Esther de Boe, PhD candidate. PhD supervisors: Dr. Aline Remael, University of Antwerp Dr. Sabine Braun, University of Surrey

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1 Remote interpreting in dialogic settings. A methodological framework to investigate the impact of the use of telephone and video link on quality in medical interpreting. Esther de Boe, PhD candidate PhD supervisors: Dr. Aline Remael, University of Antwerp Dr. Sabine Braun, University of Surrey 0

2 Introduction Technology-mediated communication on the rise E-health era Growing practice of remote medical interpreting 1

3 Telephone Remote Interpreting interpreter works from remote setting Telephone Interpreting audio-only Teleconference Interpreting interpreter located with one of the primary parties Remote Interpreting Video Remote Interpreting interpreter works from remote location Video Interpreting audiovisual Videoconference Interpreting interpreter located with one of the primary parties 2

4 Previous research Vast research field on RI : different disciplines different objectives & methodologies Medical studies: positive results Interpreting Studies: impact on quality Combine insights 3

5 Issues in previous research (Interpreting Studies & medical science): impact technical conditions on interpreting performance physiological and psychological consequences cognitive overload role of vision increase of errors and miscommunication interaction (e.g. turn-taking) problems differences in length increase of process-oriented renditions increased coordinating role interpreter adapted interpreting strategies rapport between the interlocutors 4

6 PhD project Remote interpreting in dialogic settings. A comparative study on the influence of the use of telephone and video link on quality in medical interpreting 5 5

7 Research aims Primary aim Investigate possible differences in quality problems by means of a direct comparison between face-to-face, telephone and video interpreting and establish to what extent observed problems may be attributed to the remote (audio-only and audiovisual) conditions. Secondary aim Generate input for interpreter training & practical advice to users (healthcare providers & patients). 6

8 Theoretical conceptualization Dialogue interpreting is a linguistic as well as a social activity consisting of translation and coordination of triadic conversations (Wadensjö, 1998); quality assessment of the interpreting performance must therefore evaluate both content and coordination; Content must be evaluated within its interactional context, in order to establish if observed omission, additions, substitutions and anomalies are communication problems or resulting from strategic decision making (Napier, 2004); Measurements of accuracy are complex and should consider not only content but also style (Hatim & Mason, 1990); In order to draw a complete picture of the conversation management, nonverbal aspects must be studied and contextual factors such as technology must be taken into account in the analysis of the coordination. 7

9 Main research questions 1. Are there differences in interpreting quality in dialogic doctor-patient settings between face-to-face interpreting, telephone interpreting and video interpreting, and if such differences exist, what is their nature? 2. Is there a relationship between problems at the level of content and at the level of coordination, and if so, what is this relationship? 3. To what extent can possible differences be attributed to the remote conditions in telephone and video interpreting? 8

10 Assumptions 1. With the current general level of interpreter training, the remote conditions (TI/VI vs. face-to-face interpreting) affect the interaction and in this way lead to increase in inaccuracies and miscommunication. 2. Interpreters apply different strategies for conversation management to cope with the remote conditions in RI than in face-to-face interpreting and are more actively involved in steering the discourse management in RI. 3. Adding visual cues to the audio channel by using VI, facilitates the coordination of the interaction and reduces possible communication problems related to the lack of visual input in TI. 9

11 Research design 9 simulations: 3 interpreters perform a semi-scripted role play with a doctor and a patient, each under the three conditions (F2F, TI, VI) Data analysis of accuracy and coordination Semi-structured interviews with interpreters directly after the role plays; targeted questions after first brief analysis 10

12 Simulations Role play 1 Role play 2 Role play 3 I1 F2F VI TI I2 TI F2F VI I3 VI TI F2F 11

13 Data collection & analysis 12

14 Schematic representation of quality assessment accuracy linguistic content style omission addition substitution anomaly register-lexical: up/down translation register-syntactic: subordination/coordination quality coordination paralinguistic verbal nonverbal hesitation / false start articulation voice quality overlap verbal backchannelling explicit turn-taking meta-discursive comment turn-taking non-verbal backchannelling pauses gaze 13

15 Annotation categories 14 Content & Style Coordination Linguistic Paralinguistic Verbal Nonverbal Content Style Omission Register - lexical Hesitation/ false start Overlapping speech Pauses Addition Register - syntactic Articulation Verbal backchannelling Nonverbal backchannelling Substitution Voice quality Explicit turntaking Turn-taking Anomaly Meta-discursive comment Gaze

16 Thank you for your attention Contact: 15

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