Provider Influence in Shaping Women's Beliefs about Protection Against Sexually Transmitted Diseases: Case Study

Provider Influence in Shaping Women's Beliefs about Protection Against Sexually Transmitted Diseases: Case Study

Author: 
Trina Green Armstrong
Program of study: 
D.H.A.
Abstract: 
The purpose of this qualitative multiple case study was to explore women’s perceptions of provider influence in shaping their beliefs about protection against sexually transmitted diseases during provider-patient consultations. Women indicate they prefer to discuss sexual health issues with providers, yet research was not available to fully understand provider influence on women’s beliefs regarding sexually transmitted diseases. Telephone interviews were conducted with a purposive sample of 12 adult women in Baton Rouge, Louisiana. Data collected from these interviews and analyzed for emerging themes using NVivo 10 software revealed how women perceived providers’ discussions and the dissemination of STD related information. Findings also revealed how women believed healthcare providers might present sexual health information to motivate changes in risky sexual behaviors. The three major themes emerging from the analyses of the data collected were providers did not initiate discussions about preventing STDs, no information was received about preventing STDs during consultations, and visuals could motivate changes in risky sexual behaviors. Recommendations based on the study’s findings involved identifying opportunities to leverage staff members in healthcare providers’ settings, illuminate cues to action, develop STD awareness programs specifically for women, and to conduct future research.
Dedication: 
I dedicate this dissertation to my deceased paternal grandparents, Mr. Clinton Green and Mrs. Vivian Green. Although you are no longer here, you remain in my heart and I strive to bring honor to your legacies and the foundation you created for our family. To my parents, the late Charles P. Green and Mrs. Geraldine R. Green, who worked selflessly to provide me with a good education.
Acknowledgements: 
First and foremost, I acknowledge my heavenly Father, Almighty God, who helped me to complete this dissertation. I have to believe this was your plan for my life because there were so many bumps in the road that caused me to question my decision to obtain this degree. I know there are moments in life when an individual reflects on his or her choices and may want to give up; however, it is my firm belief that “winners never quit and quitters never win”. Father God, thanks for equipping me with a strong will, determination, and a winner’s fortitude. I would like to acknowledge my committee. After losing two chairs and a committee member during the years I worked on this dissertation, I finally came up with a winning team, all of whose input played an integral part in my ability to complete my dissertation. I wish to acknowledge Dr. Craig H. Martin (Chair), Dr. Shana L. Nicholson (Committee Member), and Dr. Sharon B. Buchbinder (Committee Member). Dr. Craig H. Martin, I was on a wing and prayer when I requested your mentorship to help me complete my proposal. I was two Chairs down and on a timeline. You stepped in and provided the guidance I needed to complete my educational journey. Dr. Shana L. Nicholson, you remained as my only original committee member. Thanks for staying the course. I really appreciated you following up from time to time after not hearing from me because I was on “mental breaks”. Dr. Sharon B. Buchbinder, thanks for accepting my request to be a part of my committee. You are the best cheerleader a student could hope for as evidenced by your frequent quips of “Go get ‘em”. When the going got rough, you always rallied for me. Study Participants, thank you for volunteering to be part of this study. I appreciate your willingness to contribute to my research. I could not have completed my doctoral program without you. Dr. Kala Subramanian, thank you for your support and advice. You became a valued resource after you and I met at year three residency in Atlanta. Your insight was greatly appreciated. Lastly, I wish to acknowledge anyone who listened to me vent throughout the years as I worked to complete my dissertation. You know who you are!