Barbara Schouten

• PhD
• University of Amsterdam

Background Global migration has led to a sharp increase in the number of language‐discordant consultations (LDCs) in healthcare. Evidence on how healthcare providers (HCPs) meet migrant patients' needs while mitigating language barriers is lacking. Design Using purposive and snowball sampling, we recruited twenty‐seven Dutch HCPs (Mage = 45.07, SD...

Background Due to various socio-cultural and language related factors, healthcare providers experience barriers when communicating with older culturally and linguistically diverse (CALD) patients with cancer, which can lower the quality of care received by patients and negatively impact healthcare providers. Studies focusing on communication barrie...

Background Older cancer patients may search for health information online to prepare for their consultations. However, seeking information online can have negative effects, for instance increased anxiety due to finding incorrect or unclear information. In addition, existing online cancer information is not necessarily adapted to the needs of older...

Background Today, many cancer patients engage in online health information seeking (OHIS). However, little is known about how patients differ in their OHIS levels. In addition, OHIS might influence patient participation during a consultation with a physician, which might mediate the effects on patient outcomes. Objective The aim of this study is t...

Objectives To gain insight into (1) the unfulfilled instrumental and affective needs of Turkish-Dutch and Moroccan-Dutch older cancer patients/survivors, (2) the barriers perceived by healthcare professionals in fulfilling these needs, and (3) how the Health Communicator, a multilingual eHealth tool, can support the fulfillment of patients’/survivo...

Background Older migrant patients with cancer face many language- and culture-related barriers to patient participation during medical consultations. To bridge these barriers, an eHealth tool called Health Communicator was developed in the Netherlands. Essentially used as a digital translator that can collect medical history information from patien...

BACKGROUND Today, many cancer patients engage in online health information seeking (OHIS). However, little is known about how patients differ in their OHIS levels. In addition, OHIS might influence patient participation during a consultation with a physician, which might mediate the effects on patient outcomes. OBJECTIVE The aim of this study is t...

BACKGROUND Older migrant patients with cancer face many language- and culture-related barriers to patient participation during medical consultations. To bridge these barriers, an eHealth tool called Health Communicator was developed in the Netherlands. Essentially used as a digital translator that can collect medical history information from patien...

Objective: To provide an overview of information and participation preferences and needs of non-Western ethnic minority cancer patients living in Western countries. Methods: A systematic literature review was conducted using the databases PsycINFO, PubMed, CINAHL, and EMBASE. Thematic analysis was carried out to synthesize data, allowing for ide...

Previous research has shown that ethnic minority patients participate less during medical encounters than patients from majority populations. Given the positive outcomes of active patient participation, such as higher understanding of information and better treatment adherence, interventions are required to enhance ethnic minority patients’ partici...

Objective: The aim of this observational study was twofold. First, we examined how often and which roles informal interpreters performed during consultations between Turkish-Dutch migrant patients and general practitioners (GPs). Second, relations between these roles and patients' and GPs' perceived control, trust in informal interpreters and sati...

Ethnic minority patients are less participative in medical consultations compared to ethnic majority patients. It is thus important to find effective strategies to enhance ethnic minority patients' participation and improve subsequent health outcomes. This study therefore aimed to investigate the relation between the match between patients' preferr...

Objective: To explore the perspective of Turkish-Dutch general practitioner (GP) patients on informal interpreting from an integrated theory base, focusing on interpreters’ roles, trust and power. Design: Semi-structured in depth interviews were conducted with 21 first-generation Turkish-Dutch migrant patients who made use of informal interpreters...

This study investigates differences between native Dutch and Turkish-Dutch patients with respect to media usage before and patient participation during medical consultations with general practitioners. In addition, the authors assessed the relation between patient participation and communication outcomes. The patients were recruited in the waiting...

This study compared native-Dutch and Turkish-Dutch patients' expressions of emotional cues/concerns and GPs' responses to these cues/concerns. Relations between patient's cues/concerns and GPs' perceptions of the patient's health complaint were examined too. 82 audiotaped encounters with native-Dutch and 38 with Turkish-Dutch GP patients were coded...

Objective The aim of this study was to compare patients’ expressions of emotional cues and concerns, and GPs’ responses during consultations with and without informal interpreters. Furthermore, informal interpreters’ expression of emotional cues and concerns and their responses were examined too. Methods Twenty-two audiotaped medical encounters wi...

OBJECTIVE: To develop a communication typology addressing barriers to successful medication intake behaviour. DESIGN AND METHODS: Based on a literature review, the practical and perceptual barriers (PPB) typology was developed. RESULTS: The PPB typology addresses four potential types of barriers that can be either practical (memory and daily routin...

Between 2008 and 2010, academics in five European countries collaborated on an EU-funded project, Training Inter-cultural and Bilingual Competences in Health and Social Care (TRICC). Among TRICC’s aims was to deepen understanding of informal interpreting through eliciting the perspectives of interpreters themselves. To identify commonalities and di...

The purpose of this study is to gain insight into factors that are associated with youngsters' involvement with dance4life, a global HIV-prevention program. The Youth Engagement Framework, which includes factors impacting youngsters' involvement on three levels (individual, social, and system), was used as a theoretical base. In total, 67 youngster...

In this study, a six-dimensional model of communication styles is proposed and operationalized using the Communication Styles Inventory (CSI). The CSI distinguishes between six domain-level communicative behavior scales, Expressiveness, Preciseness, Verbal Aggressiveness, Questioningness, Emotionality, and Impression Manipulativeness, each consisti...

Young people aged 15-24 account for around 45% of new HIV infections, necessitating the implementation of effective HIV prevention programs for this age group. Dance4life (d4l) is the only global organization within the field of HIV prevention targeting adolescents by making use of an entertainment-educational communication strategy. The aim of thi...

Dance4life is a global organisation specifically aiming to establish a social youth movement around HIV and AIDS prevention. The aim of this chapter is to evaluate the implementation of the dance4life school-based HIV and AIDS prevention program, by sending questionnaires to two target groups in Africa and Europe, i.e. the staff members of the loca...

The barriers to patients' successful medication intake behavior could be reduced through tailored communication about these barriers. The aim of this study is therefore (1) to develop a new communication typology to address these barriers to successful medication intake behavior, and (2) to examine the relationship between the use of the typology a...

Objective: This study aims to assess unfulfilled information needs of native-Dutch and Turkish-Dutch general practitioner (GP) patients in the Netherlands. In addition, the relation between perceived and recorded information provision by GPs is studied. Methods: Unfulfilled information needs of native-Dutch (N=117) and Turkish-Dutch patients (N=...

Between 2008 and 2010, academics in five European countries collaborated on an EU-funded project, Training Intercultural and Bilingual Competences in Health and Social Care (TRICC). Among TRICCS aims was to deepen understanding of informal interpreting through eliciting the perspectives of interpreters themselves. To identify commonalities and diff...

Dance4life is a global organization specifically aiming to establish a social youth movement around HIV and AIDS prevention. The aim of this study is to evaluate the implementation of the dance4life school-based HIV and AIDS prevention program, by sending questionnaires to two target groups in Africa and Europe, i.e. the staff members of the local...

Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Intercultural doctor-patient communication is often...

SANNE SCHINKEL, BARBARA SCHOUTEN & JULIA VAN WEERT Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Intercultural doctor-patient communication is often less adequate than intracultural communication. In order to explore this problem, differences were...

In the present set of studies, the authors examine the idea that self-sacrificial leadership motivates follower prosocial behavior, particularly among followers with a prevention focus. Drawing on the self-sacrificial leadership literature and regulatory focus theory, the authors provide results from 4 studies (1 laboratory and 3 field studies) tha...

Het seksueel gedrag en de houding van jongeren tegenover seks zou negatief worden beïnvloed door seksuele mediaconsumptie. Deze negatieve gevolgen zijn echter niet eenduidig aangetoond. Daarbij wordt in onderzoek vaak voorbijgegaan aan het feit dat jongeren behoefte hebben aan informatie over seksualiteit en hier zelf in de media naar op zoek gaan....

The purpose of this study was to examine whether source expertise and type of compliance-gaining strategy influence compliance behavior differently for people of individualistic versus collectivistic cultures. In addition, the mediating role of people's self-construal and individual values was assessed. It was hypothesized that people are more will...

The aim of this study was to examine interactional styles of general practitioners (GPs) in consultations with Dutch patients as compared to ethnic minority patients, from the perspective of level of mutual understanding between patient and GP. Data of 103 transcripts of video-registered medical interviews were analyzed to assess GPs' communication...

The present research examined the idea that the effectiveness of apologies on promoting fairness perceptions depends on how meaningful and sincere the apology is experienced. More precisely, it was predicted that apologies are more effective when they are communicated by an authority being respectful to others. A study using a cross-sectional organ...

The primary goal of this study was to examine the extent to which patient participation during medical visits is influenced by patients' ethnic background, patients' culture-related characteristics (e.g. acculturation, locus of control, cultural views) and features of doctors' communicative behaviour. Furthermore, the mutual influence between patie...

Consultations of ethnic-minority patients tend to result in poor mutual understanding between doctor and patient, which may have serious consequences for health care. For good communication, physicians have strong devices at their disposal to manage the information, such as agenda-setting and structuring the interview into segments. What are the cu...

Individuals of different cultures vary in terms of how they use language in verbal interactions. In a previous study by Hara and Kim [(2004). The effect of self-construals on conversational indirectness. International Journal of Intercultural Relations, 28, 1–18] it was found that people's self-construals were related to the expression and interpre...

To examine to what extent adolescents' beliefs, subjective norm and perceived behavioral control predict the amount of parent-adolescent communication about sexuality. In addition, the role of adolescents' gender, ethnic background, religiosity and educational level on these relationships was assessed as well. Data were collected from 481 students...

Culture and ethnicity have often been cited as barriers in establishing an effective and satisfying doctor-patient relationship. The aim of this paper is to gain more insight in intercultural medical communication difficulties by reviewing observational studies on intercultural doctor-patient communication. In addition, a research model for studyin...

In 1995, the requirement to visit the dentist for a check-up every six months in The Netherlands was replaced by the obligation to get a routine examination no more than once a year. The aim of this study was to determine patients' opinions about this change in policy, and to assess their preferences regarding frequency and content of regular denta...

Findings of scarcely available studies indicate that there are substantial gaps in intercultural doctor-patient communication. In order to improve intercultural communication in medical practice in The Netherlands, an educational intervention was developed. The aim of the present study was to examine the effects of this intervention on doctor-patie...

Dutch dentists have a moral and legal obligation to inform their patients and involve them in the decision-making process. It is unclear, though, to what extent patients prefer information and involvement in decision-making. Therefore, the aim of this study was to determine levels of preference for information and participation in decision-making a...

The aim of this study was to replicate a previous study on informed consent in dental practice, because of the low response-rate of that study. The present study assessed Dutch dentists' knowledge, their attitudes and self-efficacy towards the principle of informed consent, by means of a strongly shortened version of the questionnaire used in the o...

This study examined the influence of the following variables on patients' information-seeking and participating behavior during emergency treatment: patients' preferences for information and participation, patients' coping style, patients' socio-demographic variables, and dentists' communicative behavior. The sample consisted of 83 patients receivi...

Patient satisfaction is a rather complicated issue. This paper describes the results of a pilot study regarding the influence of dentists' communication styles on patient satisfaction. A distinction was made between an affective and a control style. The study was conducted among 11 dentists and 22 patients. The results of this study indicated that...

The aim of this study was to examine the relations between patients' and dentists' communicative behaviour and their satisfaction with the dental encounter. The sample consisted of 90 patients receiving emergency care from 13 different dentists. Consultations were videotaped in order to assess dentists' and patients' communicative behaviour. Dentis...

Since April 1995, patients' right to information and the duty of the operator to obtain their consent are legally established in the 'Medical Treatment Contract Act'. The aim of this study was to make an inventory of the number and type of information- and consent-complaints of Dutch dental patients, archived by the Dutch Dental Association in the...

In The Netherlands, the legal doctrine of informed consent is established in the 'Medical Treatment Contract Act', which was introduced in 1995. This study assessed dental patients' knowledge, attitudes and self-efficacy, as well as their self-reported behaviour concerning informed consent. One hundred and twenty-eight patients (response rate: 91.4...

In the Netherlands patients rights are regulated in the 'Medical Treatment Contract Act'. This article describes how dentists deal with those rights in daily practice. From the registers of the Dutch Dental Association 806 dental practitioners were drawn at random. They received a questionnaire on this topic; 41.6% responded. The results show that...

The introduction of the 'Medical Treatment Contract Act' in the Netherlands 5 years ago, established some major rights and duties of both patients and members of the medical profession. The aim of this study was to assess Dutch dentists' knowledge, attitudes and self-efficacy with regard to several topics of this act. A questionnaire was sent to 80...

To assess experiences of the Dutch population concerning the implementation of some of their rights by dentists. A postal questionnaire. All 1,616 participants of the 'Consumer Panel Health Care' in the Netherlands. 78.8% of the subjects responded. Patients were satisfied with the general information they received from their dentist. Their experien...

After more than 25 years of debate about the legislation of patient rights in the Netherlands, the 'Agreement on Medical Treatment' act was passed by the Dutch government in 1995. This article descibes the amount of knowledge general dental practitioners have on several topics of this law, four years after its introduction. A questionnaire was send...