Examining Patient-Provider Language and Interactions in Healthcare (EXPLAIN) Lab

UCF Communication Sciences and Disorders

Overview

The Examining Patient-Provider Language and Interactions in Healthcare (EXPLAIN) Lab is dedicated to advancing health literacy and patient-provider communication through research, education, and interdisciplinary collaboration. Our mission is to improve healthcare accessibility, comprehension, and outcomes by studying and enhancing communication strategies for individuals with communication disorders (CSD) and those who experience challenges in accessing understanding and using health information.

What We Do/ Research Capabilities:

The EXPLAIN Lab investigates how communication sciences and disorders intersect with health literacy, patient education, and healthcare communication. Our research explores:

  • Health Literacy and Readability – Assessing and improving the readability, understandability, and actionability of patient education materials for individuals with communication disorders.
  • Patient-Provider Communication – Examining how healthcare professionals communicate with patients who have speech, language, and hearing disorders, and developing strategies for improving shared decision-making.
  • Simulation and Training in Healthcare Communication – Using simulation-based education to train healthcare providers and students in clear, effective communication with patients and families.
  • Technology and AI in Health Communication – Investigating how AI tools can support the development of more accessible, patient-friendly health information.
  • Interprofessional Collaboration – Working with healthcare educators, speech-language pathologists, audiologists, and medical professionals to bridge gaps in communication and promote patient-centered care.

Through this work, the EXPLAIN Lab strives to empower patients, providers, and educators by ensuring that everyone—regardless of communication ability—has access to clear, effective health information and support.

PARTICIPATE IN A STUDY!

Our laboratory is often recruiting participants to partake in research studies. Participation in our studies not only helps contribute to science, but can also be a fun learning experience.

Current Research Projects

Using ChatGPT to Improve Readability of Spasmodic Dysphonia Patient Education Websites
This project is being conducted by CSD undergraduate student Kelly Clevenger. This study examines how utilizing AI large language models (LLMs), specifically ChatGPT, can improve the readability of online patient education materials about spasmodic dysphonia, a neurological voice disorder which causes involuntary spasms in the muscles of the larynx. Kelly’s project was one of only eight finalists for the UCF Research Week “Impact of Research” Competition.  She is also presenting this research at the National Council on Undergraduate Research in Pittsburgh, PA in April 2025.

Readability of Audiology-Related Patient Education Materials on the American Speech-Language-Hearing Association Website
This project is being conducted by CSD undergraduate student Anna Phillips. This study evaluates whether ASHA’s current audiology-related PEMs align with health literacy recommendations or continue to present readability barriers.

Readability of Dysphagia-Related Patient Reported Outcome Measures: An Update
This project is being conducted by CSD undergraduate student Talia Tumminello. This study examines the readability of recently developed patient-reported outcome measures (PROMs) for individuals with dysphagia (disordered swallowing).

Readability and Quality of Online Patient Education Information about Dementia
This project is being conducted by CSD graduate student Lily Taczak-Miller. This study examines the readability and quality of online patient education information about dementia.

Readability and Actionability of Information Presented on a University Communication Disorders Clinic Website
This project is being conducted by Dr. Zraick in collaboration with Ms. Debra Knox, and Dr. Ann Miller. A tutorial is being prepared for communication disorders clinic personnel, especially in clinics associated with universities, that are interested in evaluating their websites for readability and actionability. By applying the tools described, clinic personnel can assess how appropriate their web content is for individuals who are low in health literacy.

Advanced Bionics Answers UCF Researchers’ Call for Action with Health Literacy Collaboration
The UCF hearing health literacy research team consisting of Jennifer D. La Scala, B.S., Janel L. Cosby, Au.D, Ph.D., CCC-A, Linda I. Rosa-Lugo, Ed.D., CCC-SLP, and Richard I. Zraick, Ph.D., CCC-SLP,  is collaborating with cochlear implant manufacturer Advanced Bionics in their commitment to advancing global access to hearing healthcare. Advanced Bionics is dedicated to improving hearing health literacy and enhancing the readability of their PEMs. As part of this commitment, the company launched all new materials in print and online in 2023. This collaboration aims to explore ways Advanced Bionics can continue improving access to hearing health information in both English and Spanish, further supporting their mission.

Beyond the Readability: Analysis of Advanced Bionics’ Revised Cochlear Implant Patient Education Materials
This project is being conducted by CSD graduate student Jennifer D. La Scala. This study evaluates whether the readability scores of Advanced Bionics’ revised cochlear implant PEMs have improved when compared to their former CI brochure analyzed in her 2021 Honors in the Major Undergraduate Thesis. It also goes beyond the readability scores by analyzing the participants perspective of the understandability and actionability of the revised PEMs.

Meet Our Team

Director

Richard Zraick's profile picture at UCF

Richard Zraick, Ph.D., CCC-SLP, CHSE

Professor
Communication Sciences and Disorders
Location: HS II Room: 109
Phone: 407-823-4795

Collaborators

Selected Relevant Publications

Our laboratory makes a concerted effort to publish our findings in respected academic journals and present at regional, national, and international conferences. In addition to contributing to collective body of knowledge in a given field, presenting original data at conferences is a fun way for the lab’s students to enhance their self-confidence and network with other scientists.

Contact

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