Patients as partners, patients as problem-solvers.


:This article reports our ongoing work in developing a model of health care communication called collaborative interpretation, which we define as a rhetorical practice that generates building blocks for a more complete and coherent diagnostic story and for a collaborative treatment plan. It does this by situating patients as problem-solvers. Our study begins with an analysis of provider-patient interactions in a specific setting-the emergency department (ED) of an urban trauma-level hospital- where we observed patients and providers miscommunicating in at least 3 distinct areas: over the meaning of key terms, in the framing of the immediate problem, and over the perceived role of the ED in serving the individual and the community. From our observations, we argue that all of these miscommunications and missed opportunities are rooted in mismatched expectations on the part of both provider and patient and the lack of explicit comparison and negotiation of expectations-in other words, a failure to see the patient-provider interaction as a rhetorical, knowledge-building event. In the process of observing interactions, conversing with patients and providers, and working with a team of providers and patients, we have developed an operational model of communication that could narrow the gap between the lay public and the medical profession-a gap that is especially critical in intercultural settings like the one we have studied. This model of collaborative interpretation (CI) provides strategies to help patients to represent their medical problems in the context of their life experiences and to share the logic behind their health care decisions. In addition, CI helps both patient and provider identify their goals and expectations in treatment, the obstacles that each party perceives, and the available options. It is adaptableto various settings, including short, structured conversations in the emergency room, extended dialogue between a health educator and a patient in a clinical setting, and group discussions in support groups, community groups, or health education classrooms.


Health Commun


Health communication


Young A,Flower L





Has Abstract


2002-01-01 00:00:00












  • Message Framing, Perceived Susceptibility, and Intentions to Vaccinate Children Against HPV Among African American Parents.

    abstract::This research examines the interaction effect of message framing (gain vs. loss) and perceived susceptibility (i.e., perceived likelihood that one's child is at risk of contracting HPV) on African American parents' intentions to vaccinate their children against HPV. Results of an experiment (N = 193) in which parents ...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Nan X,Madden K,Richards A,Holt C,Wang MQ,Tracy K

    更新日期:2016-07-01 00:00:00

  • Overselling Sit-Stand Desks: News Coverage of Workplace Sitting Guidelines.

    abstract::The first quantitative, specific recommendations for sitting time at work were released in June 2015. This paper examines the implications of news coverage received by this position statement. Media reports about statement published May, 31-June, 29, 2015 were analyzed according to five recommendations and three cavea...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Chau JY,McGill B,Freeman B,Bonfiglioli C,Bauman A

    更新日期:2018-12-01 00:00:00

  • Public health, global surveillance, and the "emerging disease" worldview: a postcolonial appraisal of PEPFAR.

    abstract::Drawing upon a postcolonial lens, this project looks at how meanings of HIV/AIDS are discursively constructed within the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), which was launched in 2003 under the presidency of George W. Bush and has been heralded as the largest global public health intervention pro...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Sastry S,Dutta MJ

    更新日期:2012-01-01 00:00:00

  • Examining Mechanisms Underlying Fear-Control in the Extended Parallel Process Model.

    abstract::This investigation sought to advance the extended parallel process model in important ways by testing associations among the strengths of efficacy and threat appeals with fear as well as two outcomes of fear-control processing, psychological reactance and message minimization. Within the context of print ads admonishi...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Quick BL,LaVoie NR,Reynolds-Tylus T,Martinez-Gonzalez A,Skurka C

    更新日期:2018-04-01 00:00:00

  • Disparities in Health Information Access: Results of a County-Wide Survey and Implications for Health Communication.

    abstract::Health knowledge and behavior can be shaped by the extent to which individuals have access to reliable and understandable health information. Based on data from a population-based telephone survey of 1,503 respondents of ages 18 years and older living in Douglas County, Nebraska, in 2013, this study assesses dispariti...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Kelley MS,Su D,Britigan DH

    更新日期:2016-01-01 00:00:00

  • The authoritative metaphor and social change: Surgeon General C. Everett Koop's Direct Mailer, "Understanding AIDS".

    abstract::In 1988, Surgeon General C. Everett Koop published "Understanding AIDS," the nation's first and only direct mailing sent to every private home in the country. His appeals therein were driven by what we label authoritative metaphors. Communicated by and/or attributed to persons of authority, authoritative metaphors cap...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Jensen RE,King AS

    更新日期:2013-01-01 00:00:00

  • Outcome evaluation results of school-based cybersafety promotion and cyberbullying prevention intervention for middle school students.

    abstract::Guided largely by the Extended Parallel Process Model, the Arizona Attorney General's Social Networking Safety Promotion and Cyberbullying Prevention presentation attempts to shape, change, and reinforce middle school students' perceptions, attitudes, and intentions related to these important social issues. This study...

    journal_title:Health communication

    pub_type: 杂志文章,随机对照试验


    authors: Roberto AJ,Eden J,Savage MW,Ramos-Salazar L,Deiss DM

    更新日期:2014-01-01 00:00:00

  • The challenges of seeking and receiving support for women living with HIV.

    abstract::Human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) continue to affect a growing number of women. Because social support is essential to both physical and mental health, this study was designed to explore the social support challenges of women living with HIV. Using a grounded theory appr...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Peterson JL

    更新日期:2010-07-01 00:00:00

  • Evaluating the Impact of Attempts to Correct Health Misinformation on Social Media: A Meta-Analysis.

    abstract::Social media poses a threat to public health by facilitating the spread of misinformation. At the same time, however, social media offers a promising avenue to stem the distribution of false claims - as evidenced by real-time corrections, crowdsourced fact-checking, and algorithmic tagging. Despite the growing attempt...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Walter N,Brooks JJ,Saucier CJ,Suresh S

    更新日期:2020-08-06 00:00:00

  • Examining How Communication and Knowledge Relate to Singaporean Youths' Perceived Risk of Haze and Intentions to Take Preventive Behaviors.

    abstract::As Southeast Asia has experienced haze crises in recent years, encouraging Singaporeans to take preventive measures against negative health outcomes during haze is a growing concern. This study examines how communication factors (i.e., attention to traditional media and new media, interpersonal discussion, and knowled...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Lin TT,Li L,Bautista JR

    更新日期:2017-06-01 00:00:00

  • Impact of an Alcohol Poisoning Storyline in a Fictional Television Program: An Experimental Study With a Live-to-Air Stimulus.

    abstract::Storylines in fictional television programs may be an effective medium for health-promoting messages. This randomized pretest-posttest (N = 111) with follow-up (n = 71) study examined the persuasive impact of an alcohol poisoning story in the program ER on viewers' drinking-related beliefs, attitudes, intentions, and ...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Bavin LM,Owens RG

    更新日期:2016-10-01 00:00:00

  • Health and the information nonseeker: a profile.

    abstract::Despite increased information-seeking by the public, a significant percentage of those diagnosed with a serious disease such as cancer report that they do not seek or receive health information beyond that given by health care providers. This study attempts to profile these nonseekers and study possible determinants o...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Ramanadhan S,Viswanath K

    更新日期:2006-01-01 00:00:00

  • Mapping Sources of Food Safety Information for U.S. Consumers: Findings From a National Survey.

    abstract::This research examines the sources from which U.S. consumers obtain their food safety information. It seeks to determine differences in the types of information sources used by U.S. consumers of different sociodemographic background, as well as the relationships between the types of information sources used and food s...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Nan X,Verrill L,Kim J

    更新日期:2017-03-01 00:00:00

  • Practitioners' Dilemmas and Strategies in Decision-making Conversations Where Patients and Companions Take Divergent Positions on a Healthcare Measure: An Observational Study Using Conversation Analysis.

    abstract::The presence of companions adds complexity to healthcare interactions. Few studies have characterized challenges arising when interactions involve healthcare professionals (HCPs), patients, and companions, or how those challenges are managed. Using conversation analysis, we examined recorded episodes where patients an...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Pino M,Doehring A,Parry R

    更新日期:2020-09-22 00:00:00

  • Linguistic Stereotyping in Older Adults' Perceptions of Health Care Aides.

    abstract::The cultural and linguistic diversity of the U.S. health care provider workforce is expanding. Diversity among health care personnel such as paraprofessional health care assistants (HCAs)-many of whom are immigrants-means that intimate, high-stakes cross-cultural and cross-linguistic contact characterizes many health ...

    journal_title:Health communication

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    authors: Rubin D,Coles VB,Barnett JT

    更新日期:2016-07-01 00:00:00

  • Film Psychotherapy in the 21st Century.

    abstract::Psychotherapy is commonly depicted in films. Films, then, help to inform the public about the nature of psychotherapy and psychotherapists. Although much has been written about the portrayal of psychotherapy in films, there has been little empirical investigation of films from the 21st century. The current study provi...

    journal_title:Health communication

    pub_type: 历史文章,杂志文章


    authors: Wahl O,Reiss M,Thompson CA

    更新日期:2018-03-01 00:00:00

  • Using cognitive and affective illustrations to enhance older adults' website satisfaction and recall of online cancer-related information.

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    journal_title:Health communication

    pub_type: 杂志文章


    authors: Bol N,van Weert JC,de Haes HC,Loos EF,de Heer S,Sikkel D,Smets EM

    更新日期:2014-01-01 00:00:00

  • Examining Live-In Foreign Domestic Helpers as a Coping Resource for Family Caregivers of People With Dementia in Singapore.

    abstract::In Singapore, the responsibility of caring for persons with dementia falls on family members who cope with a long-term caregiver burden, depending on available support resources. Hiring foreign domestic workers to alleviate caregiver burden becomes a prevalent coping strategy that caregivers adopt. This strategy allow...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Basnyat I,Chang L

    更新日期:2017-09-01 00:00:00

  • Exploring the Public Perception of Depression: Interplay between the Attribution of Cause and Narrative Persuasion.

    abstract::Improving awareness and mitigating stigma related to depression have been a concern to both health communicators and practitioners. This study conducted a 2 (narrative vs. non-narrative) × 2 (high controllability vs. low controllability) experiment (N = 242) to test the interaction effects of narrative persuasion and ...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Zhang N,Wen TJ

    更新日期:2020-02-24 00:00:00

  • Paperwork.

    abstract::Healthcare today provides an especially rich context for the intertwined transformation of work and the technologies of work, which need to be understood in tandem. Advances in artificial intelligence, robotics, the internet of things, and computational science promise to transform healthcare. The slow speed of organi...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Barbour JB

    更新日期:2020-08-01 00:00:00

  • IRB Problems and Solutions in Health Communication Research.

    abstract::In this article, we contribute to the current literature on the difficulties that social scientists encounter with IRBs, but with a focus on the distinct challenges that health communication scholars face in dealing with IRBs at their own institutions and elsewhere. Although health communication researchers, like othe...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: King CST,Bivens KM,Pumroy E,Rauch S,Koerber A

    更新日期:2018-07-01 00:00:00

  • News Attention and Social-Distancing Behavior Amid COVID-19: How Media Trust and Social Norms Moderate a Mediated Relationship.

    abstract::Despite the fact that social distancing is an effective mean to slow the spread of COVID-19, individuals often fail to practice this behavior. Major US news media provided information to the public about social distancing after COVID-19 was declared a pandemic, potentially spurring this preventative health practice. U...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Jiang X,Hwang J,Shah DV,Ghosh S,Brauer M

    更新日期:2021-01-13 00:00:00

  • Prostate cancer's hegemonic masculinity in select print mass media depictions (1974-1995).

    abstract::The meanings associated with prostate cancer were studied in contemporary mass print media. The study includes both manifest and latent content analysis of a period of approximately 2 decades, from 1974 to 1995. The manifest analysis revealed a primary emphasis on the importance of early detection. The latent analysis...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Clarke JN

    更新日期:1999-01-01 00:00:00

  • Climate Change, Health, and Communication: A Primer.

    abstract::Climate change is one of the most serious and pervasive challenges facing us today. Our changing climate has implications not only for the ecosystems upon which we depend, but also for human health. Health communication scholars are well-positioned to aid in the mitigation of and response to climate change and its hea...

    journal_title:Health communication

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    authors: Chadwick AE

    更新日期:2016-01-01 00:00:00

  • Source-specific Exposure to Contradictory Nutrition Information: Documenting Prevalence and Effects on Adverse Cognitive and Behavioral Outcomes.

    abstract::Communication scholars have raised concerns that the media present contradictory or conflicting information on health, science, and political issues, speculating that such information may have adverse effects on public cognitions, affect, and behaviors. However, the evidence base for the effects of contradictory messa...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Lee CJ,Nagler RH,Wang N

    更新日期:2018-04-01 00:00:00

  • Trait-agreeableness influences individual reactions to a physician's affiliative behavior in a simulated bad news delivery.

    abstract::We tested whether the personality trait of agreeableness predicts different individual reactions to the level of nonverbal affiliativeness shown by a physician, in the context of a simulated bad news delivery. We predicted that individuals with high levels of agreeableness would react better to a physician adopting a ...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Cousin G,Schmid Mast M

    更新日期:2016-01-01 00:00:00

  • Between dad and son: initiating, delivering, and assimilating bad cancer news.

    abstract::The opening moments of a phone call reveal how a father informs his son, for the 1st time, that his mom's tumor is malignant. An extended phone opening reveals how delaying talk about the mom's condition allows for important interactional work: Displaying resistance to announce the bad news directly, projecting and an...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Beach WA

    更新日期:2002-01-01 00:00:00

  • A medical profession in transition: exploring naturopathic physician blogging behaviors.

    abstract::Naturopathic medicine is a holistic healing approach involving natural remedies, wellness, and disease prevention. A literature review shows the discipline is attempting to overcome several professional obstacles and expand into new areas. Amid this transition, the naturopathic community--like other groups--has adopte...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Walden J

    更新日期:2013-01-01 00:00:00

  • Perceived Parental Legitimacy as a Moderator of Parent-Child Communication's Effects on Latina/o Adolescent Substance Use.

    abstract::Utilizing primary socialization theory (PST) and longitudinal survey data from 381 Latina/o sixth- through eighth-grade students, we hypothesized that four types of parent anti-substance use messages (i.e., parents' own past substance use, religious beliefs, respect for family, and peer resistance) would discourage La...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Kam JA,Pérez Torres D

    更新日期:2018-06-01 00:00:00

  • Predicting participation in ultrasound hip screening from message framing.

    abstract::The use of ultrasound (US) screening for developmental dysplasia of the hip (DDH) is an innovation in preventive child health care in the Netherlands. What is not known is whether parents will accept this screening method and will actually participate in it. It is widely known that health behaviors can be influenced b...

    journal_title:Health communication

    pub_type: 杂志文章


    authors: Witting M,Boere-Boonekamp MM,Fleuren MA,Sakkers RJ,Ijzerman MJ

    更新日期:2012-01-01 00:00:00