Foreign-born providers make up over a quarter of the physician workforce nationally. Patients in south central Pennsylvania are primarily white with limited interaction with foreigners which can produce barriers to communication and trust. This study proposes practical steps for building positive relationships between patients and their foreign-born providers. Ethnographic methods were used to interview and survey patients and providers about the relationships between foreign-born providers and patients, primarily in the Summit Health system. The results of the study provide a framework of how trust is built between patients and providers in general, suggest additional actions for foreign-born providers, and propose ways patients can do their part to achieve a positive relationship with their provider. While much of the literature on cultural competence is in the context of patients who are from minority ethnicities, this study adds to the body of research by also considering the providers as part of minority groups.

Today over 1.1 million people are living with HIV/AIDS in the United States; over the last 4 decades mortality rates have decreased largely made in part because of advancement in awareness and treatment options. Treatment adherence has long been considered a vital component in decreasing HIV/AIDS related mortality and has proven to reduce the risk of transmission. However not all patients take their medicine as prescribed. This research study, sponsored by The North Central Texas HIV Planning Council explored how Patient and Provider communication impacted treatment adherence. By utilizing a mixed-methods approach survey data and semi-structured interviews were used to collect insights from both Patients and Providers. Data gleaned through the interview process provided a perspective that could not be captured by using quantitative methods alone. The results from this research yielded multiple themes related to patient and provider communication with recommendations as to how The North Central Texas HIV Planning Council could address treatment adherence, such as Providers focus on Patients perceived severity based on their understanding of disease and illness; that side-effects remain a concern for patients and should not be dismissed; and finally that the word AIDS is perceived to be more stigmatized and as such organizations …

Today breastfeeding is a common conversation with the ever-growing holistic movement and the effort to 'go green' as demonstrated by the proliferation of the organic food industry in recent years within the United States. Breastfeeding may reduce poor health outcomes including infant morbidity and mortality. Infant mortality is a priority in Tarrant County within southeast Fort Worth as defined by this project’s client Healthy Moms – Healthy Babies – Healthy Community. The purpose of this research was to identify the contextual factors that influence breastfeeding decisions among the zip codes in southeast Fort Worth in which infant mortality is greatest. In analysis of the data among breastfeeding mothers and stakeholders, support was the greatest contribution to successful breastfeeding.

This thesis contributes to research that informs the studies of organizational management and organizational anthropology. It examines the internal hierarchy and organizational practices of a Tech Company and describes how findings contributed to policy recommendations aimed towards supporting a “guild” model for organizational success. The data collecting and research were undertaken while working as an employee of the Tech Program and subsequent analysis continued past the end of that phase of work. Methods included semi-structured interviews which captured the sentiments and understandings of employees within the organization, and a questionnaire which revealed sentiments and experiences from former employees. These were buttressed with participant observation engaged through a participatory action research methodology. Findings add to the work directed towards understanding the effect of Founder’s Syndrome within organizations. Additionally, this thesis contributes to a growing body of research centered on best practices for fostering positive organizational growth by creating lines of communication from front-line employees to management level employers.

This thesis contributes to research that informs the design of autonomous vehicles (AVs). It examines interactions among various types of road users, such as pedestrians and drivers, and describes how findings can contribute to the design of AVs. The work was undertaken as part of a research internship at Nissan Research Center-Silicon Valley on the Human Understanding in Design team. Methods included video ethnography “travel-alongs” which captured the experience of travel from the point of view of drivers and pedestrians, analysis of interaction patterns taken from video of intersections, and analysis of road laws. Findings address the implications of what it will mean for AVs to exist as social entities in a world of varied road contexts, and how AVs might navigate the social act of driving on roads they share with a variety of human users. This thesis contributes to an emerging body of research and application on the subject of the AV in the world.

Utilizing a mixed methods approach in assessing cities and metropolitan areas with the highest rates of breast cancer disparities in African-American communities, this study presents the Affiliate perspective of the Susan G. Komen non-profit organization in combination with available socioeconomic data and academic literature. Analyzed through an anthropological lens, qualitative and quantitative data illuminate the lived experiences and dynamic circumstances in which breast cancer disparities are disproportionately experienced in 21 of the nation’s populations of African-Americans. Two main recommendations arose from this research: prioritization of granting to activities such as patient navigation, usage of patient narrative messaging, community-based participatory research methods of program development and implementation, mobile mammography delivery, usage of lay health educators, and self-advocacy education to alleviate barriers to healthcare and supplementation of the current educational activities of the Komen Affiliates through program sharing and leverage of current assets with consideration of current Affiliate capacity. These recommendations may help in alleviating breast cancer disparities present in African-American communities with the highest levels of disparities in the nation.

The Energy Assistance Fund (EAF) is a voluntary, nonprofit fuel fund that provides grants to income qualified utility customers in an effort to help those customers avoid electricity service disconnection. The administering utility and the energy industry as a whole is undergoing transformative change, resulting in a projected decrease of fundraising capacity for EAF among its most substantial donor pool - utility shareholders and employees. Utility customers represent a small percentage of EAF donors, despite the significant size of the customer base. Through a series of ethnographic interviews and secondary research, this thesis seeks to understand the demographics and motivations of utility customers who donate to EAF in order to help improve EAF’s fundraising strategy and donor solicitations to eventually grow customer donations. The goal of EAF is to maintain or grow donations from 2014 levels so the Fund can continue to serve income qualified customers facing energy poverty. This thesis provides a contextual review of fuel funds; challenges faced by the energy and utility industry; the politics and culture of energy; as well as nonprofit sector fundraising challenges and cultures/motivations of giving. This thesis includes client deliverables such as thick description of donor motivation, motivation themes and a donor …

Representatives of the City of Highland Village expressed concern over the risk of wildfires for their community. Anthropology provides many tools for and examples of disaster assessment of preparedness, response, recovery, and mitigation. These tools combined with Geographic Information Systems (GIS) can provide a holistic, cultural ecological look at how such a disaster may take place in the city. The project's methods included a detailed survey of preparedness steps which was analyzed using SPSS and also imported into ArcGIS for spatial analysis, and semi-formal, in-depth interviews with residents of the community regarding preparedness, response, and recovery. Residents fell into a middle category of preparedness, with the majority of participants considering or implementing a few recommended preparedness steps. Interview participants expressed respect for and trust of the city and first-responders, as well as a willingness to volunteer their help during response and recovery stages. Finally the American Community Survey showed that resident socioeconomic vulnerability was considerably low, and no action needed to be taken to advocate for at-risk individuals. Overall, the City of Highland Village showed a high resiliency to disaster. A wildfire likely will not have a major impact on the community as a whole, though the city may reduce …

Using ethnographic research methods, I collaborated with the organization Earthworks to conduct a community assessment on the health issues related to the air quality in Karnes County, Texas, an oil and gas community. The research consisted of in-depth interviews with residents on their experiences and knowledge on the health issues associated to air quality. This research is going to be used to inform the community and develop strategies to empower community members in improving their environmental conditions.