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dc.contributor.advisorDurham, Wesley T.
dc.contributor.advisorHenning, Zachary T.
dc.contributor.advisorYoung, Stephanie L.
dc.contributor.authorRickelman, Lauren S.
dc.date.accessioned2019-12-09T18:13:41Z
dc.date.available2019-12-09T18:13:41Z
dc.date.issued2011
dc.identifier.urihttp://hdl.handle.net/20.500.12419/308
dc.descriptionThesis available in Rice Library University Archives and Special Collection.
dc.description.abstractMembers of the African-American community make end-of-life decisions to not utilize hospice services to the same extent as other populations. Prior research has indicated that reasons for underutilization include lack of knowledge, misinformation, and cultural/religious barriers (e.g. Cort, 2004; Taxis, 2006; Reese, Ahern, Nair, O'Faire, & Warren, 1999; Winston, Leshner, Kramer, & Allen, 2005). This paper examines this issue from the standpoint of communication within the African-American community and how this communication influences the decision-making process at the end of life. Qualitative methods of focus groups with key community influencers and structured interviews with family members of deceased African-American hospice patients were employed and revealed data themes that affirmed lack of knowledge, misinformation, and cultural/religious norms act as barriers to hospice utilization among members of African-American communities. Social Identity Theory (Tajfel & Turner, 1979), offers a view of this intra-community communication through the lens of in-group/out-group behaviors, and recognizes implications for future improvement in hospice outreach.
dc.subjectAfrican-American
dc.subjecthealthcare services
dc.subjectidentity and race
dc.title"Intra-community communication influencing African-American hospice utilization"
html.description.abstractMembers of the African-American community make end-of-life decisions to not utilize hospice services to the same extent as other populations. Prior research has indicated that reasons for underutilization include lack of knowledge, misinformation, and cultural/religious barriers (e.g. Cort, 2004; Taxis, 2006; Reese, Ahern, Nair, O'Faire, & Warren, 1999; Winston, Leshner, Kramer, & Allen, 2005). This paper examines this issue from the standpoint of communication within the African-American community and how this communication influences the decision-making process at the end of life. Qualitative methods of focus groups with key community influencers and structured interviews with family members of deceased African-American hospice patients were employed and revealed data themes that affirmed lack of knowledge, misinformation, and cultural/religious norms act as barriers to hospice utilization among members of African-American communities. Social Identity Theory (Tajfel & Turner, 1979), offers a view of this intra-community communication through the lens of in-group/out-group behaviors, and recognizes implications for future improvement in hospice outreach.
dc.contributor.degreeMaster of Arts in Communication
dc.typeThesis (M.A.)--University of Southern Indiana, 2011


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