File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Advanced informatics understanding of clinician-patient communication: A mixed-method approach to oral health literacy talk in interpreter-mediated pediatric dentistry

TitleAdvanced informatics understanding of clinician-patient communication: A mixed-method approach to oral health literacy talk in interpreter-mediated pediatric dentistry
Authors
Keywordsadult
caregiver
child
consultation
conversation
Issue Date2020
PublisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action
Citation
PLoS One, 2020, v. 15 n. 3, p. article no. e0230575 How to Cite?
AbstractBACKGROUND: In the clinical dental consultation, multi-party configurations predominate with the presence of parents/ primary caregivers in pediatric dentistry adding another layer of complexity. In managing child oral healthcare, parents/ primary caregivers are critical, especially in dental caries prevention. This study aimed (1) to identify the structure of oral health literacy (OHL) talk in interpreter-mediated pediatric dentistry and (2) to analyze interpreter contributions to the communication strategies: patient-centered direct interpreting (PC-DI), patient-centered mediated interpreting (PC-MI), clinician-centered direct interpreting (CC-DI), and clinician-centered mediated interpreting (CC-MI). METHODS: Visual text analysis (VTA) of video recorded pediatric clinical consultations in Hong Kong utilized Discursis™ software to illustrate temporal and topical structures and their distribution across turns-at-talk. Conversation analysis (CA) was applied to analyze turn-taking of the identified OHL talk qualitatively. The mixed-method approach of combining VTA and CA was applied to analyze the patterns and features of the recorded OHL talk. RESULTS: The conceptual recurrences of the 77 transcribed video recordings were plotted visually. CC- and PC-OHL talk were identified by the recurrence patterns of monochromatic and multi-colored triangular clusters formed by off-diagonal boxes, respectively. CA of interpreter-mediated turns supported earlier findings regarding patterns of MI in multilingual adult dental consultations; however, the role of the interpreter in parent/ primary caregiver education and patient management was more distinctive in the pediatric dentistry. CONCLUSIONS: The mixed-method approach assisted in unpacking the complexities of the multi-party interactions, supported identification of effective communication strategies, and illustrated the roles of the dental professionals in initiating CC- and PC-OHL talk in pediatric dentistry. The intervention showed the implication of the professional education of evidence-based practices for clinicians in balancing agenda management and the communicative dimension of OHL with the help of VTA and CA in multilingual consultations.
Descriptioneid_2-s2.0-85082136746
Persistent Identifierhttp://hdl.handle.net/10722/281754
ISSN
2019 Impact Factor: 2.74
2015 SCImago Journal Rankings: 1.395
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, HM-
dc.contributor.authorBridges, SM-
dc.contributor.authorMa, KW-
dc.contributor.authorYiu, CKY-
dc.contributor.authorMcGrath, CP-
dc.contributor.authorZayts, OA-
dc.date.accessioned2020-03-27T04:22:10Z-
dc.date.available2020-03-27T04:22:10Z-
dc.date.issued2020-
dc.identifier.citationPLoS One, 2020, v. 15 n. 3, p. article no. e0230575-
dc.identifier.issn1932-6203-
dc.identifier.urihttp://hdl.handle.net/10722/281754-
dc.descriptioneid_2-s2.0-85082136746-
dc.description.abstractBACKGROUND: In the clinical dental consultation, multi-party configurations predominate with the presence of parents/ primary caregivers in pediatric dentistry adding another layer of complexity. In managing child oral healthcare, parents/ primary caregivers are critical, especially in dental caries prevention. This study aimed (1) to identify the structure of oral health literacy (OHL) talk in interpreter-mediated pediatric dentistry and (2) to analyze interpreter contributions to the communication strategies: patient-centered direct interpreting (PC-DI), patient-centered mediated interpreting (PC-MI), clinician-centered direct interpreting (CC-DI), and clinician-centered mediated interpreting (CC-MI). METHODS: Visual text analysis (VTA) of video recorded pediatric clinical consultations in Hong Kong utilized Discursis™ software to illustrate temporal and topical structures and their distribution across turns-at-talk. Conversation analysis (CA) was applied to analyze turn-taking of the identified OHL talk qualitatively. The mixed-method approach of combining VTA and CA was applied to analyze the patterns and features of the recorded OHL talk. RESULTS: The conceptual recurrences of the 77 transcribed video recordings were plotted visually. CC- and PC-OHL talk were identified by the recurrence patterns of monochromatic and multi-colored triangular clusters formed by off-diagonal boxes, respectively. CA of interpreter-mediated turns supported earlier findings regarding patterns of MI in multilingual adult dental consultations; however, the role of the interpreter in parent/ primary caregiver education and patient management was more distinctive in the pediatric dentistry. CONCLUSIONS: The mixed-method approach assisted in unpacking the complexities of the multi-party interactions, supported identification of effective communication strategies, and illustrated the roles of the dental professionals in initiating CC- and PC-OHL talk in pediatric dentistry. The intervention showed the implication of the professional education of evidence-based practices for clinicians in balancing agenda management and the communicative dimension of OHL with the help of VTA and CA in multilingual consultations.-
dc.languageeng-
dc.publisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action-
dc.relation.ispartofPLoS ONE-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectadult-
dc.subjectcaregiver-
dc.subjectchild-
dc.subjectconsultation-
dc.subjectconversation-
dc.titleAdvanced informatics understanding of clinician-patient communication: A mixed-method approach to oral health literacy talk in interpreter-mediated pediatric dentistry-
dc.typeArticle-
dc.identifier.emailWong, HM: wonghmg@hkucc.hku.hk-
dc.identifier.emailBridges, SM: sbridges@hku.hk-
dc.identifier.emailYiu, CKY: ckyyiu@hkucc.hku.hk-
dc.identifier.emailMcGrath, CP: mcgrathc@hkucc.hku.hk-
dc.identifier.emailZayts, OA: zayts@hkucc.hku.hk-
dc.identifier.authorityWong, HM=rp00042-
dc.identifier.authorityBridges, SM=rp00048-
dc.identifier.authorityYiu, CKY=rp00018-
dc.identifier.authorityMcGrath, CP=rp00037-
dc.identifier.authorityZayts, OA=rp01211-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1371/journal.pone.0230575-
dc.identifier.pmid32196519-
dc.identifier.pmcidPMC7083275-
dc.identifier.scopuseid_2-s2.0-85082136746-
dc.identifier.hkuros309546-
dc.identifier.volume15-
dc.identifier.issue3-
dc.identifier.spagearticle no. e0230575-
dc.identifier.epagearticle no. e0230575-
dc.identifier.isiWOS:000535303100039-
dc.publisher.placeUnited States-
dc.identifier.issnl1932-6203-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats