J Douglas Storey - Academia.edu (original) (raw)

Papers by J Douglas Storey

Medical Journal of Indonesia, 2020

BACKGROUND Despite the limited use of long-acting reversible contraception (LARC) in Indonesia, t... more BACKGROUND Despite the limited use of long-acting reversible contraception (LARC) in Indonesia, they have proven to be cost-effective in family planning programs. This study was aimed to identify the elements of ideas and views that people hold and their association with the use of LARC (intrauterine devices and implants) as a means of improving its utilization in Nusa Tenggara Barat (NTB) Province, Indonesia. METHODS Data were derived from the Improving Contraceptive Mix Methods survey of 6,384 respondents in Bima District, Central Lombok, and North Lombok, NTB Province, in 2015. Confirmatory factor analysis was used to identify suitable elements of 19 variables and generate three ideation elements on attitude, knowledge, and interpersonal communication. Subsequently, the association of three ideation elements with LARC use in NTB was examined. RESULTS Multivariate analysis revealed that LARC use was higher among women with a positive attitude toward LARC and high frequency of inte...

Indian Journal of Public Health Research & Development, 2019

Objectives : To examine social determinants of long acting and permanent contraceptive method (LA... more Objectives : To examine social determinants of long acting and permanent contraceptive method (LAPM) use among currently married Indonesian women aged 15 to 49 years. Method. Data were derived from a cross-sectional study in Tuban, Kediri, and Lumajang District (East Java Province) and Lombok Barat, Lombok Timur, and Sumbawa District (West Nusa Tenggara Province). Information was obtained from 5,930 respondents using a structure questionnaire. We estimated adjusted odds ratios to evaluate for social determinant factors associated with LAPMs use using multivariate logistic regressions. Results. The prevalence of LAPMs use was 19%. The odds of LAPMs use among women who paid transport cost were higher than that among women who paid none. Similarly, LAPMs use were positively associated with LAPMs availability, encouragement to use LAPMs, perceived distance, knowledge about LAPMs, desire to have no more children, and contraceptive decisions jointly with husbands. Conclusions. Our findings demonstrate the relatively low level of LAPMs use among currently married Indonesian women, and highlight social determinants that influence women to choose LAPMs. Further studies are warranted to include health provider perspective as well as collecting qualitative data in order to adequately assess behaviors of women associated with LAPMs use.

Disaster Medicine and Public Health Preparedness, 2016

Background Indonesia has the highest human mortality from highly pathogenic avian influenza (HPAI... more Background Indonesia has the highest human mortality from highly pathogenic avian influenza (HPAI) A (H5N1) virus infection in the world. Methods A survey of households (N=2520) measured treatment sources and beliefs among symptomatic household members. A survey of physicians (N=554) in various types of health care facilities measured knowledge, assessment and testing behaviors, and perceived clinical capacity. Results Households reported confidence in health care system capacity but infrequently sought treatment for potential HPAI H5N1 signs/symptoms. More clinicians were confident in their knowledge of diagnosis and treatment than in the adequacy of related equipment and resources at their facilities. Physicians expressed awareness of the HPAI H5N1 suspect case definition, yet expressed only moderate knowledge in questioning symptomatic patients about exposures. Self-reported likelihood of testing for HPAI H5N1 virus was high after learning of certain exposures. Knowledge of antiv...

BMC Public Health, 2021

Background Malaria remains a significant public health challenge in Nigeria. Consistent bed net u... more Background Malaria remains a significant public health challenge in Nigeria. Consistent bed net use (sleeping under a treated net every night) has been identified as a key malaria prevention behavior. This paper explores the relationship between mass media social and behavior change interventions, psychosocial factors, and consistent bed net use. Methods Data is from the endline survey of a USAID-funded social and behavior change communication campaign conducted from 2012 to 2017 across five states in Nigeria. The outcome measure was consistent bed net use, and the mediator variable was a composite measure called ideation from a set of psychosocial factors believed to influence bed net use. The independent variable was recall of malaria specific media messages. Multilevel mediation analysis explored if recall of malaria specific media messages had any effect on bed net related ideation and if this ideation had any effect on consistent net use. Results Respondents included in this st...

Health Communication, 2020

How social norms are formed likely has a bearing on the mechanisms underlying their effects on be... more How social norms are formed likely has a bearing on the mechanisms underlying their effects on behavioral outcomes. We propose three mechanisms of norms formation-through direct experience, symbolically through media, or imaginatively-and introduce ideas about normative durability, normative subscription, normative volume, personal agency, and polarization of norms-that likely have a bearing on how norms affect behaviors. The COVID-19 pandemic has important implications for how norms are formed, which in turn invoke different underlying mechanisms in the relationship between social norms and behaviors. We propose a number of hypotheses for future studies to test.

Health Research Policy and Systems, 2020

Background Social, behavioural and community engagement (SBCE) interventions are essential for gl... more Background Social, behavioural and community engagement (SBCE) interventions are essential for global maternal, newborn and child health (MNCH) strategies. Past efforts to synthesise research on SBCE interventions identified a need for clear priorities to guide future research. WHO led an exercise to identify global research priorities for SBCE interventions to improve MNCH. Methods We adapted the Child Health and Nutrition Research Initiative method and combined quantitative and qualitative methods to determine MNCH SBCE intervention research priorities applicable across different contexts. Using online surveys and meetings, researchers and programme experts proposed up to three research priorities and scored the compiled priorities against four criteria – health and social impact, equity, feasibility, and overall importance. Priorities were then ranked by score. A group of 29 experts finalised the top 10 research priorities for each of maternal, newborn or child health and a cross...

Journal of Health Communication, 2017

During an emerging health crisis like the 2014 Ebola outbreak in West Africa, communicating with ... more During an emerging health crisis like the 2014 Ebola outbreak in West Africa, communicating with communities to learn from them and to provide timely information can be a challenge. Insight into community thinking, however, is crucial for developing appropriate communication content and strategies and for monitoring the progress of the emergency response. In November 2014, the Health Communication Capacity Collaborative partnered with GeoPoll to implement a Short Message Service (SMS)-based survey that could create a link with affected communities and help guide the communication response to Ebola. The ideation metatheory of communication and behavior change guided the design of the survey questionnaire, which produced critical insights into trusted sources of information, knowledge of transmission modes, and perceived risks-all factors relevant to the design of an effective communication response that further catalyzed ongoing community actions. The use of GeoPoll's infrastructure for data collection proved a crucial source of almost-real-time data. It allowed for rapid data collection and processing under chaotic field conditions. Though not a replacement for standard survey methodologies, SMS surveys can provide quick answers within a larger research process to decide on immediate steps for communication strategies when the demand for speedy emergency response is high. They can also help frame additional research as the response evolves and overall monitor the pulse of the situation at any point in time.

Journal of epidemiology and global health, Jun 27, 2016

Understanding healthcare-seeking patterns for respiratory illness can help improve estimations of... more Understanding healthcare-seeking patterns for respiratory illness can help improve estimations of disease burden and inform public health interventions to control acute respiratory disease in Indonesia. The objectives of this study were to describe healthcare-seeking behaviors for respiratory illnesses in one rural and one urban community in Western Java, and to explore the factors that affect care seeking. From February 8, 2012 to March 1, 2012, a survey was conducted in 2520 households in the East Jakarta and Bogor districts to identify reported recent respiratory illnesses, as well as all hospitalizations from the previous 12-month period. We found that 4% (10% of those older than 5years) of people had respiratory disease resulting in a visit to a healthcare provider in the past 2weeks; these episodes were most commonly treated at government (33%) or private (44%) clinics. Forty-five people (0.4% of those surveyed) had respiratory hospitalizations in the past year, and just over ...

International Journal of Gynecology & Obstetrics, 2015

Objectives: To develop and test an Integrated Gateway Model of behaviors and factors leading to s... more Objectives: To develop and test an Integrated Gateway Model of behaviors and factors leading to subsequent positive reproductive, maternal, and child health behaviors. Methods: A secondary analysis was conducted using previously published household survey data collected from men (n = 5551; 2011) and women (n = 16 144; 2011) in Nigeria and women in Egypt (n = 2240; 2004-2007). The number of health behaviors each potential gateway behavior predicted was assessed by multivariate regression, adjusting for potential confounders. The influence of gateway factors on gateway behaviors was tested via interaction terms. Gateway behaviors and factors were ranked by the number of health outcomes predicted, both separately and synergistically. Results: The key gateway behavior identified in both datasets was spousal communication about family planning, whereas the key gateway factor was exposure to family planning messages. Conclusions: The model could facilitate innovative research and programming that in turn might promote cascades of positive behaviors in reproductive, maternal, and child health.

Social science & medicine (1982), 2014

Of the world's 1.2 billion adolescents (10-19 years), India is home to the largest number glo... more Of the world's 1.2 billion adolescents (10-19 years), India is home to the largest number globally, about 243 million. However not much is known about the health of young adolescent girls (11-14 years) in India who enter puberty with substantial nutritional and health deficits. Identifying early adolescence as a "gateway" moment, the Saloni pilot study is arandomized control trial (RCT) to improve nutrition, hygiene and reproductive health behaviors in 30 schools in rural Uttar Pradesh (UP), India. A prevention model that includes Sadharanikaran, an ancient Indian theory of communication, guided the development of the intervention. The Saloni strategy includes a 10 session in-school intervention based on compassion, self efficacy, emotional well being, peer and parental support, packaged in the form of short, easy-to-use instructional modules. A diary designed to engage adolescent girls is provided to each girl. The cluster RCT was conducted from January 2010 to Octobe...

The Handbook of Global Health Communication, 2012

Our own experience as scholar-practitioners reinforces this view. Early applications of theory in... more Our own experience as scholar-practitioners reinforces this view. Early applications of theory in health communication emphasized individual-level theories of learning, persuasion, and decision making as they related to health behavior and, especially, behavior change. Programs used psychosocial theories such as Reasoned Action/Planned Behavior (Fishbein and Ajzen, 1975; Ajzen and Fishbein, 1997) and Social Cognitive Theory (Bandura, 1986, 1995) to guide strategic planning, then evaluated the programs guided by the same frameworks (e.g., did communication affect efficacy beliefs and did efficacy beliefs in turn affect behavior?). The systematic application and testing of theories in this way over time, in varied settings and for many health issues demonstrated that it was possible to measure communication processes and outcomes reliably, spurring the field away from the notion of communication impact as an unobservable "black box" process (Friedenberg and Silverman, 2006, pp. 85-88) and toward more sophisticated models of change. It is true that the early modern history of communication theory, including its application to health issues, overemphasized individual-level behavior change. This was soundly criticized, particularly by Latin American scholars (Beltrán, 1974; Diaz Bordenave, 1976), who noted a lack of attention to structural factors in social change and to power inequities that can stifle change. In response, more structurally oriented theories of change arose (Rogers, 1976) that acknowledged additional higher-order determinants of health, such as network structures and access to resources, as well as individual-level psychosocial factors. For example, by the third edition of Diffusion of Innovations, Rogers (1983) had moved beyond an information dissemination model of communication toward the convergence model (Kincaid, 1979, 2009; Rogers and Kincaid, 1981). Convergence describes a process of change grounded in socially situated dialogue, not the result of simple exposure to new information. Thus, behavioral choices take into account the appropriateness of a new practice within the social milieu; the social, economic, and, presumably, cultural costs of a change in practices; the relative advantageeconomic, social, material-of a new practice over an existing one; the complexity of the practice, including access to the resources and social support one needs to actualize change; and whether it is possible to see what happened to others who have tried to change. This version of diffusion also implicitly acknowledged the importance of powerthe capacity to exercise control over others-as a function of network structures and of the relationships between communicators that sometimes distort and sometimes strengthen communication and the process of change. Although commonly measured at the individual level, most of the factors listed above are inherently social and structural, not strictly individual, because they require consideration of one's neighbors, of what is acceptable and possible in one's community and society, of control over resources and access to social support and, in the case of some new practices, the extent to which one can or must collaborate with others to achieve (or resist) change. Demand for Accountability At the same time that a shift was happening toward more social and structural views of communication, more and more opportunities for applied research in diverse settings were being funded under a series of global procurements for health communication

PLoS ONE, 2011

We assessed the literacy level and readability of online communications about H1N1/09 influenza i... more We assessed the literacy level and readability of online communications about H1N1/09 influenza issued by the Centers for Disease Control and Prevention (CDC) during the first month of outbreak. Documents were classified as targeting one of six audiences ranging in technical expertise. Flesch-Kincaid (FK) measure assessed literacy level for each group of documents. ANOVA models tested for differences in FK scores across target audiences and over time. Readability was assessed for documents targeting non-technical audiences using the Suitability Assessment of Materials (SAM). Overall, there was a main-effect by audience, F(5, 82) = 29.72, P,.001, but FK scores did not vary over time, F(2, 82) = .34, P..05. A time-byaudience interaction was significant, F(10, 82) = 2.11, P,.05. Documents targeting non-technical audiences were found to be text-heavy and densely-formatted. The vocabulary and writing style were found to adequately reflect audience needs. The reading level of CDC guidance documents about H1N1/09 influenza varied appropriately according to the intended audience; sub-optimal formatting and layout may have rendered some text difficult to comprehend.

JAIDS Journal of Acquired Immune Deficiency Syndromes, 2014

What is communication? Communicate, v. 1. To make known; impart. 2. To have an interchange, as of... more What is communication? Communicate, v. 1. To make known; impart. 2. To have an interchange, as of ideas. 3. To express oneself in such a way that one is readily and clearly understood. 4. To be connected. From the Latin: communicare, to make common.

PLoS ONE, 2011

International Family Planning Perspectives, 2008

Unlike in other African countries,the fertility rate in Mali has remained at a relatively high ra... more Unlike in other African countries,the fertility rate in Mali has remained at a relatively high rate of 6.8 births per woman.Little research exists on the role that community norms play in use of family planning,particularly in lowprevalence countries. METHODS: Data on 7,671 women in union from the 2001 Mali Demographic and Health Survey were analyzed using multilevel modeling techniques to assess the effects of individual and community factors on the adoption of modern contraceptive methods. RESULTS: Only 5% of women in union were using a modern contraceptive method in 2001.The odds of contraceptive use were elevated among women in the highest wealth quintile,women who approved and whose partner approved of family planning,those who had had recent discussions on family planning with their partner or others and those exposed to family planning messages (odds ratios,1.4-2.7).At the community level,the odds of modern contraceptive use rose with the proportion of women who were exposed to family planning messages (5.5),and decreased as the mean number of births per woman rose (0.7).In the final model,which included both individual-and community-level factors,the community factors were no longer significant. CONCLUSIONS: Because approval of family planning and discussion of family planning with partners were shown to be the factors most strongly associated with modern contraceptive use in the multilevel model,programs that seek to increase individual approval and those that teach communication between partners could be particularly helpful to increasing contraceptive use in Mali.

Influenza and Other Respiratory Viruses, 2012

Population Review, 2009

The debate around the relative influence of ideation versus development on fertility reduction ha... more The debate around the relative influence of ideation versus development on fertility reduction has been ongoing at least since Cleland & Wilson's "iconoclastic view" of fertility transition was published in 1987. While there is fairly wide recognition that the diffusion of new behaviors through a community can play an important role in fertility transitions, there is relatively little research on the effect of changes in the normative environment-a predictable consequence of the ideational process-on a woman's fertility decisions. For the current study, we focus on collective or group norms, which have been defined as "regularities in attitudes and behavior that characterize a social group and differentiate it from other groups." We infer these regularities in behavior and attitudes by aggregating across individual reports to calculate the objective prevalence of these phenomena within groups. Using multilevel analysis of consecutive 1995, 2000 and 2005 Egypt Demographic and Health Surveys (EDHS), we test the effect of changes in the norms related to the desire for a large family and the use of family planning at parity 0 or 1 on self-reported contraceptive use among married women in Egypt. The analysis included 2432 married women 15-49 years for the 1995-2000 period and 5285 women for the 2000-2005 period. Norms are defined at the cluster level, which serves as our community-level unit of analysis. After controlling for individual and other community factors, including changes in literacy, we found that women residing in communities where the desire for large families increased from 1995-2000 were more than 70% less likely to use a contraceptive method. While the trend was similar, no such effect of desired family size was observed from 2000-2005. Instead, residence in a community where use of family planning after the first child increased from 2000-2005 resulted in a more than threefold increase in contraceptive use in 2005. Results indicate that changes in norms measured at the collective level affect individual contraceptive use. Specific attitudinal and behavioral changes that influenced individual action, however, changed over time, consistent with shifts in the emphasis of the national family planning program.

Malaria Journal, 2022

Background Although miners are a priority population in malaria elimination in Guyana, scant lite... more Background Although miners are a priority population in malaria elimination in Guyana, scant literature exists on the drivers of malaria-related behaviour. This study explores the relationship between gold miners’ malaria-related ideation and the adoption of malaria care-seeking and treatment behaviours including prompt care-seeking, malaria testing, and self-medication. Methods Data are from a cross-sectional quantitative survey of 1685 adult miners between the ages of 18–59 years who live in mining camps in Regions 1, 7, and 8. The analysis focused on miners who reported an episode of fever in the past year (n = 745). Malaria care-seeking and treatment ideation was defined as a composite additive score consisting of the following variables: general malaria knowledge, perceived severity, perceived susceptibility, beliefs, perceived self-efficacy, perceived norms, interpersonal communication, and perceived response efficacy. Multivariable logistic regressions explored the relationsh...

BMC Public Health, 2021

Background Malaria is a persistent public health challenge among miners and other hard-to-reach p... more Background Malaria is a persistent public health challenge among miners and other hard-to-reach populations in Guyana’s hinterland, specifically in Regions 1, 7, 8, and 9. Despite an overall decrease in malaria prevalence throughout Guyana, it remains common among mining populations whose work conditions both contribute toward malaria transmission and make it difficult to seek timely, Ministry of Health (MoH) approved malaria testing and treatment services. In an effort to develop innovative approaches to address this public health challenge, an interdisciplinary team of public health professionals, designers, and mining organizations collaborated using a human-centered design (HCD) process facilitated by the USAID-funded Breakthrough ACTION Guyana project in partnership with the MoH. Methods This paper describes two phases: [1] Define and [2] Design & Test. In the Define phase, following a literature review, we conducted 108 qualitative interviews with miners, camp managers, traine...

Medical Journal of Indonesia, 2020

Indian Journal of Public Health Research & Development, 2019

Disaster Medicine and Public Health Preparedness, 2016

BMC Public Health, 2021

Health Communication, 2020

Health Research Policy and Systems, 2020

Journal of Health Communication, 2017

Journal of epidemiology and global health, Jun 27, 2016

International Journal of Gynecology & Obstetrics, 2015

Social science & medicine (1982), 2014

The Handbook of Global Health Communication, 2012

PLoS ONE, 2011

JAIDS Journal of Acquired Immune Deficiency Syndromes, 2014

PLoS ONE, 2011

International Family Planning Perspectives, 2008

Influenza and Other Respiratory Viruses, 2012

Population Review, 2009

Malaria Journal, 2022

BMC Public Health, 2021