Department of Communication, University of Health Sciences and Pharmacy in St Louis, St Louis, MO, USA.
Department of Communication, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
J Health Commun. 2023 Sep 2;28(9):585-594. doi: 10.1080/10810730.2023.2237435. Epub 2023 Jul 20.
Drawing on communication accommodation theory (CAT), we investigated how physician (non)accommodation indirectly affects participants' intention to engage in advocated health behaviors through participant goal inferences and source appraisals. We conducted a 3 (language type: medical jargon, analogies, literal language) × 2 (health topic: coronary artery disease, influenza vaccine) web-based experiment. Participants recruited from an online research panel ( = 545) were randomly assigned to a condition and watched a video featuring a physician explaining medical information and providing health recommendations. In a serial mediation analysis, results suggested two parallel indirect effects (relational vs. informational). Relative to underaccommodation (i.e. medical jargon), physician accommodation (i.e. literal language, analogies) had positive, indirect effects on participant health behavioral intention through goal inferences and assessment of physicians (i.e. warmth, expertise). Compared to the use of literal language, physician use of analogies had a positive, indirect effect on participant behavioral intention solely through the relational path, not the informational path. These findings extend CAT by explicating a mechanism underlying physician (non)accommodation and patient outcomes, offering practical implications for physicians to foster relationships with patients and facilitate patient comprehension.
我们借鉴交际适应论(CAT),通过参与者的目标推断和来源评估,研究了医生(不)适应如何间接地通过参与者的目标推断和来源评估,影响参与者参与所倡导的健康行为的意愿。我们进行了一项 3(语言类型:医学术语、类比、直白语言)×2(健康主题:冠心病、流感疫苗)的基于网络的实验。参与者从一个在线研究小组中招募(n=545),并随机分配到一个条件,观看一段医生解释医学信息并提供健康建议的视频。在一系列中介分析中,结果表明存在两种平行的间接效应(关系型与信息型)。与适应不足(即医学术语)相比,医生的适应(即直白语言、类比)通过目标推断和对医生的评估(即热情、专业知识)对参与者的健康行为意愿产生积极的间接影响。与使用直白语言相比,医生使用类比对参与者的行为意愿仅通过关系路径产生积极的间接影响,而不是信息路径。这些发现通过阐明医生(不)适应和患者结果的潜在机制,扩展了 CAT,为医生提供了促进与患者关系并促进患者理解的实际意义。