The challenge of tetradic relationships in medically interpreted pediatric primary care visits: A descriptive study of communication practices

Patient Education and Counseling
C A PopeP M Darden

Abstract

To examine spoken interactions between pediatricians and community-based interpreters speaking with adolescents and parents with Limited English proficiency (LEP) in primary care to identify the challenges of interpreting in a four-person or tetradic visit, its sources of co-constructed errors, and specific practices for educational intervention. As part of a larger study of vaccine decision-making at six clinical sites in two states, this descriptive study used discourse analysis to examine 20 routine primary care visits in a Latino Clinic in interactions between adolescents, parents, community-based interpreters, and pediatricians. Specific patterns of communication practices were identified that contributed to inaccuracies in medical interpretation Practices needing improvement were tallied for simple frequencies and included: omissions; false fluency; substitutions; editorializing; added clarification, information, or questions; medical terminology; extra explanation to mother; and, cultural additions. Of these speaking practices, omissions were the most common (123 out of 292 total) and the most affected by pediatricians. The dynamics of both pediatricians and interpreters contributed to identification of areas for improve...Continue Reading

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References

Sep 11, 2002·Patient Education and Counseling·Kiek TatesJozien Bensing
Aug 29, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Bryony A Beresford, Patricia Sloper
Jul 19, 2006·Journal of Health Communication·Christian M SimonEric D Kodish
Mar 21, 2007·Pediatrics·Dennis Z KuoCynthia S Minkovitz
Nov 3, 2007·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Patricia Cahill, Alexia Papageorgiou
Aug 9, 2008·BMJ : British Medical Journal·Brian David HodgesScott Reeves
Dec 17, 2008·Patient Education and Counseling·Kathleen A BonviciniMichael G Goldstein
Dec 29, 2009·Patient Education and Counseling·Elizabeth A JacobsLisa Stevak
Jul 10, 2013·Pediatrics·Lisa Ross DeCampCynthia S Minkovitz
Oct 1, 2013·Patient Education and Counseling·Naoko OnoHirono Ishikawa
Oct 25, 2013·BMC Family Practice·Patricia HudelsonAlexander Bischoff
Jan 1, 2014·JAMA Pediatrics·Stewart C AlexanderCleveland G Shields

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Citations

Oct 22, 2016·Ethnicity & Health·Rena ZendedelBas van den Putte
Apr 13, 2017·Patient Education and Counseling·Marina SleptsovaWolf Langewitz
Oct 3, 2018·Asia-Pacific Journal of Oncology Nursing·Ibrahim AlananzehBronwyn Everett

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