of 1,191 physicians took part in the study that documented a total of 10,622 consultations with an average duration of 15 minutes. RESULTS: The main results were: (i) the patient questionnaire found a high level of acceptance and 54% of discussions of sexual health were prompted by it; (ii) the patients' reaction to physicians addressing sexual health was positive in more than two-thirds of the sample and characterized by openness, willingness to communicate, and relief that their sexual problems had been addressed; (iii) from the physicians' perspective, the most favored communication strategies were a clear signaling of a willingness to talk, and addressing treatment possibilities or signaling that help was available; and (iv) the resulting discussion led to further diagnostic measures in 25% of patients and to further therapeutic measures in 60% of patients. CONCLUSIONS: There are good grounds for concluding that: (i) addressing a patient's sexual health as part of a physician's everyday routine is feasible in terms of duration and content; and (ii) a short patient questionnaire is an excellent aid for patients and physicians for initiating communication on the topic.

Adult↗
PubMed2006

Pilot study: nurse practitioner communication and the use of recommended clinical preventive services.

PURPOSE: The purpose of the pilot study was to determine the feasibility of investigating nurse practitioners' (NPs) use of clinical preventive services (CPS) in practice and the influence of provider-patient communication in achieving the CPS outcome. NP-patient communication styles were also explored. DATA SOURCES: Five NPs were audio-taped each during one patient encounter. Using manifest content analysis, the transcripts were evaluated for the presence of CPS and communication styles. CONCLUSION: Because this was a pilot study and the sample size was small, no generalizations could be made. The presence of health promotion and disease prevention activities, as evaluated by the use of recommended CPS, was present in only one NP-patient encounter. NPs did use patient-centered communication style in all the encounters. No correlations could be made to link communication styles with CPS. IMPLICATIONS FOR PRACTICE: Further study with a larger sample size needs to be done. NPs may not be using health promotion and disease prevention, as demonstrated by CPS, in actual practice. This may be an area that needs greater emphasis in education and practice.

Adult↗
PubMed1999

The interaction between marital standards and communication patterns: how does it contribute to marital adjustment?

Couples' cognitions about marriage and their communication patterns have both been found to be highly associated with marital distress. To examine the relationships among marital cognitions, communication, and marital adjustment, we had a sample of 387 community couples complete three self-report measures: the Dyadic Adjustment Scale, the Inventory of Specific Relationship Standards, and the Communication Patterns Questionnaire. Results indicated that the correlation of communication with marital adjustment is higher for women with more relationship-focused standards than for women with less relationship-focused standards; this interaction does not occur for men. The implications of the interaction and the gender difference as well as the importance of teaching communication skills, and working with associated cognitions are discussed.

Adult↗

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