This qualitative study explores communication privacy management processes around disclosing a child’s Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV) status within a pediatric healthcare relationship. The pediatric healthcare relationship is a triadic one composed of providers, parents, and patients. The literature from the fields of medicine, psychology and communication was used to explore disclosing HIV status by seropositive positive adults to others and by providers and parents to HIV positive children. Data for this study was collected from a hospital-based clinic using a 3-part protocol that included transcripts and information from a 6 member focus group interview, 42 patient medical charts, and two parent interviews. Datum was analyzed using thematic analysis. The results indicate that both providers and parents consider these adolescent behavioral indicators that disclosure is necessary: question-asking about medications and the need for medical appointments, the initiation of dating and sexual behavior, cognitive maturity, and chronological age. Providers and parents negotiate when and how the disclosure will occur and the providers perceptions of the permeability of the family privacy boundaries influence the negotiations. An adolescent’s failure to properly adhere to the medication regimen and the initiation of and engagement in sexual behavior are catalysts for immediate disclosure. Finally, a clinical tool is proposed to assist providers and parents in their negotiations around disclosing the child’s HIV status.

College sports in America represent a multibillion dollar industry. Recruiting collegiate student-athletes not only is costly for university teams, but is integral for their long-term success. Universities spend substantial amounts of money to recruit student-athletes, yet relatively little academic work has focused on understanding the athletic recruiting process. While NCAA policy regulates when communication is allowed between coaches and student-athletes, there is a lack of literature investigating what the communicative aspects of athletic recruiting entail. Thus, the purpose of this dissertation is to unpack the student-athlete experience of collegiate athletic recruitment. It builds on theoretical work from organizational and interpersonal communication, as well as management and marketing, to extend existing knowledge of student-athletes’ college choice. Specifically, a conceptual model is presented that includes how student-athletes’ expectations and relationships during athletic recruitment contribute to an overall affinity for the university that, in turn, influences choice.

Thirty Division I student-athletes from six different sports participated in focus groups to discuss their recruitment experiences. Taking a grounded theory approach to the focus group transcripts, thematic analysis illuminated what was most memorable for student-athletes about their recruitment, what expectations they had for the process, and what relational benefits they sought when making their college choice decision. Findings reinforced the prominence of communication in the recruitment process, and indicated the importance of interpersonal relationships, authentic communication, and a customized recruiting experience. This work represents the start of a scholarly trajectory which will further conceptualize and test the relational elements of athletic recruiting. Future directions, as well as theoretical and practical implications, are discussed.

Emotional support messages can benefit recipients; however, verbal and nonverbal aspects of these messages can vary in effectiveness, and the process of communicating support can be stressful to some supporters. One potential behavior that may yield more effective support messages for recipients while reducing anxiety and stress for supporters is message planning. Thus, planning theory is used to test whether planning influences message effectiveness, nonverbal delivery of messages, self-reported anxiety, and physiological stress markers. Additionally, an individual’s trait-level reticence and prior support experiences are predicted to moderate the effects of message planning. One hundred laboratory participants were assigned to either a planning condition or writing distraction task and completed a series of self-report and physiological measures before, during, and after recording an emotional support message to a friend who had hypothetically been diagnosed with a serious form of cancer. Subsequently, a sample of one hundred cancer patients viewed the laboratory participants’ videos to provide message effectiveness ratings and four trained coders provided data on nonverbal behaviors from these recorded messages. Findings showed planning leads to more effective messages; however, it also leads to supporters engaging in success bias and inflation bias. Planning also increased vocal fluency, but not other nonverbal behaviors. Likewise, planning attenuated heart rate reactivity, but not other physiological markers. In general, experience and reticence did not moderate these main effects. Theoretical, practical, clinical, pedagogical, and methodological implications are discussed.

Relational turbulence theory (RTT) has primarily explored the effects of relational uncertainty and partner interdependence on relational outcomes. While robust, the theory fails to account for uncertainties and perceived interdependence stemming from extra-dyadic factors (such as partners’ social networks). Thus, this dissertation had two primary goals. First, scales indexing measures of social network-based relational uncertainty (i.e., network uncertainty) and social network interdependence are tested for convergent and divergent validity. Second, measurements of network uncertainty and interdependence are tested alongside measures featured in RTT to explore predictive validity. Results confirmed both measurements and demonstrated numerous significant relationships for turbulence variables. Discussions of theoretical applications and future directions are offered.

The current study employs dyadic data analysis to explore the intrapersonal and interpersonal antecedents of sexual communication in romantic relationships. Working from a family relational schema theoretical framework (family communication patterns [FCPs]; see Koerner & Fitzpatrick, 2002a), it is argued that FCPs within individuals’ family of origin structure their relational schema, which is subsequently associated with their openness and quality of sexual communication in their sexually active romantic relationships. In particular, dyadic data procedures are used to explore the interdependent influence of partners’ FCPs on reported sexual communication. It was predicted that individual (actor effects) and partner (partner effects) reports of FCPs are associated with individuals’ reports of sexual communication within romantic relationships. In addition, alternative models were proposed that predicted FCPs are associated with individuals’ self-schema (i.e., general and sexual self-concept), which is in turn associated with sexual communication. A sample of 216 heterosexual romantic dyads (N = 432) participated in a cross-sectional online questionnaire study. Results from path analyses provide partial support for hypotheses. Specifically, individuals from conversationally-oriented families tended to report higher levels of sexual communication in their romantic relationships. Also, the interaction effect between conversation and conformity orientations indicate that dyads tend to engage in more sexual communication when dyadic partners are from pluralistic families (i.e., high conversation, low conformity), and they engage in less sexual communication when partners are from laissez-faire families (i.e., low conversation, low conformity). Furthermore, FCPs were associated with the general and sexual self-concept (i.e., general self-esteem, general social anxiety, sexual self-esteem, and sexual anxiety), which in turn were associated with sexual communication. This study is important for its contribution to the family, interpersonal, and relational communication literature, as well as for its potential to expand Koerner and Fitzpatrick’s (2002a) theory of family relational schema to more domain-specific areas of communication, like sexual communication.

The purpose of this study was to examine the utility of the Extended Parallel Process Model (EPPM) in guiding message design for a new health context, reducing meat consumption. The experiment was a posttest only design with a comparison and a control group. Message design was informed by the EPPM and contained threat and efficacy components. Participants (Americans ages 25-44 who eat meat approximately once a day) were randomly assigned to view a high threat/ high efficacy video, a high threat/ low efficacy video, or to be in a control group. Dependent variables were danger control outcomes (i.e., attitudes, intentions, and behavior) and fear control outcomes (i.e., perceived manipulative intent, message derogation, and defensive avoidance). Outcomes were assessed at an immediate posttest (Time 1) and at a one-week follow up (Time 2). There were 373 participants at Time 1 and 153 participants at Time 2. The data did not fully fit either the EPPM or the additive model; both videos were equally persuasive and resulted in greater message acceptance (attitude change, behavioral intention, and behavior) than the control group. Because the high threat/ low efficacy group was more persuasive than the control group, the data more closely fit the additive model. Fear control outcomes did not differ between the two video groups. Overall, the study demonstrated the effectiveness of using the EPPM to guide video message design in a new health context, reducing meat consumption. The results supported the EPPM prediction that a high-threat high-efficacy message would result in message acceptance, but support was not found for the necessity of an efficacy component for message acceptance. These findings can be used to guide new or existing health campaigns that seek to improve public health outcomes, including reducing the incidence of heart disease, cancer, diabetes, and obesity.

This study utilized targeted messages and expert and referent sources in an effort to promote physical activity behavior in college students. College students aged 18-25, excluding collegiate athletes, were randomized into three conditions using their current physical activity level. Two of the conditions received targeted messages highlighting three primary components of social cognitive theory - self-efficacy, outcome expectations, and goals - while the third condition received no messages. In addition, the experimental conditions received the messages from either an expert (i.e., a personal trainer) or a referent (i.e., a close friend). In this way, this experiment analyzed whether receiving social cognitive theory messages increased physical activity indicators compared to the control condition, as well as if the message source caused differences in the physical activity indicators. Moreover, participants completed Time 1 and Time 2 measures to determine if receiving messages or not caused changes over a one week time period. Seven physical activity indicators were assessed: self-efficacy, positive outcome expectations, negative outcome expectations, attitudes, response-efficacy, intentions, and physical activity behavior. Results revealed that both the personal trainer and close friend conditions had significantly higher scores than the control condition for intentions at Time 1 and Time 2, as well as physical activity behavior at Time 2. Moreover, the personal trainer condition had significantly higher positive outcome expectations compared to both the friend and control conditions. No other significant differences were found across conditions for Time 1 attitudes, response-efficacy, negative outcome expectations, self-efficacy, and Time 2 attitudes, and self-efficacy. Overall, targeted messages were effective in increasing physical activity intentions and behavior regardless of the message source.

An offender's expression of remorse plays an important role following relational transgressions, yet it is not well understood how the experience and expression of remorse relate to both victim responses to hurt and forgiveness in close relationships. This study uses a social functionalist framework to investigate the role of remorse in the forgiveness process and tests whether offender remorse experiences mediate the associations between victim responses to hurt and remorse expressions. Undergraduate participants (N=671) completed questionnaires about a time when they hurt a close relational partner and reported their partners' responses to hurt, their own experiences and expressions of remorse, and their perceptions of forgiveness. Results indicated that victims' sad communication positively predicted offenders' other-oriented and affiliation remorse experiences; victims' threatening communication positively predicted offenders' self-focused remorse experience; and victims' conciliatory communication and withdrawal positively predicted offenders' affiliation and self-focused remorse experiences. Results of the mediation analyses revealed that self-focused remorse fully mediated the relationship between victim threatening communication and low status behaviors; other-oriented remorse partially mediated the association between victim sad communication and apology/concern behaviors; and affiliation partially mediated the relationship between victim conciliatory communication and connection behaviors. Victims' withdrawal behaviors and offenders' use of compensation were not related. Finally, offenders' apology/concern and connection behaviors associated positively with perceptions of forgiveness, whereas low status behaviors negatively predicted forgiveness. Use of compensation following a hurtful event was not significantly related to forgiveness. Results are interpreted within the framework of evolutionary psychology and further validate the functional approach to studying emotion.