Trust in Generative AI for Health Information Consumption and the Effect of Learned Dependency: An Experimental Investigation
Background: Generative artificial intelligence (GenAI) is increasingly used for health information, yet its influence on users' trust calibration remains unclear. Objective: This study examines whether learned dependency on GenAI influences trust in AI-generated health information and whether text highlighting reduces overreliance on incorrect outputs. Methods: Two randomized controlled experiments were conducted with 338 college students and 563 Amazon Mechanical Turk participants. Both experiments used a 2 by 2 between-subjects design manipulating information accuracy (correct versus incorrect) and text highlighting (highlight versus no highlight). Trust and learned dependency were measured using validated scales, and linear regression models tested main and interaction effects. Results: In both experiments, information accuracy significantly increased trust (p < 0.001), while learned dependency was positively associated with trust (p < 0.05). The interaction between accuracy and dependency was significant (p < 0.001), indicating that highly dependent users were more likely to trust incorrect AI-generated information. Text highlighting had no significant effect on trust and did not moderate the relationship between dependency and trust. Conclusions: Learned dependency weakens trust calibration, increasing susceptibility to inaccurate AI-generated health information. Text highlighting alone is insufficient to reduce overreliance, highlighting the need for more effective interface designs that encourage critical evaluation of GenAI outputs.