This study investigated how young adults communicate their decision to religiously disaffiliate to their parents. Both the context in which the religious disaffiliation conversation took place and the communicative behaviors used during the religious disaffiliation conversation were studied. Research questions and hypotheses were guided by Family Communication Patterns Theory and Face Negotiation Theory. A partially mixed sequential quantitative dominate status design was employed to answer the research questions and hypotheses. Interviews were conducted with 10 young adults who had either disaffiliated from the Church of Jesus Christ of Latter-day Saints or the Watch Tower Society. During the interviews, the survey instrument was refined; ultimately, it was completed by 298 religiously disaffiliated young adults. For the religious disaffiliation conversation’s context, results indicate that disaffiliated Jehovah’s Witnesses had higher conformity orientations than disaffiliated Latter-day Saints. Additionally, disaffiliated Jehovah’s Witnesses experienced more stress than disaffiliated Latter-day Saints. Planning the conversation in advance did lead to the disaffiliation conversation being less stressful for young adults. Furthermore, the analysis found that having three to five conversations reduced stress significantly more than having one or two conversations. For the communicative behaviors during the religious disaffiliation conversation, few differences were found in regard to prevalence of the facework behaviors between the two groups. Of the 14 facework behaviors, four were used more often by disaffiliated JW than disaffiliated LDS—abuse, passive aggressive, pretend, and defend self. In terms of effectiveness, the top five facework behaviors were talk about the problem, consider the other, have a private discussion, remain calm, and defend self. Overall, this study begins the conversation on how religious disaffiliation occurs between young adults and their parents and extends Family Communication Patterns Theory and Face Negotiation Theory to a new context.

Social media sites focusing on health-related topics are rapidly gaining popularity among online health consumers, also known as "e-patients". The increasing adoption of social media by e-patients and their demand for reliable health information has prompted several health care organizations (HCOs) to establish their social media presence. HCOs are using social media to connect with current and potential e-patients, and improve patient education and overall quality of care. A significant benefit for HCOs in using social media could potentially be the improvement of their quality of care, as perceived by patients. Perceived quality of care is a key determinant of patients' experience and satisfaction with health care services, and has been a major focus of research. However, there is very little research on the relationship between patients' online social media experience and their perceived quality of care. The objective of this research was to evaluate e-patients' online experience with an HCO's social media sites and examine its impact on their perceived quality of care. Research methodology included a combination of qualitative and quantitative approaches. Data for this study was collected from Mayo Clinic's social media sites through an online survey. Descriptive statistics were used to identify basic demographic profiles of e-patients. Linear regression analysis was used to examine the relationship between online experience and perceived quality of care. Qualitative data was analyzed using thematic analysis. Results showed a positive relationship between online experience and perceived quality of care. Qualitative data provided information about e-patients' attitudes and expectations from healthcare social media. Overall, results yielded insights on design and management of social media sites for e-patients, and integration of these online applications in the health care delivery process. This study is of value to HCOs, health communicators and social media designers, and will also serve as a foundation for subsequent studies in the area of health care social media.

Employing qualitative methods and drawing from an intersectional framework which focuses on the multiple identities we all embody, this dissertation focuses on oppressions and resistance strategies employed by women of color in Xbox live, an online gaming community. Ethnographic observations and narrative interviewing reveal that women of color, as deviants within the space, face intersecting oppressions in gaming as in life outside the gaming world. They are linguistically profiled within the space based off of how they sound. They have responded with various strategies to combat the discrimination they experience. Some segregate themselves from the larger gaming population and many refuse to purchase games that depict women in a hyper-sexualized manner or that present people of color stereotypically. For others, the solution is to "sit-in" on games and disrupt game flow by 'player-killing' or engage in other 'griefing' activities. I analyze this behavior in the context of Black feminist consciousness and resistance and uncover that these methods are similar to women who employ resistance strategies for survival within the real world.