Improving Health Literacy Responsiveness: A Randomized Study on the Uptake of Brochures on Doctor-Patient Communication in Primary Health Care Waiting Rooms.

Presenting attractive and useful health education materials in waiting rooms can help improve an organization's health literacy responsiveness. However, it is unclear to what extent patients may be interested in health education materials, such as brochures. We conducted a three-week field study in waiting rooms of three primary care centers in Groningen.

Using Photo Stories to Support Doctor-Patient Communication: Evaluating a Communicative Health Literacy Intervention for Older Adults.

Older adults often have limited health literacy and experience difficulties in communicating about their health. In view of the need for efficacious interventions, we compared a narrative photo story booklet regarding doctor-patient communication with a non-narrative but otherwise highly similar brochure. The photo story booklet included seven short picture-based stories about themes related to doctor-patient communication.

"Hey, that could be me": The role of similarity in narrative persuasion.

Stories are often used in health communication because of accumulating evidence of their potential to affect people's attitudes and health behavioral intentions. Similarity between the reader and the story's protagonist appears to positively influence narrative persuasion, but the exact role of similarity on persuasive outcomes is debated, as some research finds clear effects of similarity manipulations whereas others do not. Possibly, these mixed results were found because the similarity manipulations were not always relevant to the topic of the story.

Using a narrative to spark safer sex communication.

Objective: College students are a group at risk for contracting sexually transmitted infections (STIs). While they are generally well informed about STIs, they do not consistently use condoms. An important element in preventing STIs is safer sex communication, especially with a sexual partner.

Uncovering Factors Influencing Interpersonal Health Communication.

Talking to friends, family, or peers about health issues might, among other things, increase knowledge of social norms and feelings of self-efficacy in adopting a healthier lifestyle. We often see interpersonal health communication as an important mediating factor in the effects of health campaigns on health behavior. No research has been done so far, however, on factors that influence whether and how people talk about health issues without being exposed to a health campaign first.

Sweet Temptations: How Does Reading a Fotonovela About Diabetes Affect Dutch Adults with Different Levels of Literacy?

Recent studies suggest that health-related fotonovelas-booklets that portray a dramatic story using photographs and captions-may be effective health communication tools, especially for readers with a low level of literacy. In this experiment, effects on knowledge and behavioral intentions were assessed of a fotonovela originally developed for a Latin-American audience. Dutch readers from a low literacy group (N = 89) and a high literacy group (N = 113) were randomly assigned to one of three conditions: a fotonovela condition (all captions translated into Dutch), a traditional brochure condition (also in Dutch), and a control condition.

A Neurocomputational Model of the N400 and the P600 in Language Processing.

Ten years ago, researchers using event-related brain potentials (ERPs) to study language comprehension were puzzled by what looked like a Semantic Illusion: Semantically anomalous, but structurally well-formed sentences did not affect the N400 component-traditionally taken to reflect semantic integration-but instead produced a P600 effect, which is generally linked to syntactic processing. This finding led to a considerable amount of debate, and a number of complex processing models have been proposed as an explanation. What these models have in common is that they postulate two or more separate processing streams, in order to reconcile the Semantic Illusion and other semantically induced P600 effects with the traditional interpretations of the N400 and the P600.

Development of a Communication Intervention for Older Adults With Limited Health Literacy: Photo Stories to Support Doctor-Patient Communication.

Successful doctor-patient communication relies on appropriate levels of communicative health literacy, the ability to deal with and communicate about health information. This article aims to describe the development of a narrative- and picture-based health literacy intervention intended to support older patients with limited health literacy when communicating during their primary care consultations. We performed a formative evaluation that included a review of the literature and interviews with stakeholders on relevant health literacy issues, qualitative studies with the target group, intervention planning, and a small-scale evaluation.

Comprehensibility of Health-Related Documents for Older Adults with Different Levels of Health Literacy: A Systematic Review.

A systematic review was conducted to assess the available evidence for the effectiveness of interventions aiming to improve the comprehensibility of health-related documents in older adults (≥50) with different levels of health literacy. Seven databases were searched (2005 forward), and references in relevant reviews were checked. The selection procedure was conducted by 2 independent reviewers.

When correction turns positive: processing corrective prosody in Dutch.

Current research on spoken language does not provide a consistent picture as to whether prosody, the melody and rhythm of speech, conveys a specific meaning. Perception studies show that English listeners assign meaning to prosodic patterns, and, for instance, associate some accents with contrast, whereas Dutch listeners behave more controversially. In two ERP studies we tested how Dutch listeners process words carrying two types of accents, which either provided new information (new information accents) or corrected information (corrective accents), both in single sentences (experiment 1) and after corrective and new information questions (experiment 2).

Referential choice across the lifespan: why children and elderly adults produce ambiguous pronouns.

In this study, children, young adults and elderly adults were tested in production and comprehension tasks assessing referential choice. Our aims were (1) to determine whether speakers egocentrically base their referential choice on the preceding linguistic discourse or also take into account the perspective of a hypothetical listener and (2) whether the possible impact of perspective taking on referential choice changes with increasing age, with its associated changes in cognitive capacity. In the production task, participants described picture-based stories featuring two characters of the same gender, making it necessary to use unambiguous forms; in the comprehension task, participants interpreted potentially ambiguous pronouns at the end of similar orally presented stories.

A time and place for language comprehension: mapping the N400 and the P600 to a minimal cortical network.

We propose a new functional-anatomical mapping of the N400 and the P600 to a minimal cortical network for language comprehension. Our work is an example of a recent research strategy in cognitive neuroscience, where researchers attempt to align data regarding the nature and time-course of cognitive processing (from ERPs) with data on the cortical organization underlying it (from fMRI). The success of this "alignment" approach critically depends on the functional interpretation of relevant ERP components.

Questions left unanswered: how the brain responds to missing information.

It sometimes happens that when someone asks a question, the addressee does not give an adequate answer, for instance by leaving out part of the required information. The person who posed the question may wonder why the information was omitted, and engage in extensive processing to find out what the partial answer actually means. The present study looks at the neural correlates of the pragmatic processes invoked by partial answers to questions.

Comprehension of marked pronouns in Spanish and English: object anaphors cross-linguistically.

Previous research on pronoun resolution has identified several individual factors that are deemed to be important for resolving reference. In this paper, we argue that of these factors, as tested here, plausibility is the most important, but interacts with form markedness and structural parallelism. We investigated how listeners resolved object pronouns that were ambiguous in the sense of having more than one possible antecedent.

Processing polarity: ERP evidence for differences between positive and negative polarity.

The goal of the present study was to investigate event-related potential (ERP) responses to Dutch negative and positive polarity adverbs of degree presented in licensed and unlicensed contexts with negative and affirmative particles directly preceding the polarity item. To control for effects of the processing of negation as such, neutral adverbs were also presented in negative and affirmative contexts. The results did not show any significant effect of negation for the non-polar adverbs, allowing context effects for polarity items to be interpreted as being due to the appropriateness of the context.

Less is not more: neural responses to missing and superfluous accents in context.

Prosody, particularly accent, aids comprehension by drawing attention to important elements such as the information that answers a question. A study using ERP registration investigated how the brain deals with the interpretation of prosodic prominence. Sentences were embedded in short dialogues and contained accented elements that were congruous or incongruous with respect to a preceding question.

Getting real about semantic illusions: rethinking the functional role of the P600 in language comprehension.

In traditional theories of language comprehension, syntactic and semantic processing are inextricably linked. This assumption has been challenged by the 'semantic illusion effect' found in studies using event related brain potentials. Semantically anomalous sentences did not produce the expected increase in N400 amplitude but rather one in P600 amplitude.

Fill the gap! Combining pragmatic and prosodic information to make gapping easy.

Two studies investigated the effects of prosody and pragmatic context on off-line and on-line processing of sentences like John greeted Paul yesterday and Ben today. Such sentences are ambiguous between the so-called 'nongapping' reading, where John greeted Ben, and the highly unpreferred 'gapping' reading, where Ben greeted Paul. In the first experiment, participants listened to dialogues and gave a speeded response as to which reading of an ambiguous target sentence first comes to mind.

Semantic ambiguity processing in sentence context: Evidence from event-related fMRI.

Lexical semantic ambiguity is the phenomenon when a word has multiple meanings (e.g. 'bank').

Processing the noun phrase versus sentence coordination ambiguity: thematic information does not completely eliminate processing difficulty.

When faced with the noun phrase (NP) versus sentence (S) coordination ambiguity as in, for example, The thief shot the jeweller and the cop ...

Seeing words in context: the interaction of lexical and sentence level information during reading.

The ERP experiment reported here addresses some outstanding questions regarding word processing in sentential contexts: (1) Does only the 'message-level' representation (the representation of sentence meaning combining lexico-semantic and syntactic constraints) affect the processing of the incoming word [J. Exp. Psychol.