Qualitative Health Communication https://tidsskrift.dk/qhc The Editorial Board en-US Qualitative Health Communication 2597-1417 <p>Articles submitted to Qualitative Health Communication&nbsp;should not be submitted to or published in other journals. <br>Articles published in Qualitative Health Communication&nbsp;may be used (downloaded) and reused (distributed, copied, cited) for non-commercial purposes with reference to the authors and publication host.</p> <p>The authors and Qualitative Health Communication own the copyright to the published articles and reviews.</p> Commentary: Communicating in crisis: Reflections, opportunities, and challenges for healthcare communication in the COVID-19 pandemic https://tidsskrift.dk/qhc/article/view/128540 <p style="font-weight: 400;"><strong>Background</strong>: The coronavirus disease 2019 (COVID-19) pandemic has changed how healthcare professionals, patients, and relatives communicate with each other. <strong>Aim</strong>: We take stock of the current state of affairs in healthcare communication research amid the continuing pandemic. We draw upon our expertise as communication researchers and clinical experience as a medical professional working in the pandemic to reflect upon the challenges and opportunities that the pandemic has created for healthcare communication research and practice. <strong>Findings</strong>: We explore five topics of importance for research on healthcare communication during COVID-19 and its aftermath. First, we discuss how the ‘epistemics’ of COVID-19 are navigated in patients’ communication with doctors. Second, we elaborate on the problems in communicating the prognostic uncertainty of COVID-19. Third, we consider online COVID-19 support groups as an important site for investigating the pandemic’s multi-dimensional impacts. Fourth, we consider the challenges of the shift from face-to-face to video-mediated healthcare service provision. Fifth, we explore how fast-tracking graduate medical students into the workforce left them feeling unprepared for the communicative demands of such work. <strong>Conclusion</strong>: We call for direct collaboration between medical professionals and healthcare communication researchers to utilize evidence-based findings to solve the communicative demands posed by the pandemic. Collaboration and research need to be adaptive to the dynamic nature of the pandemic.</p> David Matthew Edmonds Olga Zayts-Spence Katharine Alder Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 104 117 10.7146/qhc.v1i2.128540 What does the doctor plan to say? Physician-generated plans for advance care planning conversations https://tidsskrift.dk/qhc/article/view/131963 <p style="font-weight: 400;"><strong>Background: </strong>Importance of advance care planning or enabling individuals to make decisions regarding their future care is widely recognized. How physicians plan for or approach such conversations remains understudied. <strong>Aim: </strong>Physician plans were examined through a multiple goals theoretical framework. Of interest were the goals present within the plans as well as content referenced within each goal category. <strong>Method: </strong>In an online survey, physicians (n = 45) were provided a hypothetical scenario and asked to design a plan to communicate to the patient about their options for life-sustaining treatment. Providers were asked how they would engage in the conversation and what they would plan to discuss. A content analysis of physician responses was conducted. <strong>Results: </strong>Findings indicated that plans primarily consisted of task and identity goals. Content of reported plans overwhelmingly involved soliciting patient goals, explaining treatment options, and investigating patient knowledge of the medical condition. <strong>Conclusions: </strong>The current study addresses the paucity of research around what content providers prioritize and which conversational goals are present. This information affords role clarity for interdisciplinary teams and gives insight to where other team members can contribute to enhance patient outcomes. Reliance on theoretical frameworks offers a systematic build of this research where cross-study connections can be identified.</p> Jessica Russell Karly Quaack Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 4 21 10.7146/qhc.v1i2.131963 Young adults’ attitudes towards vaping content on Instagram: Qualitative interviews utilizing the associative imagery technique https://tidsskrift.dk/qhc/article/view/126310 <p style="font-weight: 400;"><strong>Backgound</strong>: Vaping among young adults (18-24), increased 46% from 2017-2018, resulting in adverse health effects and vulnerability to nicotine dependence. Young adults spend three hours per day using social media, particularly Instagram, which is dominated by pro-vaping messages. Therefore, young adults’ exposure to vaping content can result in positive perceptions of vaping. <strong>Aim</strong>: Using the associative imagery technique, our goal was to understand the favorability of Instagram posts depicting aspects of vaping and how young adults relate to the images. <strong>Method</strong>: Semi-structured interviews were conducted with 24 young adults using the analytic induction method. <strong>Results</strong>: Three main themes emerged: 1) the power of color and visual aesthetics, meaning participants were drawn to colorful imagery; 2) distancing, when participants attempted to separate themselves from vaping culture; and 3) the environment influences perceptions, meaning participants paid attention to popular content, which enhanced its perceived credibility. <strong>Discussion</strong>: The type of social media platform and users' expectations are just as important as the vaping content. Attitudes of social vapers compared to hardcore vapers may indicate specific aspects of content perceived as appealing. <strong>Conclusions</strong>: Visually appealing vaping content impacts young adults, but they are hesitant to share content as to be labeled as a “vaper.”</p> Jordan Alpert Amanda Bradshaw Heather Riddell Huan Chen Xiaobei Chen Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 22 34 10.7146/qhc.v1i2.126310 Practices of self-tracking in infertility treatment: How bodily awareness is constituted https://tidsskrift.dk/qhc/article/view/130468 <p style="font-weight: 400;"><strong>Background: </strong>The femtech industry has grown extensively in recent years and in infertility treatment, the practice of digitally self-tracking menstrual cycles has become a popular way for patients to manage, monitor and deal with issues of fertility. <strong>Aim:</strong> The purpose of this study is to investigate how patients’ self-tracking practices affect bodily awareness. <strong>Methods:</strong> The study draws on 20 qualitative interviews with 12 patients, recruited through a private clinic in Copenhagen, Denmark. Interviewees were selected based on the criteria: age, treatment type and length, and engagement in self-tracking practices. All interview material was thematically coded. <strong>Findings:</strong> The analysis results in three main themes: 1) self-tracking as a tool for knowledge creation and planning purposes, 2) self-tracking as body-awareness maximizing process, and 3) self-tracking as a professional and emotional process. <strong>Discussion:</strong> Through self-tracking practices, the menstrual cycle becomes a multiple object, interpreted and acted upon in diverse ways – all of which, however, aim to optimize conditions for conception. <strong>Conclusions:</strong> Self-tracking in infertility treatment affects bodily awareness in three distinctive ways: 1) it creates emotional ambivalence, 2) it places patients in an ambivalent position towards health professionals, and 3) it creates ambivalence towards patients’ understanding of the menstrual cycle.</p> Matilde Lykkebo Petersen Martina Skrubbeltrang Mahnke Mikka Nielsen Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 35 47 10.7146/qhc.v1i2.130468 “For review and management”: The role of the referral letter in surgical consultations https://tidsskrift.dk/qhc/article/view/131813 <p style="font-weight: 400;"><strong>Background: </strong>The referral letter serves a central role in the transfer of patients from referring doctors to specialist care in Australia.<strong> Aim: </strong>We analysed the form and function of referral letters and examined their role in surgical consultations to better understand the information in the letter and what impact that may or may not have on consultation openings.<strong> Methods: </strong>Thirteen referral letters and their associated recorded surgical consultations were analysed with an iterative, multi-methods qualitative approach. Using inductive and deductive linguistic methods, we considered clinical and paraclinical information as well as contextual factors in the letters’ alignment with referral guidelines as well as overall relevance to the consultation. <strong>Results: </strong>The analysis showed that surgeons tend to have a “set piece” when opening a consultation that is independent of the content or style of the referral. While referral letters fell short of guidelines, additional patient information was frequently discussed in the consultation.<strong> Discussion: </strong>Patients and surgeons are generally able to work around interactional challenges related to patient information. However, recognising the need to supplement referral information particularly around paraclinical information and contextual factors is important. <strong>Conclusions: </strong>Future changes to referral letter guidelines could reflect these realities.</p> Sarah J White Laura Davies John A Cartmill Desmond J Bokor Maria R. Dahm Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 48 60 10.7146/qhc.v1i2.131813 An exploratory study of expectant mothers’ knowledge, attitudes and beliefs about infant vaccination https://tidsskrift.dk/qhc/article/view/130396 <p style="font-weight: 400;"><strong>Background: </strong>Childhood vaccination decision making occurs during pregnancy. However, more insight is needed to determine how expectant mothers in the United States decide whether to vaccinate their children — particularly as the first vaccine, Hepatitis B, is recommended within 24 hours of birth.<strong> Aim: </strong>This qualitative study used the foundational lens of the Theory of Reasoned Action to 1) explore how expectant mothers formulate knowledge, attitudes, and beliefs about infant vaccination, and 2) discern if differences exist regarding how first-time expectant mothers approach vaccine decision making.<strong> Methods: </strong>Eleven focus groups were conducted with pregnant participants from an obstetrics practice in the southeastern United States. Thematic analysis was undertaken, utilizing the constant comparative method.<strong> Results: </strong>Four overarching themes emerged: the need for evidence-based childhood vaccine information during pregnancy; perceptions of source trustworthiness and the social media paradox; concerns about the “one-size-fits-all” vaccine schedule; and the process of vaccine risk-benefit analysis of first-time mothers.<strong> Discussion: </strong>Practical implications highlight a need for standardized vaccine-related education during the prenatal care period. Theoretical implications reveal that the decision of whether to vaccinate one’s infant remains complex, involving a variety of factors.<strong> Conclusion: </strong>Compared to expectant mothers who had children previously, first-time expectant mothers especially reported feeling ill-informed to make infant vaccine decisions.</p> Amanda Bradshaw Carolyn G. Carter Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 61 79 10.7146/qhc.v1i2.130396 Anxiety in female adolescents with autism spectrum disorder: Lessons for healthcare professionals https://tidsskrift.dk/qhc/article/view/128871 <p style="font-weight: 400;"><strong>Background: </strong>Despite awareness of the high prevalence of anxiety in females with autism spectrum disorders (ASD), females report high unmet service needs regarding mental health concerns. <strong>Aim</strong>: This study explored experiences of anxiety in female adolescences with ASD, their management of it, and their experiences of mental health services in the United Kingdom. <strong>Methods</strong>: Utilising an Interpretative Phenomenological Analysis, six females with ASD, aged between 13 to 15 years and referred to mental health services, took part in semi-structured interviews. <strong>Results</strong>: The analysis generated the following themes: the central experience of anxiety; the impact of the surrounding world; mismatch between needs and support; and the value of self-management. The themes emphasised a need for a more general acceptance of ASD-related anxiety triggers such as sensory overload and uncertainty to change. <strong>Discussion</strong>: Adolescents raised concerns around the appropriateness of support provided for their anxiety, including awareness raising initiatives around ASD which only served to heighten their anxiety. <strong>Conclusions</strong>: Healthcare professionals need to have a better understanding of ASD-related anxiety in females. To improve outcomes, better service knowledge and communications around ASD-related anxiety are important for the assessment of anxiety as well as tailored ASD interventions.</p> Laura Jackson Saskia Keville Amanda Ludlow Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 80 98 10.7146/qhc.v1i2.128871 Book review: M. Gregory Tweedie and Robert C. Johnson. Medical English as a Lingua Franca https://tidsskrift.dk/qhc/article/view/132793 Shawnea Sum Pok Ting Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 99 101 10.7146/qhc.v1i2.132793 Book review: Michael C. Brannigan. Caregiving, Carebots, and Contagion https://tidsskrift.dk/qhc/article/view/133141 Kim Grego Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 102 103 10.7146/qhc.v1i2.133141 Editorial. Qualitative Health Communication: Current editorial challenges https://tidsskrift.dk/qhc/article/view/133155 Matilde Nisbeth Brøgger Jane Ege Møller Copyright (c) 2022 Shared between journal and author 2022-07-06 2022-07-06 1 2 1 3 10.7146/qhc.v1i2.133155