Logren2017b

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Logren2017b
BibType ARTICLE
Key Logren2017b
Author(s) Aija Logren, Johanna Ruusuvuori, Jaana Laitinen
Title Group members’ questions shape participation in health counselling and health education
Editor(s)
Tag(s) EMCA, Medical EMCA, Questions, Questions and answers, Participation, Health education, Counseling, Conversation Analysis, Classroom interactions
Publisher
Year 2017
Language English
City
Month
Journal Patient Education and Counseling
Volume 100
Number 10
Pages 1828–1841
URL Link
DOI 10.1016/j.pec.2017.05.003
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Objective This study examines how group members’ questions shape member participation in health counselling and health education groups.

Methods The study applies conversation analytic principles as a method. The data consist of video-recorded health education lessons in secondary school and health counselling sessions for adults with a high risk of Type 2 diabetes.

Results Group members’ questions accomplish a temporary change in participatory roles. They are used to 1) request counselling, 2) do counselling or 3) challenge previous talk. They are usually treated as relevant and legitimate actions by the participants, but are occasionally interpreted as transitions outside the current action or topic.

Conclusion Group members’ questions result in a shift from leader-driven to member-driven discussion. Thus they constitute a pivot point for detecting changes in participation in group interventions.

Practice implications Observing the occurrence of group members’ questions helps group leaders to adjust their own actions accordingly and thus facilitate or guide group participation. Comparison of the type and frequency of members’ questions is a way to detect different trajectories for delivering group interventions and can thus be used to develop methods for process evaluation of interventions.

Notes