The importance of shared language in rural behavioral health interventions: An exploratory linguistic analysis
| Autor: | Jennifer Cramer, Robert Walker, Michele Staton, Claire Snell-Rood, Athena Kheibari |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Evidence-based practice
Discourse analysis media_common.quotation_subject Applied psychology Psychological intervention 030508 substance abuse Fidelity Article 03 medical and health sciences 0302 clinical medicine Linguistic analysis Communication styles General Earth and Planetary Sciences 030212 general & internal medicine 0305 other medical science Interactional sociolinguistics Psychology Sociolinguistics General Environmental Science media_common |
| Zdroj: | Rural Ment Health |
| ISSN: | 2163-8969 1935-942X |
| DOI: | 10.1037/rmh0000117 |
| Popis: | A focus on the use of shared language to enhance congruence in interventionist-client dialogue is missing from traditional research on evidence-based practices and rural behavioral health. This study incorporates qualitative interactional sociolinguistics, which includes discourse analysis (typically written or audio recordings of face-to-face encounters with 11 clients and a study interventionist), to describe those speech patterns in a broad sense (dialect), as well as more specific use of communicative strategies to increase parity in the interaction between a rural interventionist delivering an evidence-based practice in the context of a research study with rural women opioid users in a non-therapeutic context. Study findings indicated that in the context of delivering the intervention, use of a shared language, language pattern congruence, and communication styles can greatly augment the intent of the approach with vulnerable populations. In addition, other communicative strategies connected with traditional Appalachian values – such as religion, home, and family – were also important. This study makes an important contribution to behavioral health research and practice by understanding critical factors that may influence evidence-based practice delivery, particularly in real-world settings with vulnerable populations. These findings have important implications for the utilization of creative approaches to understand critical components of the clinical interaction as indicators of fidelity. |
| Databáze: | OpenAIRE |
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