Allison M Scott
Dados Biográficos
| ID | 177273 |
|---|---|
| NOME | Allison M Scott |
| PRENOMES | Allison M |
| SOBRENOME | Scott |
| ASSINATURA | SCOTT A M |
| AFILIAÇÕES | University of Kentucky |
| ORCID | 0000-0002-4806-7912 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAÇÕES | 51 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 5 |
Persons Experiencing Housing Instability
Background: Persons experiencing housing instability (PEHIs) are medically vulnerable and at increased risk for poor health outcomes, high clinical service utilization, and mortality. Unstable housing is just one of many social determinants of health or nonmedical factors influencing health outcomes. Methods: Focus groups were conducted on-site at two Kentucky homeless shelters to assess the structure and perceived effectiveness of Medicaid manag…
The impact of a personal cancer diagnosis on adolescent and young adult cancer survivors' social connectedness
Adolescent/young adult cancer survivors (AYACS) are diagnosed with cancer between 15 and 39 years of age. Improving AYACS' survivorship quality is crucial-including improving social connectedness, a construct describing the quality, structure and function of social relationships. With better understanding of AYACS' social connectedness, network-based interventions can be developed to foster social health. This study explored how a personal cancer…
Oncologists’ Perceptions of Strategies for Discussing the Cost of Care with Cancer Patients and the Meaning of Those Conversations
To better understand what makes cost-of-care communication between oncologists and cancer patients more or less successful, we conducted in-depth interviews with 32 oncologists (22 male, 10 female) who were board-certified in medical, surgical, or radiation oncology. Through qualitative descriptive analysis by four coders, we found that oncologists used six broad strategies to discuss cost with patients: open discussion, avoidance, reassurance, w…
The Impact of Health Communication Research on Medical and Health Professional Education and Training
In this essay, we review how health communication scholarship has been translated into various communication skills trainings (CSTs), we present four case studies of how health communication research informed the development and implementation of specific CSTs, and we reflect on how we can productively define "impact" in looking back as well as looking forward within this line of research
Women’s Metaphors About BRCA Gene Testing and How They Can Inform Health Communication Theory and Practice
Genetic testing can detect whether an individual carries a harmful variant in the BRCA1 or BRCA2 (Breast Cancer 1 or 2) gene which, if present, drastically increases a woman’s risk for breast and ovarian cancer. The experience of BRCA gene testing can be an emotionally laden process yielding significant uncertainty. In this study, we examined women’s experiences of BRCA gene testing by exploring how participants communicatively framed and made se…
Communication quality predicts patients' colorectal cancer screening behavior
A Longitudinal Examination of Enacted Goal Attention in End-of-Life Communication in Families
Drawing on theoretical principles related to goal pursuit and inference, the present study investigated the extent to which specific message features led to better or worse conversational outcomes of end-of-life discussions between older adults and their adult children. Actor-partner interdependence modeling analysis of longitudinal reports from 66 parent/child dyads revealed that tactical attention to identity, relational, and task goals in conv…
Counter-Hegemonic Narratives of White Weddings
Dominant cultural discourses dictate what the ideal wedding should look like, and these discourses often center around the white wedding. White weddings typically include a bride in a white dress, a large reception, and a honeymoon. Given that western culture privileges the white wedding, weddings that deviate from this norm are sometimes delegitimatized. We used Relational Dialectics Theory 2.0 to examine dominant discourses of weddings during C…
Identifying Conversational Strategies for Psychiatrists in Discussing Substance Use with Adolescent Patients
Child and adolescent psychiatrists are uniquely positioned to discuss substance use with high risk patients; however, there has been little research about these conversations and their characteristics. To identify communication strategies for navigating conversations about substance use with adolescent patients, we conducted 21 in-depth interviews with practicing child and adolescent psychiatrists. Findings from this study identify four strategie…
Communication Quality Analysis
Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method with respect to feasibility, validity, reliability, and association with traditional measures of communication quality. Simulated conversations between 108 trainees and 12 standardized patients were assessed by …
Engaged Women's Relationships, Weddings, and Mental Health During Covid-19
We examined the association between mental health and relationship and wedding factors among engaged women planning their weddings before and during Covid-19. Survey data from 715 non-Covid-19 and 427 Covid-19 participants revealed that Covid-19 participants experienced depression in greater proportion than non-Covid-19 participants. Wedding satisfaction and financial strain were stronger predictors of depression for Covid-19 than non-Covid-19 pa…
Primary Care Physicians’ Strategic Pursuit of Multiple Goals in Cost-of-Care Conversations with Patients
Despite the importance of cost-of-care conversations between physicians and patients, such discussions are not well understood. We used multiple goals theory to examine the specific goals that are salient in these discussions and how physicians pursue these goals. We used qualitative descriptive coding to analyze the verbatim transcripts from in-depth interviews with 36 primary care physicians. Our analysis identified a number of goals that are c…
It’s the Best Day of Your Life
Cultural discourses surrounding weddings and wedding planning are commonly focused on the bride. Relational Dialectics Theory 2.0 is used to conduct a critical analysis of wedding planning discourses through a Critical Interpersonal and Family Communication (CIFC) lens. Contrapuntal analysis is used to analyze interview transcripts of women talking about planning their weddings. Dominant discourses include the idea of the wedding as the perfect d…
Working toward evidence-based guidelines for cost-of-care conversations between patients and physicians
The Role of Stigma Management in HIV Treatment Adherence
Social stigma is linked to improper HIV treatment adherence, but how stigma impairs adherence outcomes is poorly understood. This study included 93 people living with HIV in the United States who participated in focus groups or one-on-one interviews regarding how stigma might affect medication management. Latent content analysis and constant comparative techniques of participant responses that were produced three thematic groupings that described…
An investigation of relational turbulence and depressive symptoms in newly married women
This study uses the relational turbulence model to examine depressive symptoms in newly married women. It reports data from a pre-/posttest study in which 152 women completed an online survey during their engagement and 6 months after their wedding. Nearly 12% of the women reported reliable and clinically meaningful increases in depressive symptoms after their wedding. Using panel data analysis, this study found that increases in self uncertainty…
Normative Social Support in Young Adult Cancer Survivors
Following a cancer diagnosis, young adults (YAs; that is, 18-39) often experience altered social relationships with family, friends, romantic partners, and peers. In light of the social struggles YA patients and survivors report due to cancer's biographical disruption, we elicited narratives from 30 YA cancer survivors to examine how their normative perceptions of social support functioned to hinder and assist them in coping with the cancer exper…
Providing Cultural Context for 'Sacrifice of the Social Outcasts
In 'Sacrifice of the Social Outcasts', C.L. Kieffer proposes that the disabled formed a socially marginal group that might have been preferentially targeted for human sacrifice in ancient Maya society. Extensive ethnohistoric and iconographic evidence exists that the disabled and deformed held high status in pre-contact Mesoamerica precisely because of their physical disabilities and played well-defined social roles. Several incidences of the sac…
Blue Brides
We conducted in-depth interviews with 28 newly married women to explore the experience of postnuptial depressive symptoms. Nearly half of the participants indicated that they felt let down or depressed following their wedding, and some participants reported clinical levels of depression. We found several stark contrasts between the bluest and the happiest brides. Blue brides described feeling uncertain in their marriages, focused on self during w…
Communication About End-of-Life Health Decisions
Most end-of-life research assumes that effective communication is critical to the delivery of high-quality end-of-life health care, but less is known about what constitutes effective end-of-life communication. In this review, I synthesize literature on improving advance directive completion, physician training, and family communication about end-of-life issues. I demonstrate how this work has produced mixed results about what makes end-of-life co…
Enacted Goal Attention in Family Conversations about End-of-life Health Decisions
Most extant research on end-of-life communication in families has been based on the assumption that more communication is better communication. We used a multiple goals theoretical perspective to demonstrate that the quality of communication about end-of-life decisions matters. Members of 121 older parent/adult child dyads (N = 242) engaged in an elicited conversation about end-of-life health choices and reported their assessments of the conversa…
Evaluation of Patient Needs and Patient Navigator Communication About Cervical Cancer Prevention in Appalachian Kentucky
Few studies describe the way patient navigation processes may address disparities in treatment and follow-up care for medically underserved populations. Using a social ecological framework, we analyzed survey assessments of 519 patients completing a randomized navigation trial in Appalachia Kentucky to examine patient-reported barriers to follow-up cervical cancer care. We also analyzed in-depth interview transcripts with four lay patient navigat…
Perceptions About Organ Donation Among African American, Hispanic, and White High School Students
We applied the Health Belief Model (HBM) to better understand perceptions of organ donation among African American, Hispanic, and White high school students. We conducted 14 focus groups with 18-year-old students to identify strategies to reach this audience when promoting the First-Person Consent Registry (FPCR) for organ donation. We found that African American, Hispanic, and White high school students are largely unaware of the need for organ …
Toward a Communication Theory of the Demand/Withdraw Pattern of Interaction in Interpersonal Relationships
Medical, Personal, and Social Forms of Uncertainty Across the Transplantation Trajectory
We designed this study to identify sources of uncertainty across the transplantation trajectory. We interviewed 38 transplant patients, who reported medical, personal, and social forms of uncertainty. Prior to transplantation, they reported uncertainty related to insufficient information about diagnosis, complex decisions about transplantation, unknown/unknowable organ availability, unclear expectations about medical procedures/outcomes, ambiguit…
Putative secrets
Secrets are common within relationships. Sometimes, unbeknownst to a secret keeper, a relational partner learns a secret but allows the keeper to believe that the secret is still unknown. This article summarizes two investigations of such instances, which we call putative secrets. Study 1 (N = 207) provided a descriptive base of putative secret topics, means by which secrets are kept, and perceived reasons for keeping secrets. Study 2 (N = 383) f…
Enacted Goal Attention in Family Conversations about End-of-life Health Decisions
Most extant research on end-of-life communication in families has been based on the assumption that more communication is better communication. We used a multiple goals theoretical perspective to demonstrate that the quality of communication about end-of-life decisions matters. Members of 121 older parent/adult child dyads (N = 242) engaged in an elicited conversation about end-of-life health choices and reported their assessments of the conversa…
An investigation of relational turbulence and depressive symptoms in newly married women
This study uses the relational turbulence model to examine depressive symptoms in newly married women. It reports data from a pre-/posttest study in which 152 women completed an online survey during their engagement and 6 months after their wedding. Nearly 12% of the women reported reliable and clinically meaningful increases in depressive symptoms after their wedding. Using panel data analysis, this study found that increases in self uncertainty…
Normative Social Support in Young Adult Cancer Survivors
Following a cancer diagnosis, young adults (YAs; that is, 18-39) often experience altered social relationships with family, friends, romantic partners, and peers. In light of the social struggles YA patients and survivors report due to cancer's biographical disruption, we elicited narratives from 30 YA cancer survivors to examine how their normative perceptions of social support functioned to hinder and assist them in coping with the cancer exper…
Medical, Personal, and Social Forms of Uncertainty Across the Transplantation Trajectory
We designed this study to identify sources of uncertainty across the transplantation trajectory. We interviewed 38 transplant patients, who reported medical, personal, and social forms of uncertainty. Prior to transplantation, they reported uncertainty related to insufficient information about diagnosis, complex decisions about transplantation, unknown/unknowable organ availability, unclear expectations about medical procedures/outcomes, ambiguit…
Blue Brides
We conducted in-depth interviews with 28 newly married women to explore the experience of postnuptial depressive symptoms. Nearly half of the participants indicated that they felt let down or depressed following their wedding, and some participants reported clinical levels of depression. We found several stark contrasts between the bluest and the happiest brides. Blue brides described feeling uncertain in their marriages, focused on self during w…
Communication quality predicts patients' colorectal cancer screening behavior
Communication Quality Analysis
Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method with respect to feasibility, validity, reliability, and association with traditional measures of communication quality. Simulated conversations between 108 trainees and 12 standardized patients were assessed by …
Engaged Women's Relationships, Weddings, and Mental Health During Covid-19
We examined the association between mental health and relationship and wedding factors among engaged women planning their weddings before and during Covid-19. Survey data from 715 non-Covid-19 and 427 Covid-19 participants revealed that Covid-19 participants experienced depression in greater proportion than non-Covid-19 participants. Wedding satisfaction and financial strain were stronger predictors of depression for Covid-19 than non-Covid-19 pa…
Providing Cultural Context for 'Sacrifice of the Social Outcasts
In 'Sacrifice of the Social Outcasts', C.L. Kieffer proposes that the disabled formed a socially marginal group that might have been preferentially targeted for human sacrifice in ancient Maya society. Extensive ethnohistoric and iconographic evidence exists that the disabled and deformed held high status in pre-contact Mesoamerica precisely because of their physical disabilities and played well-defined social roles. Several incidences of the sac…
Perceptions About Organ Donation Among African American, Hispanic, and White High School Students
We applied the Health Belief Model (HBM) to better understand perceptions of organ donation among African American, Hispanic, and White high school students. We conducted 14 focus groups with 18-year-old students to identify strategies to reach this audience when promoting the First-Person Consent Registry (FPCR) for organ donation. We found that African American, Hispanic, and White high school students are largely unaware of the need for organ …
Putative secrets
Secrets are common within relationships. Sometimes, unbeknownst to a secret keeper, a relational partner learns a secret but allows the keeper to believe that the secret is still unknown. This article summarizes two investigations of such instances, which we call putative secrets. Study 1 (N = 207) provided a descriptive base of putative secret topics, means by which secrets are kept, and perceived reasons for keeping secrets. Study 2 (N = 383) f…
Toward a Communication Theory of the Demand/Withdraw Pattern of Interaction in Interpersonal Relationships
Medical, Personal, and Social Forms of Uncertainty Across the Transplantation Trajectory
We designed this study to identify sources of uncertainty across the transplantation trajectory. We interviewed 38 transplant patients, who reported medical, personal, and social forms of uncertainty. Prior to transplantation, they reported uncertainty related to insufficient information about diagnosis, complex decisions about transplantation, unknown/unknowable organ availability, unclear expectations about medical procedures/outcomes, ambiguit…
Perceptions About Organ Donation Among African American, Hispanic, and White High School Students
We applied the Health Belief Model (HBM) to better understand perceptions of organ donation among African American, Hispanic, and White high school students. We conducted 14 focus groups with 18-year-old students to identify strategies to reach this audience when promoting the First-Person Consent Registry (FPCR) for organ donation. We found that African American, Hispanic, and White high school students are largely unaware of the need for organ …
Evaluation of Patient Needs and Patient Navigator Communication About Cervical Cancer Prevention in Appalachian Kentucky
Few studies describe the way patient navigation processes may address disparities in treatment and follow-up care for medically underserved populations. Using a social ecological framework, we analyzed survey assessments of 519 patients completing a randomized navigation trial in Appalachia Kentucky to examine patient-reported barriers to follow-up cervical cancer care. We also analyzed in-depth interview transcripts with four lay patient navigat…
Communication About End-of-Life Health Decisions
Most end-of-life research assumes that effective communication is critical to the delivery of high-quality end-of-life health care, but less is known about what constitutes effective end-of-life communication. In this review, I synthesize literature on improving advance directive completion, physician training, and family communication about end-of-life issues. I demonstrate how this work has produced mixed results about what makes end-of-life co…
Enacted Goal Attention in Family Conversations about End-of-life Health Decisions
Most extant research on end-of-life communication in families has been based on the assumption that more communication is better communication. We used a multiple goals theoretical perspective to demonstrate that the quality of communication about end-of-life decisions matters. Members of 121 older parent/adult child dyads (N = 242) engaged in an elicited conversation about end-of-life health choices and reported their assessments of the conversa…
Providing Cultural Context for 'Sacrifice of the Social Outcasts
In 'Sacrifice of the Social Outcasts', C.L. Kieffer proposes that the disabled formed a socially marginal group that might have been preferentially targeted for human sacrifice in ancient Maya society. Extensive ethnohistoric and iconographic evidence exists that the disabled and deformed held high status in pre-contact Mesoamerica precisely because of their physical disabilities and played well-defined social roles. Several incidences of the sac…
Blue Brides
We conducted in-depth interviews with 28 newly married women to explore the experience of postnuptial depressive symptoms. Nearly half of the participants indicated that they felt let down or depressed following their wedding, and some participants reported clinical levels of depression. We found several stark contrasts between the bluest and the happiest brides. Blue brides described feeling uncertain in their marriages, focused on self during w…
Normative Social Support in Young Adult Cancer Survivors
Following a cancer diagnosis, young adults (YAs; that is, 18-39) often experience altered social relationships with family, friends, romantic partners, and peers. In light of the social struggles YA patients and survivors report due to cancer's biographical disruption, we elicited narratives from 30 YA cancer survivors to examine how their normative perceptions of social support functioned to hinder and assist them in coping with the cancer exper…
An investigation of relational turbulence and depressive symptoms in newly married women
This study uses the relational turbulence model to examine depressive symptoms in newly married women. It reports data from a pre-/posttest study in which 152 women completed an online survey during their engagement and 6 months after their wedding. Nearly 12% of the women reported reliable and clinically meaningful increases in depressive symptoms after their wedding. Using panel data analysis, this study found that increases in self uncertainty…
The Role of Stigma Management in HIV Treatment Adherence
Social stigma is linked to improper HIV treatment adherence, but how stigma impairs adherence outcomes is poorly understood. This study included 93 people living with HIV in the United States who participated in focus groups or one-on-one interviews regarding how stigma might affect medication management. Latent content analysis and constant comparative techniques of participant responses that were produced three thematic groupings that described…
It’s the Best Day of Your Life
Cultural discourses surrounding weddings and wedding planning are commonly focused on the bride. Relational Dialectics Theory 2.0 is used to conduct a critical analysis of wedding planning discourses through a Critical Interpersonal and Family Communication (CIFC) lens. Contrapuntal analysis is used to analyze interview transcripts of women talking about planning their weddings. Dominant discourses include the idea of the wedding as the perfect d…
Working toward evidence-based guidelines for cost-of-care conversations between patients and physicians
Primary Care Physicians’ Strategic Pursuit of Multiple Goals in Cost-of-Care Conversations with Patients
Despite the importance of cost-of-care conversations between physicians and patients, such discussions are not well understood. We used multiple goals theory to examine the specific goals that are salient in these discussions and how physicians pursue these goals. We used qualitative descriptive coding to analyze the verbatim transcripts from in-depth interviews with 36 primary care physicians. Our analysis identified a number of goals that are c…
Identifying Conversational Strategies for Psychiatrists in Discussing Substance Use with Adolescent Patients
Child and adolescent psychiatrists are uniquely positioned to discuss substance use with high risk patients; however, there has been little research about these conversations and their characteristics. To identify communication strategies for navigating conversations about substance use with adolescent patients, we conducted 21 in-depth interviews with practicing child and adolescent psychiatrists. Findings from this study identify four strategie…
Communication Quality Analysis
Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method with respect to feasibility, validity, reliability, and association with traditional measures of communication quality. Simulated conversations between 108 trainees and 12 standardized patients were assessed by …
Engaged Women's Relationships, Weddings, and Mental Health During Covid-19
We examined the association between mental health and relationship and wedding factors among engaged women planning their weddings before and during Covid-19. Survey data from 715 non-Covid-19 and 427 Covid-19 participants revealed that Covid-19 participants experienced depression in greater proportion than non-Covid-19 participants. Wedding satisfaction and financial strain were stronger predictors of depression for Covid-19 than non-Covid-19 pa…
A Longitudinal Examination of Enacted Goal Attention in End-of-Life Communication in Families
Drawing on theoretical principles related to goal pursuit and inference, the present study investigated the extent to which specific message features led to better or worse conversational outcomes of end-of-life discussions between older adults and their adult children. Actor-partner interdependence modeling analysis of longitudinal reports from 66 parent/child dyads revealed that tactical attention to identity, relational, and task goals in conv…
Counter-Hegemonic Narratives of White Weddings
Dominant cultural discourses dictate what the ideal wedding should look like, and these discourses often center around the white wedding. White weddings typically include a bride in a white dress, a large reception, and a honeymoon. Given that western culture privileges the white wedding, weddings that deviate from this norm are sometimes delegitimatized. We used Relational Dialectics Theory 2.0 to examine dominant discourses of weddings during C…
Oncologists’ Perceptions of Strategies for Discussing the Cost of Care with Cancer Patients and the Meaning of Those Conversations
To better understand what makes cost-of-care communication between oncologists and cancer patients more or less successful, we conducted in-depth interviews with 32 oncologists (22 male, 10 female) who were board-certified in medical, surgical, or radiation oncology. Through qualitative descriptive analysis by four coders, we found that oncologists used six broad strategies to discuss cost with patients: open discussion, avoidance, reassurance, w…
The Impact of Health Communication Research on Medical and Health Professional Education and Training
In this essay, we review how health communication scholarship has been translated into various communication skills trainings (CSTs), we present four case studies of how health communication research informed the development and implementation of specific CSTs, and we reflect on how we can productively define "impact" in looking back as well as looking forward within this line of research
Women’s Metaphors About BRCA Gene Testing and How They Can Inform Health Communication Theory and Practice
Genetic testing can detect whether an individual carries a harmful variant in the BRCA1 or BRCA2 (Breast Cancer 1 or 2) gene which, if present, drastically increases a woman’s risk for breast and ovarian cancer. The experience of BRCA gene testing can be an emotionally laden process yielding significant uncertainty. In this study, we examined women’s experiences of BRCA gene testing by exploring how participants communicatively framed and made se…
Communication quality predicts patients' colorectal cancer screening behavior
Persons Experiencing Housing Instability
Background: Persons experiencing housing instability (PEHIs) are medically vulnerable and at increased risk for poor health outcomes, high clinical service utilization, and mortality. Unstable housing is just one of many social determinants of health or nonmedical factors influencing health outcomes. Methods: Focus groups were conducted on-site at two Kentucky homeless shelters to assess the structure and perceived effectiveness of Medicaid manag…
Psychology (18 obras) · Medicine (12 obras) · Social Psychology (10 obras) · Sociology (8 obras) · Attachment and Relationship Dynamics (7 obras) · Developmental psychology (7 obras) · Patient-Provider Communication in Healthcare (7 obras) · Psychiatry (7 obras) · Computer Science (6 obras) · Communication (5 obras)