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PubMed2004

Education of deaf students in Spain: legal and educational politics developments.

This article examines the legal instruments and educational politics affecting deaf persons' educational rights in Spain. We present a historical view of deaf education in Spain before and after the Congress of Milan (1880) and then introduce educational legislation and practices in recent decades. At present, Spanish legislation is moving toward recognition of sign languages and the suitability of bilingual education for deaf students at all educational levels. This is a consequence of taking into account the low academic achievement of two generations of deaf students educated in a monolingual model. Bilingual projects are now run throughout Spain. We emphasize that efforts must be made in the legal sphere to regulate the way in which professionals who know sign language and Deaf culture-teachers, interpreters, deaf adult models-are incorporated in bilingual deaf schools.

Adult↗
PubMed2004

Consent rates for video-recording general practice consultations: effect of ethnicity and other factors.

We sought consent for video-recording general practice consultations from 260 consecutive attenders in nine surgeries. Intensive fieldwork including language support, from both the researcher and professional interpreters, was undertaken. The overall consent rate was 77.3%. No significant differences in consent rates were found between white and south Asian patients, even after controlling for age, gender and self-reported understanding of English. No differences in consent rates were found with respect to age, gender and self-reported understanding of English.

Adult↗
PubMed2005

Improving patient-provider communication: insights from interpreters.

BACKGROUND: It is important for physicians to recognize and address potential cross-cultural communication barriers with their patients. Several studies have demonstrated the importance of trained medical interpreters for ensuring effective patient-provider communication. Medical interpreters also represent an untapped source of insight into common communication problems. Such insights can contribute to strengthening physicians' cross cultural communication skills. OBJECTIVE: The purpose of this study was to explore professional medical interpreters' experiences and perspectives regarding patient-provider communication difficulties. METHODS: Key informant interviews were conducted with a purposive sample of nine professional interpreters working at the Geneva University Hospitals general medicine outpatient clinic. RESULTS: Interpreters described three domains where physicians and patients were likely to differ, and where mutual lack of awareness of those differences could lead to misunderstandings. These were: (1) ideas about the patient's health problem; (2) expectations of the clinical encounter; and (3) verbal and non-verbal communication styles. Interpreters recommended that cultural competence training for physicians focus on raising awareness about potential sources of misunderstanding and about the difficulties inherent in medical translation; providing basic background knowledge of patients' countries of origin; and adapting to patients' communication styles. While physicians' own perceptions of communication difficulties are important for developing learner-centered training activities, interpreters' bilingual and bicultural position allows for the identification of communication barriers that may be difficult for physicians to recognize.

Attitude to Health↗
PubMed2005

Explanations, explanations, explanations: how do patients with limited English construct narrative accounts in multi-lingual, multi-ethnic settings, and how can GPs interpret them?

BACKGROUND: The gap is widening between understanding the subtle ways patients and GPs manage their talk, and superficial discussion of the 'language barrier' among linguistic minority patients. All patients have to explain themselves, not just those for whom English is their first or main language. Patients' explanations reflect how they want the doctor to perceive them as a patient and as a person: they reveal patients' identities. Yet interpretations are not easy when patients' style of talking English is influenced by their first language and cultural background. OBJECTIVE: To explore in detail how patients with limited English and GPs jointly overcome misunderstandings in explanations. METHODS: Using discourse analysis and conversation analysis, we examine how GPs and their patients with limited English negotiate explanations and collaborate to manage, repair or prevent understanding problems. RESULTS: 31% of patients said English was not their first language. Misunderstandings arise owing to a range of linguistic and cultural factors, including stress and intonation patterns, vocabulary, the way a patient sequences their narrative, and patient and GP pursuing different agendas. CONCLUSION: When talk itself is the problem, patients' explanations can lead to misunderstandings, which GPs have to repair if they cannot prevent. Careful interpretation by skillful GPs can reveal patients' knowledge, experience and perspective.

Communication Barriers↗
PubMed1999

English language proficiency among older Hispanics in the United States.

Hispanics will constitute a growing part of the older population well into the 21st century. Accompanying this growth, we can expect that challenges associated with a large bilingual and non-English speaking older population may become more pronounced. The purpose of this research was to examine the level and determinants of English proficiency among older Hispanics in the United States. Data from the 1990 Census indicate that a third of the older Hispanic population in the United States speaks English poorly or not at all. This group includes a sizable number who are "linguistically isolated" in that they either live alone or with other nonproficient speakers of English. Using multivariate logistic regression techniques, it is shown that immigrant status and timing, socioeconomic status, geographic concentration, and national origin are key determinants of English proficiency.

Aged↗
PubMed2006

Recruitment and retention of Latinos in a primary care-based physical activity and diet trial: The Resources for Health study.

Mandates to include women and minority populations in research have heightened the need to identify successful recruitment strategies. This paper describes the recruitment and retention strategies used as part of a randomized controlled trial (RCT) of a physical activity and dietary intervention targeting low-income, predominantly Latino patients in a primary health care clinic. Data on the recruitment and retention rates and the representativeness of participants are presented. Strategies included hiring bilingual staff, translating and culturally adapting intervention materials and soliciting ongoing consultation from patients, clinicians and organizations providing services to the Latino community. The primary recruitment procedure involved letters from physicians followed by phone calls from project staff to patients identified from electronic medical records. Two hundred patients were recruited into the RCT (78% of those reached and eligible), with 69 and 81% reached for the 6-week and 6-month follow-ups, respectively. Women were more likely to both participate and remain in the trial, and there was a trend toward greater recruitment and retention of Spanish speakers. By engaging the community, clinicians and patients, this study was able to successfully recruit and retain a large proportion of this often difficult to reach Latino sub-population of patients with multiple chronic conditions.

Adult↗
PubMed2005

A pilot study: the effects of music therapy interventions on middle school students' ESL skills.

The purpose of this study was to investigate the effects of music therapy techniques on the story retelling and speaking skills of English as a Second Language (ESL) middle school students. Thirty-four middle school students of Hispanic heritage, ages 10-12, in high and low-functioning groups participated in the study for 12 weeks. Pretest to posttest data yielded significant differences on the story retelling skills between the experimental and control groups. Chi Square comparisons on English speaking skills also yielded significant results over 3 months of music therapy intervention. A variety of music therapy techniques were used including music and movement, active music listening, group chanting and singing, musical games, rhythmic training, music and sign language, and lyric analysis and rewrite activities as supplemental activities to the ESL goals and objectives. Comparisons of individual subjects' scores indicated that all of the students in the experimental groups scored higher than the control groups on story retelling skills (with the exception of 1 pair of identical scores), regardless of high and low functioning placement. Monthly comparisons of the high and low functioning experimental groups indicated significant improvements in English speaking skills as well.

Adolescent↗
PubMed1999

Native language shifts across sleep-wake states in bilingual sleeptalkers.

STUDY OBJECTIVES: To assess language used during episodes of sleeptalking in bilingual children. DESIGN: The investigation was accomplished through the parents who, after having received appropriate information, participated by filling out a survey on sleeptalking. SETTINGS: The study was performed in three bilingual schools of the Basque country, a region in northern Spain in which two completely different official languages are spoken. PATIENTS: A total of 1000 parents agreed to participate, and 681 children were studied. MEASUREMENTS AND RESULTS: Sleeptalking was reported by 383 (56.3%) of children (mean age 9 years; range: 3-17). Most individuals used their dominant (i.e., native) language during sleep. However, a minority (< 4%) were found to use their non-dominant language persistently during episodes of sleeptalking. CONCLUSIONS: Balanced bilinguals (those who have equal proficiency in both languages) may sleeptalk in either of the two languages. Dominant bilinguals (i.e., having greater proficiency in one language) may preferentially sleeptalk in their dominant language, with immediate past events probably influencing language use in individual subjects on particular nights. Several considerations are postulated as an explanation for the group who systematically exhibited a dominance shift during sleep.

Adolescent↗
PubMedDate not supplied

Use of interpreters.

Explore the source record for details and available documents.

Communication Barriers↗
PubMed1996

Brain processing of native and foreign languages.

We used positron emission tomography to study brain activity in adults while they were listening to stories in their native language, in a second language acquired after the age of seven, and in a third unknown language. Several areas, similar to those previously observed in monolinguals, were activated by the native but not by the second language. Both the second and the unknown language yielded distinct left-hemispheric activations in areas specialized for phonological processing, which were not engaged by a backward speech control task. These results indicate that some brain areas are shaped by early exposure to the maternal language, and are not necessarily activated by the processing of a second language to which they have been exposed for a limited time later in life.

Adult↗
PubMed1997

Anatomical variability in the cortical representation of first and second language.

Functional magnetic resonance imaging was used to assess inter-subject variability in the cortical representation of language comprehension processes. Moderately fluent French-English bilinguals were scanned while they listened to stories in their first language (L1 = French) or in a second language (L2 = English) acquired at school after the age of seven. In all subjects, listening to L1 always activated a similar set of areas in the left temporal lobe, clustered along the left superior temporal sulcus. Listening to L2, however, activated a highly variable network of left and right temporal and frontal areas, sometimes restricted only to right-hemispheric regions. These results support the hypothesis that first language acquisition relies on a dedicated left-hemispheric cerebral network, while late second language acquisition is not necessarily associated with a reproducible biological substrate. The postulated contribution of the right hemisphere to L2 comprehension is found to hold only on average, individual subjects varying from complete right lateralization to standard left lateralization for L2.

Adult↗
PubMed1999

Cerebral organization in bilinguals: a PET study of Chinese-English verb generation.

Positron emission tomography (PET) was used to investigate cerebral organization in seven subjects who had Mandarin Chinese as their native language (L1), and learned English (L2) later in life. When activation from word repetition was subtracted from verb generation in L1 and L2, CBF increases were observed for both languages in left inferior frontal, dorsolateral frontal, temporal and parietal cortices, and right cerebellum. Direct comparison of the difference between verb generation and word repetition in L1 and L2 revealed no significant differences. Within-subject analysis of verb generation minus word repetition yielded CBF increases in left frontal cortex for all individuals for L1 and L2, and a comparison of differences yielded no spatial separation in frontal peaks. We argue for shared neural substrates even for such contrasting languages as Mandarin and English.

Adolescent↗
PubMed2003

fMRI variability and the localization of languages in the bilingual brain.

The cerebral localization of multiple languages is a topic of active research. This study presents a method for assessing whether partial overlap of active voxels reflects differential language localization, or simply the variability known to occur with multiple runs of the same task in fMRI studies. Two groups of bilingual subjects (early and later learners of L2) performed word fluency and sentence generation tasks in both languages. The degree of separation for regions of activation did not exceed that associated with run-to-run variability for either task or either group. Early bilinguals, however, showed greater total numbers of active voxels than Late bilinguals for both tasks. This effect occurred despite a lack of a behavioral performance differences by the two groups.

Adolescent↗
PubMed2003

Neural mechanisms underlying semantic and orthographic processing in Chinese-English bilinguals.

Brain activation underlying language processing in Chinese-English bilinguals was examined using fMRI in an orthographic search and a semantic classification task. In both tasks, brain areas activated by Chinese characters and English words were very similar to tasks examining Chinese reading using Chinese pinyin (an alphabetic Chinese script) and Chinese characters. However, the degree of later-alization was different, with English words (second language) causing much more right hemisphere activation than Chinese characters (native language). These differences support the hypothesis that second language usage causes more right hemisphere activation than native language usage.

Adult↗
PubMed2004

An fMRI study with semantic access in low proficiency second language learners.

Brain activity was measured with fMRI in twelve 10- to 12-year-old Chinese children who began learning English when they were 8 years old in order to find out whether there is a common or a distinct neural semantic system for native language (L1) and second language (L2) in low proficiency bilingual subjects. Although they performed less well in L2 in the semantic decision task administered during fMRI measurement, these subjects showed similar robust activation, for both languages, in brain areas involved in semantic processing (e.g. the left inferior frontal cortex). Within-subject and group analyses revealed no significant difference in the activation patterns for L1 and L2 in these regions. These results suggest that at least at single-word level, there are shared neural substrates for semantic processing of L1 and L2 even when one is at a very low L2 proficiency level.

Brain↗
PubMed2004

Differential cortical responses in second language learners to different vowel contrasts.

Near-infrared spectroscopy was used to measure hemodynamic responses in Korean subjects learning Japanese as a second-language to Japanese phonemic contrasts that are either phonologically distinctive or non-distinctive in their first-language. These results were compared with those of Japanese native listeners reported previously. Unlike the results observed in the Japanese subjects, the Korean subjects did not show category-specific neural responses to a durational contrast that is non-distinctive in their first-language. The /a-e/ contrast elicited the larger response in the left auditory area, consistent with the results of the Japanese. These phoneme-dependent responses imply that the neuronal networks subserving the first and second-languages are either shared or exclusive according to the mutual relationship between the phonemic properties of the first and second-languages.

Acoustic Stimulation↗
PubMed2004

Spatiotemporal brain activation pattern during word/picture perception by native Koreans.

The purpose of this study is to explore spatiotemporal brain activation patterns during perception of words from three different languages (Korean, English, Chinese) and pictures. Using 64 channel event-related potential (ERP) recording and source localization using distributed source model, we investigated, with high temporal resolution, whether similar or different spatiotemporal patterns of brain activation are involved in the perception of words of different languages and/or pictures. Experimental results seem to corroborate left hemispheric dominance in language processing, and temporal/spatial characteristics in word perception revealed by previous ERP and neuroimaging studies. Observed differences in spatial pattern of activation at specific time periods between English and Korean, and Korean and Chinese, could be explained in terms of required visual pattern analysis due to the orthographic characteristics of each language.

Adult↗