Interview and Training Update Tricc-partners

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Interview and TrainingUpdate Tricc-partners

• 2nd Partnermeeting Tricc, Istanbul, Turkey, 11th
  of September, 2009
• Sione Twilt Hans Harmsen, The Netherlands

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Interviews NL

• Target groups
• General practitioners and social care providers
• Informal interpreters
• Research
• Semi structured interview

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Aims of the research

• Gaining insight into needs, knowledge, attitudes
  and experiences from care providers and
  interpreters in bilingual medical conversation.
• Identifying the needs and wishes of care
  providers concerning the training in bilingual
  consultations.

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Topics health care providers

• Experiences (good and bad practice)
• Other professionals
• Opinions
• Organization
• Government policy
• Communication
• Training

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Topics informal interpreters

• Background
• Spoken languages
• Home situation
• Experiences in translating
• Opinions
• Communication and roles
• Description last visit to the doctor as an
  interpreter

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Respondents Health care providers
Respondents Work setting
1. Social care provider GGZ Amsterdam
2. Psychosocial nurse GGZ Amsterdam
3. Psychiatrist GGZ Amsterdam
4. Psychomotor therapist GGZ Amsterdam
5 - 15 General practitioners Private practice - Rotterdam
Total 15 Health care providers
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Respondents Informal Interpreters
Respondents Age
1. Moroccan woman 34
2. Turkish woman 22
3. Turkish woman 23
4. Azeri woman 25
5. Moroccan man 22
6. Moroccan woman 25
7. Italian - Colombian man 22
8. Turkish woman 19
9. Turkish woman 24
Total 9 Interpreters 15 planned
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Number of interviews

• Total interviews health care providers 15
• 4 social care providers
• 11 general practitioners
• 8 men, 7 women
• Total interviews interpreters
• 9 Informal interpreters (15 planned)
• 2 men, 7 women

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Procedure

• All interviews were audio taped
• Average time was 45 minutes
• All interviews care providers have been
  transcribed in Dutch
• All transcripts care providers have been verified
  by a second researcher
• Interviews interpreters are being transcribed

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Analysis

• Transcripts are going to be analyzed along
  different categories
• MAXQDA
• Researcher (care providers) and Masterstudent
  (interpreters)
• Comparison between two groups

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Main findings Social Care providers

• Use of formal interpreters
• Preference formal interpreters
• Being an informal interpreter is aggravating
• Sometimes informal interpreting happens to them
• No child interpreters
• Responsible for arranging an interpreter
• Doubt of reliability of formal interpreter
• Training wishes telephone interpreting, hearing
  the experiences of interpreters

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Main findings General Practitioners

• Use of informal interpreters
• Complex cases use of formal interpreters (rare)
• Preference informal or no interpreter (just learn
  Dutch)
• Time constraint
• Patient is responsible for arranging an
  interpreter
• Use of child interpreters (but no preference)
• Use of other intermediaries (care manager, GP in
  training, medical nurse)
• Not aware of interpreting issues
• Training wishes role play, analyzing
  consultations

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Similarities

• Doubt of translation difference in length of
  utterances
• Controlling if their message comes across seems
  impossible
• No familiarity with government policy
• According to respondents patients arent aware of
  policy
• No explicit organizational policy
• Developing their own system in working with
  bilingual consultations
• Training wishes cases, role play, knowledge

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Preliminary findings informal interpreters

• No familiarity with government policy
• Expectation parents prefer a family member who
  translates
• Speaking about private matters make them feel
  uncomfortable
• As a child the task of being an interpreter was
  harder

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Products of analysis

• Performed
• Presentation of results at COMET09 (Cardiff, UK)
• Data used as cases for training
• To be done
• Report (Tricc site)
• Public report Brussels
• Dutch Publication
• International Publication (with all partners)?

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Training

• Target groups
• General practitioners, Rotterdam
• October 2009
• Social care providers, Amsterdam
• March 2010

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Training General practitioners

• Content
• Knowledge
• Law and regulations concerning interpreting
• Language and cultural barriers
• Three party talk
• Awareness
• Roles of the (in)formal interpreter
• Role of gp in interpreted consultations
• Skills
• Working with formal interpreters
• Reflecting on own communication strategies
• Getting the message across through an interpreter

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Training General practitioners

• Method and tools
• Information transfer
• (presentations, demonstrations, sharing
  experiences)
• Forum theatre (images, role play)
• Counseling (during role play)
• Measuring bilingual awareness after intervention
• (filling in statements before and after the
  training)
• Evaluating the organizational aspects (form)

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Training General practitioners

• Organizational aspects
• Duration 12 hours
• October 29th (day, 8 hours) December 1st
  (evening, 4 hours)
• Recruitment
• Funds, Press, Websites, Invitations respondents
• Different trainers
• Kees Deenik (Forum theatre)
• Hanneke Bot (Presentation/demonstration formal
  interpreters)
• Hans Harmsen (Presentation cultural aspects)
• Sione Twilt (Presentation informal interpreters)
• Informal interpreter (Sharing experiences)

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Training Social care providers

• March 2010
• Training in development
• Comparable concept as training gps
• (methods, tools and trainers)
• Emphasis on formal interpreting