The Role of Information and Communication Technologies in Addressing Safe Motherhood in South Asia

ABSTRACT

As it is recently recognized in academic and policy circles, limited access to information and limited knowledge are among key factors contributing to worldwide poverty, especially in low developed countries. Consequently, access to “knowledge” has become an integral part of discussions about global development, improvement of societal well-being, and empowerment of women. This article addresses the problem of the limited spread of information about maternal health and available maternal care services across impoverished South Asian countries. Lack of knowledge greatly contributes to underutilization of medical services and available maternal care that leads to high rates of maternal and infant mortality and pregnancy-related complications which, with proper medical care, could be avoided.     

Sanyog: A Speech Enabled Communication System for the Speech Impaired and People with Multiple Disorders

SUMMARY

The paper presents a multilingual communication tool that has been designed for helping in the communication needs of people with severe speech and multiple disorders. The system accepts icons, selected through special access switches, as input and can form natural language sentences, which can be spoken out using in-built text-to-speech synthesizer. The system has been deployed and is being field tested at the schools for the children with cerebral palsy in India.     

Communication With Parents and Body Satisfaction in College Students

Abstract

Objective: This study examined how communication with parents is related to college students’ body satisfaction. Participants and Methods: Participants (N = 134; 58 males and 76 females) completed a survey in March 2011 assessing body satisfaction and perceptions of communication with mothers and fathers. Results: Daughters’ body satisfaction was negatively correlated with perceptions of problematic communication with mothers and fathers. Sons’ body satisfaction was positively correlated with open communication with their mothers and negatively correlated with problematic communication with their mothers. Conclusions: Findings indicated problematic communication with mothers was the most powerful predictor of daughters’ body satisfaction, whereas open communication with mothers was the best predictor of sons’ body satisfaction.     

Everyday Health Communication Experiences of College Students

Objective: The authors examined college students' day-to-day health communication experiences. Participants: A convenience sample of 109 midwestern university students participated in the study. Methods: The participants completed health communication diaries for 2 weeks, generating 2,185 records. Frequent health topics included nutrition and diet, minor health concerns, risky health practices, and body fitness. Results: Approximately 27% of health communication experiences involved the proactive seeking of health-related information or advice. Interpersonal venues (face-to-face, telephone, and e-mail) were evident in about 75% of the records, which were dominated by exchanges with friends and family members. The authors found modest interactions of topic, channel, and purpose. Conclusions: Congruent with the uses and gratifications theory, the authors found that satisfaction with and perceived impact of health communication experiences varied by topic, channel, relationship, and purpose.     

Researching Health Communication Technology Intervention Projects: The Challenge of Achieving Utilization Levels Sufficient for Evaluation

ABSTRACT

The deployment of interactive communication technologies to deliver health services and education has grown significantly over the past decade. Telemedicine, the use of telecommunication technologies for health care, is one specific application that has enjoyed significant public and private funding for research projects. However, telemedicine project evaluators have run into a serious barrier in their research efforts, namely, the deployment of telemedicine is often tremendously time-consuming and often yields utilization levels inadequate for research purposes. This article seeks to overview this problem through a case analysis of a multidimensional telemedicine project in Michigan that enjoyed both success and failure. The article concludes with a discussion of five universal challenges that must be addressed for project evaluators to achieve utilization levels to allow for reliable research conclusions.     

Intimate Communication across Borders: Spousal Labor Migration and Recent Partner Communication about Family Planning in Nepal

Abstract

Amid widespread labor migration in Nepal, spousal separation may affect partner communication about intimate topics like family planning. We examined the association between spousal migration experience and partner communication about family planning using survey responses from 1,793 married Nepali women (ages 18–49 years) with a child under 5 years. More than 60% of women had recently migrating spouses. Forty-seven percent reported recent partner communication about family planning. Women with currently migrating spouses were significantly less likely than women with non-migrant spouses to report recent spousal discussions about family planning. Recent partner communication about family planning varied by destination and duration of current migration. Future programs designed to fulfill the reproductive health needs of transregional or transnational couples should address partner communication about family planning.     

Children's Understanding of Emotion Communication in Families

SUMMARY

There is a paucity of research on children's awareness of how emotion communication varies within relationships. Indeed, we operate on the assumption that a very significant function of emotion is to regulate interpersonal interaction. In this essay we discuss how children come to understand such phenomena as: (a) emotional-expressive behavior can have powerful interpersonal consequences; (b) relationship dimensions such as degree of power and closeness interact with intensity of emotion in how emotion is communicated; and (c) maintenance of relationship quality (e.g., equilibrium, attenuation, or deepening) requires different strategies of emotion communication. Among the constructs that we address are several that are useful for understanding the dynamics of interpersonal communication; they have also proven their utility over a considerable period of time. However, these constructs derive from social psychology and family systems; they have not been systematically investigated from a developmental perspective     

Parent‐Adolescent Communication About Sex: Retrospective Reports by Latino College Students

Latina female (n= 97) and Latino male (n= 69) college students (M age = 21.4 years) completed self‐report surveys regarding family of origin experiences, including sexual communication with parents while growing up. Latino parents of this comparatively highly educated sample tended to use direct rather than indirect strategies for communicating about sexuality with their children. Young women reported higher levels of sexual communication with mothers while growing up than did young men, and respondents reported less communication with fathers than mothers. Among young women, sexual communication with mother was positively associated with non‐Mexican origin and negatively associated with having older brothers living at home. In contrast, maternal education was positively associated with mother‐son communication about sex. Paternal education and the absence of older brothers positively predicted communication with both sons and daughters. The analyses provide novel information regarding sexual communication in Latino families and suggest directions for future research.     

Families,Not Parents,Differ: Development of Communication in Finnish Infants

This longitudinal study on Finnish families was conducted to identify developmental differences in family‐level communication among mothers, fathers, and their infants during the second half of the infant's first year, and associations with infants' later language and communicative skills. We examined coregulated communication of parent‐infant dyads during 5‐min laboratory play sessions at 7 and 11 months. Few differences in mutually regulated communicative exchanges emerged between maternal and paternal dyads, and few developmental changes were found across the whole sample. Families with different communication profiles were identified, and changes rather than stability characterized communicative development at the family level. The family‐level differences at 7 months predicted variation in children's language and communicative skills at 14 months.     

Safe Motherhood in the Context of Nepal

ABSTRACT

Nepal ranks low on the Human Development Index and has a high maternal mortality rate. Various factors contribute to the high rate of maternal mortality and include a shortage of health care professionals, limited access to basic maternal health care, poverty, illiteracy, women's low social status, a poorly developed transportation system, a limited communication system, political conflict, and a diverse population. Interviews with pregnant women, observational data, and national statistics provide the basis for suggestions provided by the author. These include upgrading and opening new maternal care facilities, integrating midwives into local health services, providing education on women's health needs during pregnancy, and improving public awareness of the availability of maternal care services.     

“A Second-Chance at Being a Parent”: Grandparent Caregivers’ Reported Communication and Parenting Practices with Co-Residential Grandchildren

ABSTRACT

Grandfamilies, family structures in which grandparent(s) co-reside with and assume a primary caregiving role for at least one grandchild, are increasingly common in the United States. This qualitative, exploratory study, informed by family communication patterns theory (FCPT), illuminated the reported communication beliefs and practices of grandparents who serve as primary caregiver to at least one grandchild. Hybrid thematic analysis, combining FCTP with inductive analysis, was used to analyze 21 semi-structured interviews with grandparents. Results yielded four themes describing grandparents’ reported communicative practices: creating opportunities for listening and dialogue, talking about emotion, emphasizing openness, and allowing questioning; and three themes describing the impact of second-chance parenting: increased resources, acquired wisdom, and matured emotionally. Implications for grandfamily communication research in light of hybrid analyses and FCPT are discussed.     

The Impact of Experiential Exercises on Communication and Relational Skills in a Suicide Prevention Gatekeeper-Training Program for College Resident Advisors

Abstract

Objective: In an effort to identify students at risk for suicide, many colleges are implementing suicide prevention training for campus gatekeepers. This study evaluated the efficacy of a 3-hour, experiential-based gatekeeper training that included an emphasis on enhancing communication skills and relational connection in addition to the didactic foci of standard gatekeeper training. Participants: Sixty-five college student resident advisors (RAs) were trained with Campus Connect. Methods: The training was dismantled to examine the specific contribution of experiential exercises on training outcomes. Results: Compared to didactic training alone, following participation in experiential exercises RAs’ training outcome scores exhibited additional improvement on the Suicide Intervention Response Inventory–2 and a 14-item self-report measure of self-efficacy for specific suicide- and crisis-related knowledge and skills. Conclusions: In gatekeeper training, experiential exercises emphasizing awareness and empathic responding and practice of these skills contribute to an improvement in crisis response skills above and beyond that of didactic training alone.     

Gender Differences in Adolescent Perceptions of Parent-Adolescent Openness in Communication and Adolescent Empathy

Abstract

The purpose of this study was to examine how the relationship between adolescent perceptions of openness in parent-adolescent communication and adolescent empathy may differ by gender of the respondent. Hierarchical multiple regression analyses were used to test the possibility of an interaction between adolescent gender and parent communication in predicting two other-oriented dimensions of empathy (empathic concern and perspective taking) in 236 adolescents ages 14 tol6. Gender of the adolescent, openness in mother-adolescent communication, and openness in father-adolescent communication were significant predictors of adolescent empathic concern. Gender also moderated the relationship between openness in mother-adolescent communication and empathic concern. Further, openness in mother-adolescent communication was a significant predictor of adolescent perspective taking.     

Parent Prevention Communication Profiles and Adolescent Substance Use: A Latent Profile Analysis and Growth Curve Model

ABSTRACT

This current study identifies distinct parent prevention communication profiles and examines whether youth with different parental communication profiles have varying substance use trajectories over time. Eleven schools in two rural school districts in the Midwestern United States were selected, and 784 students were surveyed at three time points from the beginning of 7th grade to the end of 8th grade. A series of latent profile analyses were performed to identify discrete profiles/subgroups of substance-specific prevention communication (SSPC). The results revealed a 4-profile model of SSPC: Active-Open, Passive-Open, Active-Silent, and Passive-Silent. A growth curve model revealed different rates of lifetime substance use depending on the youth’s SSPC profile. These findings have implications for parenting interventions and tailoring messages for parents to fit specific SSPC profiles.     

Maternal Sensitivity and Infant Emotional Reactivity

SUMMARY

Although the construct of infant reactivity is thought to be a temperamental dimension, investigators have been interested in the relation between emotional reactivity and maternal behaviors. In this study, infants' emotional reactivity to frustrating stimuli and maternal sensitivity and intrusiveness were observed at 5 and 10 months of age. Cluster analysis of infants' emotional expressions revealed three patterns of expressive behavior emerged at both ages: (1) frequent anger and negative (distress) expressions, (2) intense anger expressions, and (3) frequent happy expressions. Results demonstrated that patterns of emotional reactivity at 5 and 10 months differed by maternal interactive style. In addition, patterns of emotional reactivity at 10 months of age could be predicted by differences in maternal caregiving, and conversely, 5-month infant reactivity was predictive of 10-month maternal behavior. Conclusions are made regarding ways that mothers socialize emotions and the bi-directional nature of mother-infant interactions.     

Family Communication and Adolescent Alcohol Use in Nicaragua,Central America: A Test of Primary Socialization Theory

ABSTRACT

Applying primary socialization theory to a sample of early adolescents from Nicaragua, this study examines direct and indirect associations between family bonding and adolescent alcohol use via substance specific prevention communication (SSPC) and adolescent efficacy. Early adolescents in 7th and 8th grades completed a self-report, cross-sectional survey. Structural equation modeling revealed that family expressiveness was significantly indirectly related to adolescent lifetime alcohol use through SSPC. Results are discussed in relation to primary socialization theory, family communication, and international substance use prevention efforts. This study provides supportive evidence for the important role of positive family communication as a protective factor for early adolescents in Nicaragua.     

Maternal Disrupted Communication During Face‐to‐Face Interaction at 4 months: Relation to Maternal and Infant Cortisol Among at‐Risk Families

The study evaluated the association between maternal disrupted communication and the reactivity and regulation of the psychobiology of the stress response in infancy. Mothers and infants were recruited via the National Health Service from the 20% most economically impoverished data zones in a suburban region of Scotland. Mothers (N = 63; M age = 25.9) and their 4‐month‐old infants (35 boys, 28 girls) were videotaped interacting for 8 min, including a still‐face procedure as a stress inducer and a 5‐min coded recovery period. Saliva samples were collected from the dyads prior to, during, and after the still‐face procedure and later assayed for cortisol. Level of disruption in maternal communication with the infant was coded from the 5‐min videotaped interaction during the recovery period which followed the still‐face procedure. Severely disrupted maternal communication was associated with lower levels of maternal cortisol and a greater divergence between mothers' and infants' cortisol levels. Results point to low maternal cortisol as a possible mechanism contributing to the mother's difficulty in sensitively attuning to her infant's cues, which in turn has implications for the infant's reactivity to and recovery from a mild stressor in early infancy.     

Global boundary work tactics: managing work and family transitions in a 24–7 global context

ABSTRACT

This study addresses how today’s global managers navigate their work and family transitions through employing various boundary work tactics in a global context. Interviews with 25 global travelers or international business travelers in dual-career families uncovered how they handle global workflows and protect family time when working domestically or abroad. Patterns emerged across a typology of temporal, communicative, behavioral and physical boundary work tactics. A key contribution is that workplace flexibility in addition to technology allows global managers to maintain connectivity beyond spatial or temporal boundaries. Moreover, technology was perceived as an integral tool by global managers, with few cases of tensions reported from a blurring of boundaries. The research contributes to the nascent literature on work-life balance among global managers. It also provides evidence of how mobile and telepresence technologies are being used in performing global work. Companies are encouraged to foster flexibility among their global managers around viewing time and using communication techniques and technology to manage role transitions. Results suggest that global work approached in this manner can be sustainable as well as beneficial to the individual, his/her family, and the organization.     

Internet Technology Makes Clinical Data Systems Technically and Economically Practical: Are They Politically Feasible?

SUMMARY

The creation of data systems capable of tracking health service inputs and outcomes were a major thrust of health reform. It proved neither technically nor politically feasible. Recent advances in software, communication technologies and measurement tools suggest integrated information systems, reliable at the individual case level, are now practical. This paper explores one possible model of a clinical information system for behavioral health services and asks, “Is implementation of such a model now politically feasible?”     

Promoting Computer-Mediated Communications in Community Coalitions

SUMMARY

Community coalition participants are adopting new communication tools. This article identifies issues involving adoption of one type of communication tool, computer-mediated communications (CMC), based on a review of relevant literature and a recent exploratory research study of CMC adoption by community coalitions. Suggestions for aiding adoption and anticipating problems are presented and some social justice and professional value issues are highlighted. Human service professionals whose work involves community coalitions may find the theoretical background and practical advice useful in anticipating and responding to CMC changes in coalitions.