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Nutrition communication program: a direct mail approach.

A nutrition communication model (7) provided the framework for developing and evaluating a mass communication program for families with young children. A three-way interactive communication system via direct mail combined some of the attributes of interpersonal communication with the efficiency of mass-mediated communication. This interaction within the family and between the family and the nutrition communicator was expected to enhance the probability of improvement in nutritional knowledge, attitudes, and practices. The nutrition program took a holistic approach in order to develop an understanding of basic concepts important for making decisions about diet and food selection. Results from audience lists showed that the communication strategy led to desired interaction, particularly within the family reference group. Family discussion occurred frequently, and the amount of feedback was moderate. Attention paid to the messages was good for fathers and very good for mothers. As measured two weeks after program completion, nutrition knowledge increased significantly, and six of nine measured behaviors changed in the desired direction. In addition, one-third to one-half of the participants reported specific changes in food practices. The nutrition communication program was generally effective. The evidence of behavioral changes shows that it is possible to influence food practices with a mass communication program. These results support the belief that the limited effects of mass-mediated programs have been due at least in part to the way the channel has traditionally been used.

Communication

Fundamentals for establishing a risk communication program.

This paper provides a suggested outline for developing a risk communication organizational plan that could be used by a variety of federal, state, or private agencies. Drawing on various techniques presented in the literature and on the authors' insights, suggestions are provided as to how to formulate and convey risk messages. First, the paper provides a few risk communication fundamentals including definitions, the goal of informing vs. influencing, the importance of public participation in risk management, building trust and credibility, the consideration of outrage, and the importance of oral and visual communications. Second, a stepwise approach synthesized by the authors is presented that can be applied in developing a risk communication program. The approach is a 13-step method based on the premise that the risk communication program should be dynamic, flexible, and involve interaction with the public at every possible step.

Communication

Effectiveness of a structured communication program for family members of patients in an ICU.

BACKGROUND: In ICUs, an essential component of caring for patients' families is providing information about the patient's status. Nevertheless, interruptions by family members requesting information create an additional burden for nursing staff. OBJECTIVES: To test a structured communications program for family members to determine whether the program would increase family members' satisfaction with care, meet their needs for information better, and decrease disruption for the ICU nursing staff caused by incoming telephone calls from patients' family members. METHODS: The study used a two-group, pretest-posttest quasi-experimental design. The sample consisted of 30 family members of patients in a medical ICU (experimental group, n = 15; control group, n = 15). The intervention consisted of a structured communication program consisting of three components: (1) a discussion with a nurse approximately 24 hours after admission of the patient, (2) an informational pamphlet given at the time of the discussion, and (3) a daily telephone call from the nurse who was caring for the patient that day. RESULTS: The number of incoming calls from family members was significantly lower in the experimental group than in the control group. In the experimental group, satisfaction with care increased significantly from pretest to posttest, as did the members' perception of how well their information needs were being met. CONCLUSIONS: The intervention reduced the number of incoming calls from family members, without compromising family members' satisfaction with care or how well their information needs were met.

Adult

Managing a satellite communications program in a hospital library.

A satellite communications service used for the continuing education of hospital staff can be successfully managed by a hospital library. Organization of the service includes managing equipment and personnel, finding programming, marketing the service, arranging for teleconferences, and establishing videotape procedures. A satellite communications program gives the library the opportunity to establish new partnerships with other departments in the hospital as well as with other segments of the community.

Libraries, Hospital

Psychosocial effects of an intensive summer communication program for cleft palate children.

The preventative psychosocial effects of an intensive summer residential program for children with communication disorders related to cleft lip and palate are evaluated. Twelve children completed the five-week program. Following the program, the children increased their social interaction rates during observed interactions with nonhandicapped peers and according to parent ratings. Less difference existed between the children's perceived reinforcement value of peer interactions, and their expectancies for initiating such interactions. The limitations of these findings due to the small sample size and the lack of a control group are discussed. The value of multimethod measurement systems are also discussed.

Child

The High-Performance Computing and Communications program, the national information infrastructure and health care.

The High-Performance Computing and Communications (HPCC) program is a multiagency federal effort to advance the state of computing and communications and to provide the technologic platform on which the National Information Infrastructure (NII) can be built. The HPCC program supports the development of high-speed computers, high-speed telecommunications, related software and algorithms, education and training, and information infrastructure technology and applications. The vision of the NII is to extend access to high-performance computing and communications to virtually every U.S. citizen so that the technology can be used to improve the civil infrastructure, lifelong learning, energy management, health care, etc. Development of the NII will require resolution of complex economic and social issues, including information privacy. Health-related applications supported under the HPCC program and NII initiatives include connection of health care institutions to the Internet; enhanced access to gene sequence data; the "Visible Human" Project; and test-bed projects in telemedicine, electronic patient records, shared informatics tool development, and image systems.

Computer Communication Networks

Speech and language development in a parent-infant total communication program.

In the program described, the use of total communication (TC) did not impede speech development in preschool deaf children. Evidence indicates that sign language facilitated the young hearing-impaired child's acquisition of communicative oral speech. Exposure to sign language combined with speech enhanced the meaningfulness of residual hearing and lipreading. Milestones in sign language acquisition paralleled the milestones of spoken language. Young hearing-impaired TC children appeared to learn and express more language at an earlier age than is typical of orally trained hearing-impaired children. This implies that their cognition may not be as severely inhibited because their language acquisition is less severely delayed. This should have favorable consequences for later educational and social development. The families In the TC program were able to normalize their child-rearing activities and relationships.

Child Language

Telephone T.A.L.K.: a telephone communication program.

Twenty-four percent of all medical care contacts are made on the telephone. Practicing pediatricians and emergency physicians often manage children's illnesses by telephone. Studies have shown that there is a need for improved communication between physicians and patients, and it is believed that quality of, and satisfaction with, health care services will improve with increased emphasis on interpersonal communication skills in medical training. The Department of Pediatrics at Harbor-UCLA Medical Center includes interpersonal telephone communication as part of residency training. This article describes the telephone program, which differs from other programs in medical settings in that it focuses on communication process skills only. A conceptual framework around the acronym T.A.L.K. is outlined. Topic sessions in the pediatric emergency department and individual resident review sessions are discussed. The guidelines designed to follow the conceptual framework are presented.

Clinical Protocols