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Exploring online patient-doctor interactions. An epistemic and pragmatic analysis of Q&A patterns in an Italian "Ask to the doctor" medical forum.

Patient Educ Couns

January 2025

Department of Education, Cultural Heritage and Tourism, University of Macerata, Piazzale L. Bertelli, 1, Macerata 62100, Italy. Electronic address:

The main objective of this research is to investigate the epistemic and pragmatic management of patient-doctor interactions in Italian online health communities. To achieve this goal, an advanced web scraping methodology was used to extract from an Italian Q&A service (within the healthcare platforms, Il Mio Dottore) 200 pairs of questions and answers concerning two pathological conditions: anxiety and hypothyroidism. We first tagged the two sub-corpora and analyzed them both quantitatively and qualitatively to establish (i) what types of questions were used by patients, and what epistemic attitude and pragmatic function they convey; (ii) whether doctors' replies were aligned or not; (iii) whether there were differences between the two sub-corpora.

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Background: There is an urgent need to innovate methods of health education, which can often be resource- and time-intensive. Microinterventions have shown promise as a platform for rapid, tailored resource dissemination yet have been underexplored as a method of standardized health or dietary education; social media chatbots display unique potential as a modality for accessible, efficient, and affordable educational microinterventions.

Objective: This study aims to provide public health professionals with practical recommendations on the use of social media chatbots for health education by (1) documenting the development of a novel social media chatbot intervention aimed at improving dietary attitudes and self-efficacy among South Asian American young adults and (2) describing the applied experiences of implementing the chatbot, along with user experience and engagement data.

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Non-sentential responses to requests for information.

Mem Cognit

October 2024

Department of Psychology, Florida State University, Tallahassee, FL, 32306, USA.

When faced with requests for information ("Where did you go last night?"), why do speakers make non-sentential replies ("The movies") rather than full sentence replies ("I went to the movies")? We examine the role that pragmatic factors (politeness and formality) and memory factors (the speaker's ability to retrieve the answer to the question) play in determining whether speakers generate a non-sentential reply. Participants answered a series of questions about their lives. Pragmatic factors affected the participants' responses.

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Article Synopsis
  • The authors defend their classification of pregnancy as a disease, countering criticisms from other scholars.
  • They argue that the critics' perspective on the dysfunctionality of disease presents confusing conclusions and incorrectly assumes that reproduction is the main function of sexual organs.
  • Lastly, they highlight issues with considering pregnancy as a separate reference class, claiming it undermines the usefulness of the Boorsean approach to defining disease and health.
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