Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing

Introduction: This work explored the concept of ‘empowerment’ in health care. A concept map of ‘empowerment’ was generated based on theories of linguistic analysis to locate aspects of empowerment in conversational data. The process of empowerment was understood within the theory of transformative...

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Main Author: Collins, Luke C.
Format: Thesis (University of Nottingham only)
Language:English
Published: 2013
Online Access:https://eprints.nottingham.ac.uk/13406/
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author Collins, Luke C.
author_facet Collins, Luke C.
author_sort Collins, Luke C.
building Nottingham Research Data Repository
collection Online Access
description Introduction: This work explored the concept of ‘empowerment’ in health care. A concept map of ‘empowerment’ was generated based on theories of linguistic analysis to locate aspects of empowerment in conversational data. The process of empowerment was understood within the theory of transformative learning as ‘perspective change’. A ten phase model of the transformative learning process was used to provide evidence of perspective transformation. The empowerment process was explored through the delivery of the intervention Video Interaction Guidance to 16 hearing families of pre-lingual deaf children. Methods: The parents of the deaf children and the intervention guide engaged in conversations reviewing video clips of the parent and child in interaction. These conversations were processed through a corpus analysis software programme to discern key extracts of the participants’ conversational data. These extracts were to subject to discourse analysis to find evidence of transformative learning. Analysis: Transformative learning was observed in 10 families. Transcript extracts representing the model of transformative learning were variable. Principles of conversation analysis were applied to explore the learning process in interaction. Participant speech was tagged to assess their level of engagement. Outcomes: The corpus analysis-driven tagging process offers an original approach to representing the key content of large sets of interview data but in this work, was limited in showing how the interaction created opportunities for learning. Transformative learning processes were variable and the ten phase model could not be characterised in terms of discourse features alone. The intervention encouraged critical reflection but warrants directed focus to achieve learning. The participants were effective in acting as co-collaborators in the intervention process. Discussion and concluding remarks: Models of empowerment must focus on the process, of the ways in which the guide and the participant create learning opportunities and evidence of this must be multimodal. Patient-centred interventions should be supported by an open, communicative relationship with the health service provider.
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spelling nottingham-134062025-02-28T11:25:03Z https://eprints.nottingham.ac.uk/13406/ Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing Collins, Luke C. Introduction: This work explored the concept of ‘empowerment’ in health care. A concept map of ‘empowerment’ was generated based on theories of linguistic analysis to locate aspects of empowerment in conversational data. The process of empowerment was understood within the theory of transformative learning as ‘perspective change’. A ten phase model of the transformative learning process was used to provide evidence of perspective transformation. The empowerment process was explored through the delivery of the intervention Video Interaction Guidance to 16 hearing families of pre-lingual deaf children. Methods: The parents of the deaf children and the intervention guide engaged in conversations reviewing video clips of the parent and child in interaction. These conversations were processed through a corpus analysis software programme to discern key extracts of the participants’ conversational data. These extracts were to subject to discourse analysis to find evidence of transformative learning. Analysis: Transformative learning was observed in 10 families. Transcript extracts representing the model of transformative learning were variable. Principles of conversation analysis were applied to explore the learning process in interaction. Participant speech was tagged to assess their level of engagement. Outcomes: The corpus analysis-driven tagging process offers an original approach to representing the key content of large sets of interview data but in this work, was limited in showing how the interaction created opportunities for learning. Transformative learning processes were variable and the ten phase model could not be characterised in terms of discourse features alone. The intervention encouraged critical reflection but warrants directed focus to achieve learning. The participants were effective in acting as co-collaborators in the intervention process. Discussion and concluding remarks: Models of empowerment must focus on the process, of the ways in which the guide and the participant create learning opportunities and evidence of this must be multimodal. Patient-centred interventions should be supported by an open, communicative relationship with the health service provider. 2013-07-17 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/13406/1/Collins%2C_Luke_Thesis_June2013.pdf Collins, Luke C. (2013) Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing. PhD thesis, University of Nottingham.
spellingShingle Collins, Luke C.
Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
title Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
title_full Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
title_fullStr Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
title_full_unstemmed Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
title_short Exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
title_sort exploring empowerment in conversation: delivering video interaction guidance to families of children who are deaf or hard of hearing
url https://eprints.nottingham.ac.uk/13406/