{"id":275,"date":"2017-09-04T19:01:56","date_gmt":"2017-09-04T19:01:56","guid":{"rendered":"http:\/\/medicalrhetoric.com\/symposium2017\/?page_id=275"},"modified":"2018-05-31T15:17:12","modified_gmt":"2018-05-31T15:17:12","slug":"christa-teston","status":"publish","type":"page","link":"https:\/\/medicalrhetoric.com\/symposium2017\/profiles\/christa-teston\/","title":{"rendered":"Christa Teston"},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-796 alignleft\" src=\"http:\/\/medicalrhetoric.com\/symposium2017\/files\/2018\/05\/teston.2-225x300.jpg\" alt=\"Christa Teston\" width=\"225\" height=\"300\" srcset=\"https:\/\/medicalrhetoric.com\/symposium2017\/files\/2018\/05\/teston.2-225x300.jpg 225w, https:\/\/medicalrhetoric.com\/symposium2017\/files\/2018\/05\/teston.2.jpg 300w\" sizes=\"auto, (max-width: 225px) 85vw, 225px\" \/>Title:\u00a0<\/strong>Associate Professor, English<\/p>\n<p><strong>University:\u00a0<\/strong>Ohio State University<\/p>\n<p><strong>Email:\u00a0<\/strong>teston.2@osu.edu<\/p>\n<p><strong>Twitter:\u00a0<\/strong>christateston<\/p>\n<p><strong>Website:\u00a0<\/strong>www.christateston.com<\/p>\n<h3><strong>Description of Work:<\/strong><\/h3>\n<p><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">I study uncertainty in\u00a0<\/span><span class=\"SpellingError SCXW41982138\">technoscientific<\/span><span class=\"NormalTextRun SCXW41982138\">\u00a0and biomedical contexts. In particular, I&#8217;m curious about the evidential backstage\u2014or all the work that goes on behind the scenes when\u00a0<\/span><\/span><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">humans<\/span><\/span><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">\u00a0attempt to corral chaos. My book,\u202f<\/span><\/span><a class=\"Hyperlink SCXW41982138\" href=\"http:\/\/www.press.uchicago.edu\/ucp\/books\/book\/chicago\/B\/bo25793951.html\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">Bodies in Flux<\/span><\/span><\/a><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">,\u00a0<\/span><\/span><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">was<\/span><\/span><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">\u00a0<\/span><\/span><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">recently released<\/span><\/span><span class=\"TextRun SCXW41982138\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW41982138\">\u00a0from University of Chicago Press.<\/span><\/span><\/p>\n<h3><strong>Symposium Submission:<\/strong><\/h3>\n<p><strong>Surveying Precarious Publics<\/strong><\/p>\n<p>In order to gauge multiple publics\u2019 concerns and sense of self-efficacy amid possible changes to the Affordable Care Act (ACA), I, along with a team of researchers around the US, are in the early stages of a nationwide survey-based study. The goal of the study is to collate responses from multiple publics living in the US who will be affected by changes to the ACA. Participants\u2019 responses will provide evidence for claims about healthcare consumers\u2019 anxieties, needs, and expectations. These findings will then be used to design helpful resources for navigating healthcare complexities should the US Government enact changes to the ACA. Since survey results will not be available until the end of Summer 2017, for the purpose of the RHM Symposium, I focus my efforts on a manuscript about strategies for effective survey design when surveying multiple, often precarious publics.<\/p>\n<p>While there exists a good deal of resources for effective survey design for qualitative and\/or health researchers, the critical intervention this manuscript will make is more specific guidance for designing surveys intended for participants who may identify as one or more of the following: economically disadvantaged; disabled; drug addicted; undocumented; and XXX. We know that among those who stand to lose coverage, should the ACA be repealed, \u201c81%&#8230;would be in working families; 66% would have a high school education or less; 40% would be young adults; and about 50% would be non-Hispanic whites\u201d (Buettgens et al. 2016).<\/p>\n<p>I\u2019m interested in unearthing the difficulties associated with surveying precarious publics\u2014or persons whose networks of social support are weak, if not altogether absent. Complexities associated with survey design for precarious publics have thus far included questions about,<\/p>\n<ul>\n<li><em>Criteria for inclusion<\/em> (e.g., Puerto Rico cannot presently participate in the ACA\u2019s exchanges, but they are a US Territory whose precarious positionality ought to provide valuable insights about contemporary healthcare concerns;<\/li>\n<li><em>Stigmatizing Language <\/em>(e.g. \u201cperson with disabilities vs. D\/disabled persons; reifying medicalized stigmas associated with certain identities, disorders, and illnesses; proponents of identity-first language)<\/li>\n<li><em>Leading Language <\/em>(e.g. \u201caccess to affordable healthcare\u201d)<\/li>\n<li><em>Access<\/em> (e.g. translating the survey for readers whose first language might not be English; making the survey accessible to Disabled participants)<\/li>\n<li><em>Demographic Questions<\/em> (where should they go? How do we describe race\/ethnicity? Gender? Education? Those in transition?)<\/li>\n<li><em>Liability<\/em> (e.g. how do we ensure that we\u2019re not conveying an implicit sense of support for certain approaches to accessing healthcare by asking questions in a certain way?)<\/li>\n<li><em>Transparency<\/em> (How much should we reveal about our motives for asking certain questions?)<\/li>\n<li><em>In Vivo Languages <\/em>(ACA vs. \u201cObamacare\u201d; chronic healthcare condition\u2014should we define, provide examples?)<\/li>\n<li><em>Formatting\/Layout <\/em>(percentage complete; number of questions on a page<\/li>\n<li><em>Privacy<\/em><\/li>\n<li><em>Likert Scale<\/em> (how many numbers to include)<\/li>\n<li><em>Incomplete surveys <\/em>(do we count the completed data?)<\/li>\n<li><em>Consent<\/em> (how do we account for an intermediary person taken the survey on behalf of someone else\/)<\/li>\n<\/ul>\n<p>We hypothesize that, based on survey responses, the materials we design will need to be remediated for different audiences, purposes, and contexts. For example, some materials may address specifically the needs of LGBTQI+ communities while other materials may serve Disabled persons who may or may not identify with LGBTQI+ communities. We also anticipate that these materials will need to be modified to meet the needs of individuals living in specific states. These materials and the resources highlighted therein are <strong>not intended to replace<\/strong> official healthcare providers and practices. Rather, they should help to supplement multiple publics\u2019 care in a precarious, post-ACA world.<\/p>\n<p>Our aim is to have some degree of representation from all 50 US States, in addition to Washington D.C. and Puerto Rico. Even though Puerto Rico cannot participate in the exchanges at this time, they are a U.S. territory whose experiences with healthcare ought to be included\u2014especially since they have, according to a January 2017 Urban Institute brief, \u201cexperienced both an economic decline and an increase in the emigration of health care professionals\u201d (Peters et al. 2017).<\/p>\n<p style=\"text-align: center\"><strong>Bibliography<\/strong><\/p>\n<p>Buettgens, M., Blumber, L.J., Holahan, J. &amp; Ndwandwe, S. (2016). \u201cThe Cost of ACA Repeal.\u201d Urban Institute. http:\/\/www.rwjf.org\/en\/library\/research\/2016\/06\/the-cost-of-aca-repeal.html<\/p>\n<p>Peters, R., Lallemand, Nicole Cafarella &amp; Zuckerman, Stephen. (2017). \u201cPuerto Rico Health Care Infrastructure Assessment: Site Visit Report.\u201d Urban Institute.\u00a0 <a href=\"http:\/\/www.urban.org\/research\/publication\/puerto-rico-health-care-infrastructure-assessment-site-visit-report\/view\/full_report\">http:\/\/www.urban.org\/research\/publication\/puerto-rico-health-care-infrastructure-assessment-site-visit-report\/view\/full_report<\/a><\/p>\n<p>Rogers, R. (2013). <em>Digital Methods<\/em>. MIT Press.<\/p>\n<p>Silverman, D. (2004). <em>Qualitative Research<\/em>. Sage.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Title:\u00a0Associate Professor, English University:\u00a0Ohio State University Email:\u00a0teston.2@osu.edu Twitter:\u00a0christateston Website:\u00a0www.christateston.com Description of Work: I study uncertainty in\u00a0technoscientific\u00a0and biomedical contexts. In particular, I&#8217;m curious about the evidential backstage\u2014or all the work that &hellip; <a href=\"https:\/\/medicalrhetoric.com\/symposium2017\/profiles\/christa-teston\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Christa Teston&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2,"menu_order":51,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-275","page","type-page","status-publish","hentry"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/pages\/275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/comments?post=275"}],"version-history":[{"count":4,"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/pages\/275\/revisions"}],"predecessor-version":[{"id":797,"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/pages\/275\/revisions\/797"}],"up":[{"embeddable":true,"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/pages\/2"}],"wp:attachment":[{"href":"https:\/\/medicalrhetoric.com\/symposium2017\/wp-json\/wp\/v2\/media?parent=275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}