Developing Measures for and Testing the Theory of Communicative Disenfranchisement (TCD) in the Context of Chronic Pain.

IF 3 3区 医学 Q1 COMMUNICATION Health Communication Pub Date : 2024-11-01 Epub Date: 2023-11-06 DOI:10.1080/10410236.2023.2275916
Elizabeth A Hintz, Rachel V Tucker, Steven R Wilson
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Abstract

The post-positivist articulation of the theory of communicative disenfranchisement (TCD) asserts that people subjected to disenfranchising talk (DT; talk that discredits, silences, and stereotypes) experience proximal consequences (PCs; reduced agency, perceived credibility, and ability to exercise rights and privileges) and make negative inferences about others' future interactional goals (negative goal inferences [NGIs]). Through the mediators of PCs and NGIs, DT is theorized to lead to more distal health and well-being outcomes. This article developed measures of DT, PCs, and NGIs to test the TCD's post-positivist model in the context of chronic pain. Items were developed and refined in a pilot study. Then, in two validation studies, exploratory and confirmatory factor analyses were conducted and health and well-being outcomes were assessed. Findings offer initial empirical support for the reliability and convergent, divergent, and predictive validity of the DT, PCs, and NGIs measures, as well as the model proposed in the post-positivist articulation of the TCD.

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在慢性疼痛的背景下制定交际剥夺权利(TCD)理论的措施和测试。
交际剥夺话语权理论(TCD)的后实证主义阐释认为,受到剥夺话语权言论(DT;诋毁、沉默和刻板印象的言论)的人会经历近端后果(PC;代理能力、感知可信度和行使权利和特权的能力降低),并对他人未来的交际目标做出负面推断(消极目标推断[NGIs])。通过PC和NGI的中介,DT被认为会导致更远端的健康和幸福结果。本文开发了DT、PC和NGIs的测量方法,以测试TCD在慢性疼痛背景下的后实证主义模型。项目是在一项试点研究中制定和完善的。然后,在两项验证研究中,进行了探索性和验证性因素分析,并评估了健康和幸福感结果。研究结果为DT、PCs和NGIs测量的可靠性、收敛性、发散性和预测有效性,以及TCD后实证主义表述中提出的模型提供了初步的实证支持。
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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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