Simulated Creative Collaboration: Experiencing Challenges to Innovative Virtual Teaming in the Classroom

This activity provides students with in-depth experience working as part of an innovative virtual team, which will enable them to better understand the relative advantages and disadvantages of various approaches to creative collaboration in different contexts. Participants are divided into groups, which must then solve an assigned problem using a specified communication technology and creative process from the literature. The instructor will introduce a variety of obstacles to communication using each technology, which may inhibit students’ creative processes. Following the activity, the class will discuss these challenges, participants’ responses, and the range of experiences with different collaborative processes and technologies

Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status

BACKGROUND: Despite no demonstrated survival advantage for women at average risk of breast cancer, rates of contralateral prophylactic mastectomy (CPM) continue to increase. Research reveals women with higher socioeconomic status (SES) are more likely to select CPM. This study examines how indicators of SES, age, and disease severity affect CPM motivations. METHODS: Patients (N = 113) who underwent CPM at four Indiana University affiliated hospitals completed telephone interviews in 2013. Participants answered questions about 11 CPM motivations and provided demographic information. Responses to motivation items were factor analyzed, resulting in 4 motivational factors: reducing long-term risk, symmetry, avoiding future medical visits, and avoiding treatments. RESULTS: Across demographic differences, reducing long-term risk was the strongest CPM motivation. Lower income predicted stronger motivation to reduce long-term risk and avoid treatment. Older participants were more motivated to avoid treatment; younger and more-educated patients were more concerned about symmetry. Greater severity of diagnosis predicted avoiding treatments. CONCLUSIONS: Reducing long-term risk is the primary motivation across groups, but there are also notable differences as a function of age, education, income, and disease severity. To stop the trend of increasing CPM, physicians must tailor patient counseling to address motivations that are consistent across patient populations and those that vary between populations

Social Network, Surgeon, and Media Influence on the Decision to Undergo Contralateral Prophylactic Mastectomy

OBJECTIVES: The rate of contralateral prophylactic mastectomy (CPM) has risen sharply in the past decade. The current study was designed to examine social network, surgeon, and media influence on patients' CPM decision-making, examining not only who influenced the decision, and to what extent, but also the type of influence exerted. METHODS: Patients (N=113) who underwent CPM at 4 Indiana University-affiliated hospitals between 2008 and 2012 completed structured telephone interviews in 2013. Questions addressed the involvement and influence of the social network (family, friends, and nonsurgeon health professionals), surgeon, and media on the CPM decision. RESULTS: Spouses, children, family, friends, and health professionals were reported as exerting a meaningful degree of influence on patients' decisions, largely in ways that were positive or neutral toward CPM. Most surgeons were regarded as providing options rather than encouraging or discouraging CPM. Media influence was present, but limited. CONCLUSIONS: Patients who choose CPM do so with influence and support from members of their social networks. Reversing the increasing choice of CPM will require educating these influential others, which can be accomplished by encouraging patients to include them in clinical consultations, and by providing patients with educational materials that can be shared with their social networks. Surgeons need to be perceived as having an opinion, specifically that CPM should be reserved for those patients for whom it is medically indicated

Examining the young adult diabetic\u27s experience: A closer look at the communicative and organizational aspects of the chronic care model

Diabetes mellitus is an increasingly prevalent health condition in the United States, with 8.3% of the population affected (CDC, 2011), and is occurring with increasing frequency among adults aged 18 to 44 (Hillier & Pedula, 2003). Young adult diabetics are facing transitions that other populations (e.g., the elderly) do not generally face, such as newfound instrumental and functional independence, entering into romantic relationships, attending college, and so forth (Dovey-Pearce, Doherty, & May, 2007). The majority of educational materials and health communication are targeted toward either young children and their parents or toward the elderly rather than toward young adults, and the American Diabetes Association has called for more tailored educational materials for underserved populations, such as young adults with diabetes. Additionally, in examining this population, this project supplements the Chronic Care Model (CCM), a model originally proposed by Wagner (1998) to improve care provided to chronic illness patients. Communication is highlighted as crucial among components of the system in order to achieve optimum healthcare outcomes for patients, but communication is not clearly defined. Therefore, this project utilizes the CCM as a lens to better understand young adults with diabetes and their communication with their providers within a systemic context. Through open-ended interviews with both patients and healthcare providers about each party\u27s perception of their communication, as well as thematic analysis, seven major themes were identified. The results of this project are translated into theoretical and practical implications for the CCM, health communication, patient education, and chronic illness care

Social network, surgeon, and media influence on the decision to undergo contralateral prophylactic mastectomy

Objectives: The rate of contralateral prophylactic mastectomy (CPM) has risen sharply in the past decade. The current study was designed to examine social network, surgeon, and media influence on patients’ CPM decision-making, examining not only who influenced the decision, and to what extent, but also the type of influence exerted. Methods: Patients (N=113) who underwent CPM at 4 Indiana University–affiliated hospitals between 2008 and 2012 completed structured telephone interviews in 2013. Questions addressed the involvement and influence of the social network (family, friends, and nonsurgeon health professionals), surgeon, and media on the CPM decision. Results: Spouses, children, family, friends, and health professionals were reported as exerting a meaningful degree of influence on patients’ decisions, largely in ways that were positive or neutral toward CPM. Most surgeons were regarded as providing options rather than encouraging or discouraging CPM. Media influence was present, but limited. Conclusions: Patients who choose CPM do so with influence and support from members of their social networks. Reversing the increasing choice of CPM will require educating these influential others, which can be accomplished by encouraging patients to include them in clinical consultations, and by providing patients with educational materials that can be shared with their social networks. Surgeons need to be perceived as having an opinion, specifically that CPM should be reserved for those patients for whom it is medically indicated

Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status

Background Despite no demonstrated survival advantage for women at average risk of breast cancer, rates of contralateral prophylactic mastectomy (CPM) continue to increase. Research reveals women with higher socioeconomic status (SES) are more likely to select CPM. This study examines how indicators of SES, age, and disease severity affect CPM motivations. Methods Patients (N = 113) who underwent CPM at four Indiana University affiliated hospitals completed telephone interviews in 2013. Participants answered questions about 11 CPM motivations and provided demographic information. Responses to motivation items were factor analyzed, resulting in 4 motivational factors: reducing long-term risk, symmetry, avoiding future medical visits, and avoiding treatments. Results Across demographic differences, reducing long-term risk was the strongest CPM motivation. Lower income predicted stronger motivation to reduce long-term risk and avoid treatment. Older participants were more motivated to avoid treatment; younger and more-educated patients were more concerned about symmetry. Greater severity of diagnosis predicted avoiding treatments. Conclusions Reducing long-term risk is the primary motivation across groups, but there are also notable differences as a function of age, education, income, and disease severity. To stop the trend of increasing CPM, physicians must tailor patient counseling to address motivations that are consistent across patient populations and those that vary between populations

Additional file 1: of Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status

CPM Questionnaire. Questionnaire utilized to collect data for this study. (PDF 760 kb