Despite a large number of evidence-based health communication interventions tested in private, public, and community health settings, there is a dearth of research on successful secondary dissemination of these interventions to other audiences. This article presents the case study of “1-2-3 Pap,” a health communication intervention to improve human papillomavirus (HPV) vaccination uptake and Pap testing outcomes in Eastern Kentucky, and explores strategies used to disseminate this intervention to other populations in Kentucky, North Carolina, and West Virginia. Through this dissemination project, we identified several health communication intervention design considerations that facilitated our successful dissemination to these other audiences; these intervention design considerations include (a) developing strategies for reaching other potential audiences, (b) identifying intervention message adaptations that might be needed, and (c) determining the most appropriate means or channels by which to reach these potential future audiences. Using “1-2-3 Pap” as an illustrative case study, we describe how careful planning and partnership development early in the intervention development process can improve the potential success of enhancing the reach and effectiveness of an intervention to other audiences beyond the audience for whom the intervention messages were originally designed.
The growth of new media is changing how news organizations publish their work, and the explosion of social networks is changing the way news consumers of all ages share information. As news outlets face an uncertain future and try to reach younger, newer audiences, the rapid growth of mobile devices means new opportunities to create, share, and consume news content. This study examines how young news consumers share and consume news content, specifically whether they are more likely to get news through social networks (Facebook and Twitter) or directly through news sources (news stations, newspapers, websites, and mobile apps). The findings here indicate that students may hear of news through social media, but rely on other internet sources to confirm it. Local news does not seem to carry as much weight with them, but they can be persuaded to pay attention to their college towns, if only for community news and information. The findings of this study could help producers of news content tailor their information to fit these new “publishing” formats to maintain (or perhaps increase) their audience.
The purpose of the study was to assess the use of geofence technology to raise awareness of a dental clinic in rural North Carolina. Methods:The catchment area of the dental clinic was defined by ZIP Codes.A geofence was identified, and cell phones within the perimeter were targeted for oral health message drops to occur over 3 months from April to June 2017. Surveys conducted twice, pre-and postintervention (message drop), evaluated change in community awareness of services available at the dental clinic. A cross-sectional analysis was used to measure the effect of the exposure to the geofence technology in survey respondents. Findings:The survey included 200 participants (100 pre-and 100 postintervention). There were no significant differences in race or age for pre-and postintervention survey groups. The majority of respondents were American Indians (47.0% pre, 58.6% post) or black (28.8% pre, 25.5% post). There was a statistically significant improvement in awareness of the dental clinic (P = .045) from pre-to postintervention. A significant increase was also observed in the question related to dental visits by the respondent or family member of the respondent (from 6.5% to 15.0%, P = .04). A more modest improvement was found in questions related to the cost of dental care, type of insurance accepted, and services provided. Conclusion:Geofencing has the potential to increase awareness of health care services and ultimately increase the number of patients receiving care.
Results suggest that tangible benefits to communities from use of the Rankings have yet to be fully realized but are encouraging. More effective media engagement could produce the community awareness necessary to maximize the Rankings' potential to mobilize communities for health improvement. State variation in Rankings use suggests that more support to LHDs may be helpful.
Grounded theory methodology is a qualitative approach that allows researchers to set aside previous research and focus only on the project at hand. The previous research is then used to help give context to the findings. It is gaining use, but is still rare, in journalism and mass communications research. Using grounded theory methodology, the authors seek to contribute to theory that addresses the representation of Hillary Clinton during her public life and trailblazing political career. News stories about Clinton broadcast on the three major TV networks—ABC, CBS, and NBC—from 1993 to 2008 are examined. The authors find that two primary representations emerge: Clinton as an innovator and Clinton as voiceless. Voiceless is an inherently negative representation, and although innovator is a positive theme, the news media tended to focus on representations of Clinton in negative stories.
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