Dhavan V Shah

Dhavan V Shah
University of Wisconsin–Madison | UW · School of Journalism and Mass Communication

Ph.D., University of Minnesota

About

203
Publications
88,338
Reads
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13,179
Citations
Additional affiliations
January 2008 - present
University of Wisconsin–Madison
Position
  • Managing Director
September 1998 - present
University of Wisconsin–Madison
Position
  • Maier-Bascom Professor
August 1998 - present
University of Wisconsin–Madison
Position
  • Maier-Bascom Professor
Description
  • Dhavan V. Shah is the Louis A. & Mary E. Maier-Bascom Professor at the University of Wisconsin, where he is Director of the Mass Communication Research Center (MCRC) and Scientific Director in the Center for Health Enhancement System Studies (CHESS).

Publications

Publications (203)
Article
Widespread COVID-19 vaccination is critical to slow the spread of the illness. This study investigates how political ideology is associated with COVID-19 vaccine intention via perceived effectiveness of the vaccine, perceived side effects, and perceived severity of the illness, three key aspects of the Health Belief Model (HBM). This study also exa...
Article
Objective Motivating older adults to follow up with an outpatient clinician after discharge from emergency departments (ED) is beneficial yet challenging. We aimed to answer whether psychological needs for motivation and discrete emotions observed by care transition coaches would predict this behavioral outcome. Methods Community-dwelling older ad...
Article
Full-text available
Background Understanding public discourse about a COVID-19 vaccine in the early phase of the COVID-19 pandemic may provide key insights concerning vaccine hesitancy. However, few studies have investigated the communicative patterns in which Twitter users participate discursively in vaccine discussions. Objectives This study aims to investigate 1)...
Article
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With increasing evidence on deepening cleavages along geographic lines, we argue that the local political climate plays an important role in political decision-making and engagement. In this study, we aim to understand the role of political contexts in shaping different forms of political participation, whether centered in the local community or in...
Article
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Social bots, or algorithmic agents that amplify certain viewpoints and interact with selected actors on social media, may influence online discussion, news attention, or even public opinion through coordinated action. Previous research has documented the presence of bot activities and developed detection algorithms. Yet, how social bots influence a...
Book
Battleground models Wisconsin's contentious political communication ecology: the way that politics, social life, and communication intersect and create conditions of polarization and democratic decline. Drawing from 10 years of interviews, news and social media content, and state-wide surveys, we combine qualitative and computational analysis with...
Article
Political campaigns often feature jarring revelations against candidates. This study examines how audiences come to understand major campaign events, the extent to which they shape evaluations of candidates, and how their impact is filtered through an increasingly partisan news media environment. Using national rolling cross-sectional survey data c...
Article
Marked by both deep interconnectedness and polarization, the contemporary media system in the United States features news outlets and social media that are bound together, yet deeply divided along partisan lines. This article formally analyzes communication flows surrounding mass shootings in the hybrid and polarized U.S. media system. We begin by...
Article
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Although several theories posit that information seeking is related to better psychological health, this logic may not apply to a pandemic like COVID-19. Given uncertainty inherent to the novel virus, we expect that information seeking about COVID-19 will be positively associated with emotional distress. Additionally, we consider the type of news m...
Article
We examine how individuals’ interactions with the shifting contemporary communication ecology—either by seeking information selectively from partisan sources or immersing themselves in a broad range of partisan communications — relate to shifting levels of social trust and online engagement. Using national panel surveys of young adults (i.e., mille...
Article
In this research note, we provide evidence about burdens people face when voting and who benefits from policies designed to mitigate those burdens. Using pre-and-post 2018 midterm elections panel surveys in Wisconsin, we show that Black voters estimate greater time getting to the polls and Hispanic voters report longer wait times once they are ther...
Preprint
Successful long-term recovery from Opioid Use Disorder requires continuous lapse risk monitoring and appropriately using and adapting recovery-supportive behaviors as lapse risk changes. Available treatments often fail to support long-term recovery by failing to account for the dynamic nature of long-term recovery. This protocol paper describes res...
Article
Background: Successful long-term recovery from Opioid Use Disorder requires continuous lapse risk monitoring and appropriately using and adapting recovery-supportive behaviors as lapse risk changes. Available treatments often fail to support long-term recovery by failing to account for the dynamic nature of long-term recovery. Objective: This pr...
Preprint
BACKGROUND Successful long-term recovery from opioid use disorder (OUD) requires continuous lapse risk monitoring and appropriate use and adaptation of recovery-supportive behaviors as lapse risk changes. Available treatments often fail to support long-term recovery by failing to account for the dynamic nature of long-term recovery. OBJECTIVE The...
Article
Full-text available
Vaccine hesitancy has been a growing public health issue, but during COVID-19, understanding vaccine hesitancy and promote vaccine favorability takes on a troubling immediacy. With the growing political polarization on scientific issues, the COVID-19 vaccine-related sentiment has recently been divided across ideological lines. This study aims to un...
Article
Live-tweeting has emerged as a popular hybrid media activity during broadcasted media events. Through second screens, users are able to engage with one another and react in real time to the broadcasted content. These reactions are dynamic: they ebb and flow throughout the media event as users respond to and converse about different memorable moment...
Article
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Background By 2030, the number of US adults age ≥65 will exceed 70 million. Their quality of life has been declared a national priority by the US government. Objective Assess effects of an eHealth intervention for older adults on quality of life, independence, and related outcomes. Design Multi-site, 2-arm (1:1), non-blinded randomized clinical t...
Article
Mass shootings spur intense coverage across the ideological news media spectrum. A comparative analysis of news attention to verified features of events across partisan news outlets provides opportunities to understand the news values driving coverage in each of these venues. To examine these relationships, we conducted time-series analyses using a...
Article
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People living with HIV (PLWH) and substance use disorder (SUD) are particularly vulnerable to harmful health consequences of the global COVID-19 pandemic. The health and social consequences of the pandemic may exacerbate substance misuse and poor management of HIV among this population. This study compares substance use and HIV care before and duri...
Article
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A certain social-political geography recurs across European and North American societies: As post-industrialization and mechanization of agriculture have disrupted economies, rural and nonmetropolitan areas are aging and declining in population, leading to widening political and cultural gaps between metropolitan and rural communities. Yet politica...
Article
Despite the fact that social distancing is an effective mean to slow the spread of COVID-19, individuals often fail to practice this behavior. Major US news media provided information to the public about social distancing after COVID-19 was declared a pandemic, potentially spurring this preventative health practice. Using data from a representative...
Article
Full-text available
This study examines whether communication within a smartphone-based application for addiction recovery produces distinct effects depending on 1) the “level” of communication, defined as intraindividual communication (e.g., journal entries to oneself); dyadic communication (e.g., private messaging to other individuals); or network communication (e.g...
Article
Garnering coverage across the political spectrum is a major challenge for burgeoning social movements. The #MeToo movement stands out due to the volume of attention it generated. Yet, it is unclear how news media across the partisan spectrum covered the movement using different sexual violence language markers, latent topic, and word choices and wh...
Article
Garnering coverage across the political spectrum is a major challenge for burgeoning social movements. The #MeToo movement stands out due to the volume of attention it generated. Yet, it is unclear how news media across the partisan spectrum covered the movement using different sexual violence language markers, latent topic, and word choices and wh...
Article
Full-text available
The study examines whether physicians’ framing of clinical interactions is related to patient shared decision-making (SDM) satisfaction when using a clinical decision support tool (CDST) concerning mammographic screening. To answer this question, we combined (a) system log data from a CDST, (b) content coding of the physicians’ message framing whil...
Preprint
BACKGROUND Multiple chronic conditions (MCCs) are common and expensive among older adults. Of Medicare beneficiaries, two-thirds have multiple conditions (eg, diabetes, osteoarthritis) and account for more than 90% of Medicare spending. At the same time, patients with MCCs experience lower quality of life and worse medical and psychiatric outcomes...
Article
Background Multiple chronic conditions (MCCs) are common among older adults and expensive to manage. Two-thirds of Medicare beneficiaries have multiple conditions (eg, diabetes and osteoarthritis) and account for more than 90% of Medicare spending. Patients with MCCs also experience lower quality of life and worse medical and psychiatric outcomes t...
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Since the 2016 election, the relationship between Trump supporters and Fox News has gained considerable attention. Drawing on interviews with more than 200 people and a representative survey conducted in the state of Wisconsin, we dive deeper into the media habits of Trump supporters using a mixed methods analytical approach. While we do not refute...
Article
Objective This investigation explores how using different e‐health interventions facilitates positive psychosocial changes and how these changes reduce cancer concerns and improve quality of life in breast cancer patients over time. Methods A total of 326 breast cancer patients were randomly assigned to one of three e‐health interventions: (1) Int...
Preprint
BACKGROUND The growing epidemic of opioid use disorder (OUD) and associated injection drug use has resulted in a surge of new hepatitis C virus (HCV) infections. Approximately half of persons with HCV infection are unaware of their HCV status. Improving HCV awareness and increasing screening among people with OUD is critical. A-CHESS is an evidence...
Article
Background The growing epidemic of opioid use disorder (OUD) and associated injection drug use has resulted in a surge of new hepatitis C virus (HCV) infections. Approximately half of the people with HCV infection are unaware of their HCV status. Improving HCV awareness and increasing screening among people with OUD are critical. Addiction-Comprehe...
Article
Full-text available
Scholars have adopted Street’s (2003) ecological model of communication in medical encounters to investigate the factors promoting patient participation in health care. However, factors demonstrated in the ecological model were bounded in the context of medical care primarily focusing on health care providers and patients. Social factors, such as p...
Article
Populism, as many have observed, is a communication phenomenon as much as a coherent ideology whose mass appeal stems from the fiery articulation of core positions, notably hostility toward “others,” bias against elites in favor of “the people,” and the transgressive delivery of those messages. Yet much of what we know about populist communication...
Article
How populists engage with media of various types, and are treated by those media, are questions of international interest. In the United States, Donald Trump stands out for both his populism-inflected campaign style and his success at attracting media attention. This article examines how interactions between candidate communications, social media,...
Article
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Despite growing attention to an increasing partisan divide and populist voting, little attention has been directed at how social contexts might encourage greater or lesser political polarization. We address this gap by studying how county-level conditions—economic resilience, population change, and community health—intersect with individuals’ polit...
Article
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The purpose of this study was to investigate the nature and effects of exchanging emotional support via a smartphone-based support group for patients with alcohol dependence. Of the 349 patients who met the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for alcohol dependence, 153 patients participated in the discussion gr...
Article
Objective: Individuals in recovery for substance use disorders (SUDs) increasingly use online social support forums, necessitating research on how communicating through these forums can affect recovery. This study examines how giving and receiving support within an SUDs recovery forum predict substance use, and considers whether effects vary accor...
Article
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Recent studies have devoted attention to the effects of both expression and reception in communication process. However, there remain both theoretical and methodological complexities concerning whether and under what condition message expression and reception play significant but different roles in explaining various psychosocial health outcomes. R...
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This study focuses on the outpouring of sympathy in response to mass shootings and the contesta-tion over gun policy on Twitter from 2012 to 2014 and relates these discourses to features of mass shooting events. We use two approaches to Twitter text analysis-hashtag grouping and supervised machine learning (ML)-to triangulate an understanding of in...
Article
Although low socio-economic status (SES) persons with diabetes show low levels of physical activity (PA), there is limited knowledge regarding which media is effective in improving their PA. This study aimed to determine the appropriate media for providing PA-related information to persons with diabetes in low SES compared with those in high SES. T...
Chapter
The use of Twitter by Donald Trump, and the amplification of his voice in the form of retweets, has been demonstrated to be one of the most consistent and powerful predictors of Trump’s news coverage, suggesting that he was able to leverage his interactions on social media into earned media attention worth billions of dollars. In the present study,...
Preprint
Full-text available
BACKGROUND People who inject opioids are at a disproportionate risk for contracting hepatitis C virus (HCV). However, use of HCV prevention and treatment services remains suboptimal among people with substance use disorders due to various health system, societal, and individual barriers. Incorporating HCV-specific resources into addiction treatment...
Article
Background People who inject drugs are at a disproportionate risk for contracting hepatitis C virus (HCV). However, use of HCV prevention and treatment services remains suboptimal among people with substance use disorders due to various health system, societal, and individual barriers. Mobile health applications offer promising strategies to suppor...
Chapter
The use of Twitter by Donald Trump, and the amplification of his voice in the form of retweets, has been demonstrated to be one of the most consistent and powerful predictors of Trump’s news coverage, suggesting that he was able to leverage his interactions on social media into earned media attention worth billions of dollars. In the present study...
Article
Full-text available
When political disputes devolve into heated partisan conflicts, do the factors known to trigger electoral political engagement continue to operate, or do they change? We consider this question during a divisive electoral context—a gubernatorial recall—focusing on how media consumption, conversations, and interactions with social media feed into the...
Article
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Background: Online discussion forums allow those in addiction recovery to seek help through text-based messages, including when facing triggers to drink or use drugs. Trained staff (or "moderators") may participate within these forums to offer guidance and support when participants are struggling but must expend considerable effort to continually...
Article
Parental concerns over the safety or necessity of childhood vaccination have increased over the past decades. At the same time, there has been a proliferation of vaccine-related information available through a range of health information sources. This study investigates the associations between evaluations of health information sources, parental pe...
Article
Background: Despite the near ubiquity of mobile phones, little research has been conducted on the implementation of mobile health (mHealth) apps to treat patients in primary care. Although primary care clinicians routinely treat chronic conditions such as asthma and diabetes, they rarely treat addiction, a common chronic condition. Instead, addict...
Article
This study examined the interplay of depression and different types of e-health interventions on breast cancer patients’ perceived healthcare competence, emotional processing, and social well-being over time. The three e-health interventions––Internet Only as a control condition, CHESS (Comprehensive Health Enhancement Support System) Only, and CHE...
Article
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Background Symptom distress in patients toward the end of life can change rapidly. Family caregivers have the potential to help patients manage those symptoms, as well as their own stress, if they are equipped with the proper resources. Electronic health (eHealth) systems may be able to provide those resources. Very sick patients may not be able to...
Article
This study examined how giving and receiving emotional support in a smartphone-based alcoholism support group changed over time, and what factors predicted the changing patterns. Data were collected as part of a randomized clinical trial of testing a smartphone-based relapse prevention system for alcoholics. Findings suggested that giving and recei...
Article
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Despite the mounting evidence of efficacy of eHealth interventions, their mechanisms of action remain unknown. The current study analyzed patient log data as each patient engaged in an eHealth system called the Comprehensive Health Enhancement Support System (CHESS) and reports on how patients engage with different combinations of eHealth services...
Article
Increasingly, individuals with alcohol use disorder (AUD) seek and provide support for relapse prevention in text-based online environments such as discussion forums. This paper investigates whether language use within a peer-to-peer discussion forum can predict future relapse among individuals treated for AUD. A total of 104 AUD sufferers who had...
Article
Full-text available
A long tradition of research focuses on conversation as a key catalyst for community integration and a focal mediator of media influence on participation. Changes in media systems, political environments, and electoral campaigning demand that these influences, and the communication mediation model, be revised to account for the growing convergence...
Article
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Background: We estimated the efficacy of the Addiction-Comprehensive Health Enhancement Support System (A-CHESS) in increasing the use of services for addiction and examined the extent to which this use of services mediated the effects of A-CHESS on risky drinking days and abstinence from drinking. Methods: We conducted secondary data analyses o...
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Background: Obtaining adequate social support presents a challenge for many in addiction recovery. Increasingly, individuals in recovery use online forums to exchange support with peers, yet it is unclear which help-seeking strategies most effectively recruit peer support, and which forms of support are most valued by recipients. Methods: This s...
Article
This article presents an innovative methodology to study computer-mediated communication (CMC), which allows analysis of the multi-layered effects of online expression and reception. The methodology is demonstrated by combining the following three data sets collected from a widely tested eHealth system, the Comprehensive Health Enhancement Support...
Article
Despite the democratic significance of citizen talk about politics, the field of communication has not considered how that talk is weathering stresses facing our civic culture. We examine political talk during an archetypal case of political contentiousness: the recall of Governor Scott Walker of Wisconsin in 2012. Pairing qualitative and quantitat...
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This study investigated the role of breast cancer survivors in a computer-mediated social support (CMSS) group for women with breast cancer. Applying a computer-aided content analytic method, the present study examined the differences in support provision between survivors and newly diagnosed patients. This study further investigated the impacts of...
Article
The impact of presidential debates on candidate evaluations remains an open topic. Research has long sought to identify the factors that matter most in citizens? responses to debate content, including what candidates say, how they say it, and the manner in which they appear. This study uses detailed codings of the first and third 2012 presidential...
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Full-text available
Background Opioid dependence has devastating and increasingly widespread consequences and costs, and the most common outcome of treatment is early relapse. People who inject opioids are also at disproportionate risk for contracting the human immunodeficiency virus (HIV) and hepatitis C virus (HCV). This study tests an approach that has been shown t...
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This study investigates how social support and family relationship perceptions influence breast cancer patients' online communication networks in a computer-mediated social support (CMSS) group. To examine social interactions in the CMSS group, we identified two types of online social networks: open and targeted communication networks. The open com...
Article
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Background Millions of Americans need but don’t receive treatment for substance use, and evidence suggests that addiction-focused interventions on smart phones could support their recovery. There is little research on implementation of addiction-related interventions in primary care, particularly in Federally Qualified Health Centers (FQHCs) that p...
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Purpose Despite the growing use of social media by politicians, especially during election campaigns, research on the integration of these media into broader campaign communication strategies remains rare. The purpose of this paper is to ask what the consequences of the transition to social media may be, specifically considering how Senate candidat...