Doctor of Philosophy, Miami University, 2021, Psychology
Background. Cancer is a widespread disease in the United States, with 1.7 million new cases and 600,000 deaths every year. Thus, effectively communicating the risk factors and treatments for cancers to patients and the public is important for improving these outcomes. Medical communicators have frequently used computational linguistic tools, such as Flesch-Kincaid Grade Level (FKGL), to evaluate and improve the comprehensibility of their written medical materials. However, Gist Inference Scores (GIS), guided by Fuzzy-Trace Theory (FTT), may be a more optimal computational measure to assess the likelihood that people will understand medical texts. However, little research has examined how medical information gets socially diffused through communication following reading. Aims. The primary goal of this research was to determine to what extent the psycholinguistic properties of cancer texts predict comprehension and social diffusion. Design. Study 1 used a within-subjects design to assess how 4 cancer texts that varied on GIS (high/low) and credibility (high/low) were communicated through writing. Study 2 used a between-subjects design that attempted to replicate and extend the findings in Study 1 to web-based verbal communication. Study 3 used a between-subjects web-based design to measure how participants communicate about two proposition-matched lung cancer texts that varied on GIS (high/low). Finally, Study 4 used a between-subjects web-based design where participants completed a fill-in-the-blank cloze task on either a high or low GIS text. Results. Study 1 and Study 2 showed that high GIS cancer texts are transmitted at higher GIS levels compared to low GIS cancer texts. Study 1 also showed that the transmission of high GIS texts, regardless of credibility, more strongly emphasized the gist of the information compared to low GIS texts. However, the verbal transmission of the low GIS text in Study 2 emphasized gist propositions more than the high GIS text. Study 3 (open full item for complete abstract)
Committee: Christopher Wolfe (Committee Chair); Joseph Johnson (Committee Member); Allen McConnell (Committee Member); Rose Marie Ward (Committee Member)
Subjects: Cognitive Psychology; Communication; Linguistics; Psychology