BACKGROUND:  Low health literacy has been found to affect people\'s ability to take care of their own health and follow the principles of disease prevention. Incomprehension of health education and healthcare instructions may lead to poor health outcomes.
OBJECTIVE:  The aim of the study was to describe and compare a sample of primary healthcare patient\'s ability to recognise and pronounce health-related words in English and in his or her native language.
METHODS:  The study was conducted in 12 primary healthcare (PHC) clinics in Gauteng, South Africa.
METHODS:  A prospective, quantitative, comparative research design using a survey method was used to assess the ability to recognise and pronounce health-related words of 401 respondents using the REALM-R (SA) tool.
RESULTS:  Most respondents were 18-29 years (32%) and 30-49 years (53%) old. More than half (54%) of the respondents have completed grade 12 schooling. Adequate English health-related word recognition and pronunciation levels were at 19.5%, while native health-related word recognition and pronunciation levels were far better, ranging between 55.6% and 97.0%.
CONCLUSIONS:  Respondents showed better word recognition and pronunciation of the health-related words in their native language than in English. Providing health information in the patient\'s native language and on their level of understanding may therefore improve patient health outcomes.Contribution: The study is the first of its kind to determine word recognition and pronunciation of health-related words in English and a native language of South African PHC patients. Knowing this may assist healthcare professionals to give health education and instructions on the patient\'s level of understanding.

Multisyllabic decoding poses a significant challenge to upper elementary grade readers. The purposes of this study were to (a) examine the reliability and validity of a classroom assessment, the Multisyllabic Decoding Inventory (MDI); (b) describe fourth- and fifth-grade students\' decoding of multisyllabic words in relation to their semantic difficulty (age of acquisition ratings); (c) investigate which aspects of word knowledge (word recognition and decoding skill, vocabulary knowledge, and morphological knowledge) predict real word and nonword reading for multisyllabic words; and (d) determine how student word knowledge and semantic difficulty of words jointly affect the odds of accurately recognizing a multisyllabic word. We found that (a) the MDI demonstrated acceptable internal consistency reliability and concurrent validity with standardized measures of word recognition and oral reading fluency; (b) students demonstrated strong performance in reading multisyllabic words and nonwords, but words with higher age of acquisition were less frequently recognized; (c) multisyllabic word reading was predicted by word recognition and decoding skill, vocabulary knowledge, and morphological knowledge, whereas multisyllabic nonword reading was predicted by decoding skills and morphological knowledge only; and (d) grade level, word recognition and decoding skill, and vocabulary at the student level increased the odds of recognizing a multisyllabic word correctly, whereas a word\'s age of acquisition rating decreased the odds of recognizing a multisyllabic word correctly. The results suggest that students in the upper elementary grades may benefit from multisyllabic decoding instruction that integrates decoding and vocabulary strategies.

Reading depends on a brain region known as the \"visual word form area\" (VWFA) in the left ventral occipitotemporal cortex. This region\'s function is debated because its stimulus selectivity is not absolute, it is modulated by a variety of task demands, and it is inconsistently localized. We used fMRI to characterize the combination of sensory and cognitive factors that activate word-responsive regions that we precisely localized in 16 adult humans (4 male). We then presented three types of character strings: English words, pseudowords, and unfamiliar characters with matched visual features. Participants performed three different tasks while viewing those stimuli: detecting real words, detecting color in the characters, and detecting color in the fixation mark. There were three primary findings about the VWFA\'s response: (1) It preferred letter strings over unfamiliar characters even when the stimuli were ignored during the fixation task. (2) Compared with those baseline responses, engaging in the word reading task enhanced the response to words but suppressed the response to unfamiliar characters. (3) Attending to the stimuli to judge their color had little effect on the response magnitudes. Thus, the VWFA is uniquely modulated by a cognitive signal that is specific to voluntary linguistic processing and is not additive. Functional connectivity analyses revealed that communication between the VWFA and a left frontal language area increased when the participant engaged in the linguistic task. We conclude that the VWFA is inherently selective for familiar orthography, but it falls under control of the language network when the task demands it.

Across word reading development, there are important and evolving relationships between oral and written semantic knowledge. Recent research has focused on these relationships, with accumulating evidence supporting the role of word knowledge and related word characteristics as important factors influencing polysyllabic word reading abilities. The purpose of this study was to investigate how semantic-related effects across child-level skills (e.g., general vocabulary knowledge), word-level properties (e.g., age of acquisition), child-by-word-level familiarity (e.g., item-level familiarity), and interactions between key child attributes and word characteristics (e.g., word reading skill by age of acquisition) contribute to polysyllabic word reading. Specifically, we emphasize the semantic contributions of word-level features to word reading development, which have been relatively underexplored in the literature. A sample of elementary school students oversampled for word reading difficulty (N = 92) in Grades 3 to 5 read a set of polysyllabic words (J = 45) and completed a battery of reading and language-related measures. Using cross-classified random-effects models and accounting for various control variables, semantic-related variables representing item-level familiarity; child-level set for variability; and word-level age of acquisition and number of morphemes were significant predictors in the main-effects model. A significant interaction between sight word efficiency and age of acquisition indicated higher probabilities of correctly reading polysyllabic words at lower levels of acquisition for better readers. Results indicate important semantic-related influences on polysyllabic word reading at the child, word, and child-by-word levels, suggesting meaningful relationships between knowledge of the orthographic form of a word and semantic knowledge in developing readers.

How do cognitive pressures shape the lexicons of natural languages? Here, we reframe George Kingsley Zipf\'s proposed \"law of abbreviation\" within a more general framework that relates it to cognitive pressures that affect speakers and listeners. In this new framework, speakers\' drive to reduce effort (Zipf\'s proposal) is counteracted by the need for low-frequency words to have word forms that are sufficiently distinctive to allow for accurate recognition by listeners. To support this framework, we replicate and extend recent work using the prevalence of subword phonemic sequences (phonotactic probability) to measure speakers\' production effort in place of Zipf\'s measure of length. Across languages and corpora, phonotactic probability is more strongly correlated with word frequency than word length. We also show this measure of ease of speech production (phonotactic probability) is strongly correlated with a measure of perceptual difficulty that indexes the degree of competition from alternative interpretations in word recognition. This is consistent with the claim that there must be trade-offs between these two factors, and is inconsistent with a recent proposal that phonotactic probability facilitates both perception and production. To our knowledge, this is the first work to offer an explanation why long, phonotactically improbable word forms remain in the lexicons of natural languages.

UNASSIGNED: The Gaokao Word List (GWL) in China serves as a guideline for learning L2 vocabulary, but there are few studies verifying its effect on university EFL learners\' vocabulary knowledge.
UNASSIGNED: This study investigated the effects of the GWL and EFL proficiency on 66 Chinese university EFL learners\' vocabulary knowledge by administering word recognition tests.
UNASSIGNED: The results showed that: (1) the GWL had significant effects on participants\' receptive vocabulary knowledge; (2) EFL proficiency had significant effects on participants\' word recognition, without interaction with the GWL. These findings were discussed through the lens of frequency of exposure, accounting for the overwhelming GWL effect on learners\' vocabulary knowledge. We suggest EFL proficiency be taken into consideration when the GWL is revised in the future, to smoothen the transition in vocabulary learning from high school to university, and improve vocabulary learning efficiency.

We replicated and extended the findings of Yao et al. [(2018). Differential emotional processing in concrete and abstract words. Journal of Experimental Psychology: Learning, Memory, and Cognition, 44(7), 1064-1074] regarding the interaction of emotionality, concreteness, and imageability in word processing by measuring eye fixation times on target words during normal reading. A 3 (Emotion: negative, neutral, positive) × 2 (Concreteness: abstract, concrete) design was used with 22 items per condition, with each set of six target words matched across conditions in terms of word length and frequency. Abstract (e.g. shocking, reserved, fabulous) and concrete (e.g. massacre, calendar, treasure) target words appeared (separately) within contextually neutral, plausible sentences. Sixty-three participants each read all 132 experimental sentences while their eye movements were recorded. Analyses using Gamma generalised linear mixed models revealed significant effects of both Emotion and Concreteness on all fixation measures, indicating faster processing for emotional and concrete words. Additionally, there was a significant Emotion × Concreteness interaction which, critically, was modulated by Imageability in early fixation time measures. Emotion effects were significantly larger in higher-imageability abstract words than in lower-imageability ones, but remained unaffected by imageability in concrete words. These findings support the multimodal induction hypothesis and highlight the intricate interplay of these factors in the immediate stages of word processing during fluent reading.

When visual stimuli are presented briefly, words are perceived better than nonwords. It is widely accepted that this word superiority effect reflects the efficiency with which words are perceived. However, most of what is known about the effect comes from languages (like English) using the basic Latin alphabet and little is known about whether languages using an alphabetic variant with very different properties can also produce word superiority. Here we report an experiment in which words and nonwords were presented briefly in Turkish, which uses a unique variant of the Latin alphabet containing 29 separate letters, 12 of which are close visual replications of other letters. Despite the potential for visual confusability and perceptual uncertainty, the findings revealed a clear advantage for words over nonwords, indicating that word superiority observed previously for the Latin alphabet can also be observed with the very different variant of this alphabet used for Turkish. Implications of these findings for processes involved in visual word perception are discussed.

As infants learn their native languages, they must also learn to contend with variability across speakers of those languages. Here, we examine 24-month-olds\' ability to process speech in an unfamiliar accent. We demonstrate that 24-month-olds successfully identify the referents of known words in unfamiliar-accented speech but cannot use known words alone to infer new word meanings. However, when the novel word occurs in a supportive referential context, with the target referent visually available, 24-month-olds successfully learn new word-referent mappings. Thus, 24-month-olds recognize and learn words in unfamiliar accents, but unfamiliar-accented speech may pose challenges for more sophisticated language processing strategies.

The foveal load hypothesis assumes that the ease (or difficulty) of processing the currently fixated word in a sentence can influence processing of the upcoming word(s), such that parafoveal preview is reduced when foveal load is high. Recent investigations using pseudo-character previews reported an absence of foveal load effects in Chinese reading. Substantial Chinese studies to date provide some evidence to show that parafoveal words may be processed orthographically, phonologically, or semantically. However, it has not yet been established whether parafoveal processing is equivalent in terms of the type of parafoveal information extracted (orthographic, phonological, semantic) under different foveal load conditions. Accordingly, the present study investigated this issue with two experiments. Participants\' eye movements were recorded as they read sentences in which foveal load was manipulated by placing a low- or high-frequency word N preceding a critical word. The preview validity of the upcoming word N + 1 was manipulated in Experiment 1, and word N + 2 in Experiment 2. The parafoveal preview was either identical to word N + 1(or word N + 2); orthographically related; phonologically related; semantically related; or an unrelated pseudo-character. The results showed robust main effects of frequency and preview type on both N + 1 and N + 2. Crucially, however, interactions between foveal load and preview type were absent, indicating that foveal load does not modulate the types of parafoveal information processed during Chinese reading.