The Science of Individuality and Tailored M-Health Communication

The era of the science of individuality promises to fully recognize the uniqueness of the individual who needs to be seen and treated with utter respect for his or her individuality. It will not be long until digitizing a person unlocks the cause for what is wrong, creating valuable knowledge that can save a life or markedly improve the quality of life. On the other hand, emerging m-health technologies provide fundamentally different ways of looking at tailored communication technology. As a result, tailored communications research is poised at a crossroads. It needs to both build on and break away from existing frameworks into new territory, realizing the necessary commitment to theory-driven research at basic, methodological, clinical, and applied levels. The chapter envisions tailored m-health communication in the context of the science of individuality, emphasizing the variability, stability, and centrality of the individual.

Does Personality Shape COVID-19 Responses in Older Adults?

Knowing how personality plays out in a pandemic can provide guidance to improve public health messaging. In a sample of 2066 participants (Mage = 51.42; 48.5% female), we examined whether personality is associated with concerns, precautions, preparations, and duration estimates of the COVID-19 pandemic. Personality traits were measured before the pandemic; responses were assessed in late March 2020. We investigated whether age moderates the trait-response associations because older adults are at higher risk for severe complications of COVID-19. Among the 65-96-year-olds, higher conscientiousness was associated with more preparations, higher openness was associated with greater concerns, and both higher openness and agreeableness were related to more preparations and longer duration estimates. This pattern has implications: If all older adults took COVID-19 seriously, individual differences in personality should not matter; however, our findings indicate that they do matter and could be considered in the development of personality-tailored communication to older adults.

What are the needs and preferences of patients and family members discharged from the emergency department within 24 hours? A qualitative study towards a family-centred approach

ObjectiveThere is an increase in patients being discharged after short stays in the emergency department, but there is limited knowledge of their perspectives on treatment and care. This study aims to explore and understand the needs and preferences of emergency care from the perspective of patients and family members discharged from the emergency department within 24 hours of admission.DesignThe study reports from the first phase in an overall participatory design project. Systematic text condensation was used to identify key themes from field observations and interviews with patients and family members.SettingThis study was conducted in two emergency departments in the Region of Southern Denmark.ParticipantsAll adults aged ≥18 years who had been discharged from the emergency department within 24 hours were eligible to take part. Purposeful sampling was used to recruit patients and family members with different sociodemographic features.ResultsField observational studies (n=50 hours), individual interviews with patients (N=19) and family members (N=3), and joint interviews with patients and family members (N=4) were carried out. Four themes were derived from the material: (1) being in a vulnerable place—having emotional concerns; (2) having a need for person-centred information; (3) the atmosphere in the emergency department and (4) implications of family presence.ConclusionThis study demonstrates a gap between patients’ and family members’ needs and preferences and what current emergency departments deliver. The findings highlight the importance of family and person-centred care. Tailored communication and information with genuine involvement of family members is found to be essential needs during acute illness.

Underrepresented patient views and perceptions of personalized medication treatment through pharmacogenomics

Within an institutional pharmacogenomics implementation program, we surveyed 463 outpatients completing preemptive pharmacogenomic testing whose genetic results were available to providers for guiding medication treatment. We compared views and experiences from self-reported White and Black patients, including education level as a covariate across analyses. Black patients were less confident about whether their providers made personalized treatment decisions, and overwhelmingly wanted a greater role for their genetic information in clinical care. Both groups similarly reported that providers asked their opinions regarding medication changes, but White patients were more likely (59% vs. 49%, P = 0.005) to discuss the impact of personal/genetic makeup on medication response with providers, and Black patients reported initiating such discussions much less frequently (4% vs. 15%, P = 0.037). Opportunities exist for enhanced communication with underrepresented patients around personalized care. Tailored communication strategies and development of support tools employed in diverse healthcare settings may facilitate pharmacogenomically guided medication treatment that equitably benefits minority patient populations.

‘Don’t Worry, Honey: It’s Cooked’: Addressing Food Risk during Pregnancy on Facebook Italian Posts

During pregnancy, women exposed to microbiological risks are more susceptible to contracting specific pathogens, which can lead to serious diseases both in the mother and the foetus. Food-borne diseases can be avoided to a large extent by following good practices of food manipulation and cooking. Safe eating behaviours are influenced by knowledge and perception of food risks and are constructed, among others, online. Pregnant women often use Web 2.0 to obtain and share pregnancy-related information as a strategy of collective coping with emotions through conversations. This paper explores how knowledge and perceptions of food risks during pregnancy are shared among users on Italian Facebook pages and groups. The corpus, including 648,399 items (i.e., posts), was analysed: (a) first, by means of the Reinert method, to verify to what extent issues concerning food risks are debated; and (b) second, through a manual content analysis, to observe how food risks are addressed in terms of contents and social sharing of emotions. The main results show that food risk is not among the most discussed topics, and the least known and debated food risks are the most widespread (e.g., campylobacteriosis). Sometimes, food risks, when addressed, were minimised or denied, and the belief to be ‘less at risk’ than peers for such risk (i.e., optimistic bias) was observed. The results underline the importance, for health institutions, of building a tailored communication strategy on food risks during pregnancy to promote correct food behaviours by exploiting social networks.

Communication Roulette: Engaging Students in the Practice of Tailored Communication

The ability to communicate effectively is critical in the accounting profession, yet research shows there is a gap between employer expectations and student abilities to adapt communication to various contexts. In this paper we introduce "Communication Roulette", a novel learning intervention that encourages students to practice their written communication skills by sensitizing them to the need to tailor their message to different audiences (i.e. shareholders, management, clients, etc.) using various communication formats (i.e. letter, email, presentation etc.) while simultaneously reinforcing their knowledge in important content areas. We provide implementation instructions and sample prompts, along with ideas to modify the intervention for a variety of classroom settings. Survey results indicate students find Communication Roulette increases both their confidence and ability to communicate effectively with different audiences and formats. We find these improvements in learning outcomes can largely be achieved through peer feedback alone, although we document incremental improvements in self-reported confidence with supplemental instructor feedback. Finally, pre- and post-assessments indicate an increase in student content knowledge following implementation of Communication Roulette.

COVID-19 vaccine uptake among older people in relation to sociodemographic factors: cohort results from southern Sweden

The aim of this cohort study was to investigate sociodemographic determinants of COVID-19 vaccine uptake in the 70+ age group in Skane county, Sweden (n = 216 243 at baseline). Uptake of the first dose was high (91.9%) overall, but markedly lower (75.3%) among persons born outside the Nordic countries. Vaccine uptake was generally satisfactory among native Swedes also in areas with lower socioeconomic status, but dropped substantially among non-Nordic born in those areas. The identified clusters of unvaccinated older people, mainly representing ethnic minorities in disadvantaged areas, warrants intensified efforts regarding tailored communication, easier vaccine access and local engagement.

Healthcare workers’ (HCWs) attitudes and related factors towards COVID-19 vaccination: a rapid systematic review

Herd immunity through vaccination is a key measure to control COVID-19 pandemic. However, vaccine hesitancy remains a public health threat, which is still common among healthcare workers (HCWs). This systematic review aimed to synthesise evidence on HCWs’ attitudes towards COVID-19 vaccination and analyse associated factors to provide information for vaccine policy development and practice. We searched PubMed, Embase, ScienceDirect, Web of Science and three Chinese databases for literature published on 12 February 2021. Two researchers screened the literature independently, and 13 studies were included in the systematic review. Vaccine acceptance varied widely and ranged from 27.7% to 77.3%. HCWs had positive attitudes towards future COVID-19 vaccines, while vaccine hesitancy was still common. Demographic variables such as men, older age and physicians were positive predictive factors. Women and nurses had more vaccine hesitancy. Previous influenza vaccination and self-perceived risk were facilitators. Concerns for safety, efficacy and effectiveness and distrust of the government were barriers. Influences of direct (COVID-19) patient care towards vaccination intention were less conclusive. Tailored communication strategies were needed to increase the uptake rate of COVID-19 vaccines among HCWs. More importantly, more data and information on the safety and efficacy of vaccines should be provided with transparency.

A STUDY ON ALBANIAN STUDENTS' PERCEPTIONS OF THE ESP COURSES CONTRIBUTION TO THEIR ENGINEERING/ARCHITECTURE KNOWLEDGE ACQUISITION AND COMMUNICATION COMPETENCE

Currently, soft skills mainly communication skills of engineering/architecture graduates have been considered as essential as their hard skills for the 21st century competitive global market. Given the cramped curricula of engineering/architecture programs, the research examines the beneficial impact that ESP undergraduate courses have on the tailored communication of engineering/architecture students at a case study analysis - EPOKA University in Tirana, Albania. In order to obtain feedback and unbiased perceptions on the tangible improvement in advanced English communication skills and disciplinary content knowledge acquisition, a questionnaire survey was conducted with the undergraduate students of EPOKA University at the Faculty of Architecture and Engineering upon successful completion of the two mandatory ESP courses at undergraduate level. A mixed method was utilized to collect the statistical data from questionnaires and the semi-structured interviews with students of engineering majors and architecture at the Faculty of Architecture and Engineering of EPOKA University who took English for Academic Purposes and Engineering English during 2018-2020 academic years. Research findings revealed the growing appreciation and high interest that students are placing into ESP courses as significant contributors to knowledge acquisition and soft skill betterment alongside the classic disciplinary courses of their disciplines. Key words; engineering/architecture major, ESP courses, needs analysis survey, EPOKA University