CCA
What is the full name of the CCA theory?
Culture Centered Approach to Communicating Health
What is the full name of the BHC model?
Bilingual Health Communication Model
Imagine you are the child of an immigrant, and your parent does not speak English well enough to be able to understand the doctor. You either must be there with them at the doctor’s appointments to translate for them, or the hospital must make sure they have an interpreter. Which theory or model is this?
BHC model.
Which of the tenets draws upon the enactment of everyday choices and decisions by community members?
Agency.
What are some challenges that could arise regarding the BHC model when it comes to interpreter-mediated medical encounters?
1. Professional interpreters are found to regularly deviate from the prescribed passive role and actively intervene in the content and process of provider-patient interactions.
2.Despite state mandates for and availability of professional interpreters, providers consistently underutilize professional interpreters (e.g., on-site interpreters and telephone interpreters) and rely on a wide variety of non-professional interpreters (e.g., family interpreters and bilingual staff ) and their limited language proficiency in cross-cultural care (Hsieh, 2016).
A doctor is treating an African American patient and notices their discomfort throughout the interaction. When the doctor decides to ask the patient what is wrong, they open and disclose the mistrust they have towards doctors. Which of the theories highlights the perceptions one individual may have towards health?
Culture Center Approach to Communicating Health
What two constructs are intertwined in erasing cultural claims to health?
Capitalism and Colonialism
The theories have some similarities, however there are some differences especially when it comes to the theory's goals. Which one of them does not aim to define the behavior that is seen as effective regarding provider-patient interaction?
BHC model
Which tenants in the individual-level constructs of the BHC model focus on interpreters’ alterations to others’ narratives and how they are not mistakes but purposeful activities to achieve unique needs?
Communicative goals
Another big difference between the two theories is their targeted audience for which they are helping. One focuses on a larger audience, and the other one focuses on a specific group that the other also includes. Which audience does each theory focus on?
Bigger audience- CCA (any type of different culture) Bilingual audience – BHC.
Per CCA, what is one of the roles of health communication professionals regarding their field and their help in addressing health disparities?
Addressing and challenging structures.
Walk alongside communities in their struggles against colonialism, racism, and capitalism.
A U.S. physician will have different communicative patterns when talking to a Korean patient who has lived in the U.S. for decades, and an Italian exchange student. A physician’s ability to understand, empathize, adapt, and respond to a patient’s unique needs and expectations give them more resources to provide which of the individual-level constructs?
Quality & Equality Care (QEC )
A recent law has passed that bans food shelters from mailing food packages to individuals. Which of the tenets from CCA is being highlighted here, and health disparities might emerge from this ban?
Answer: Structure (CCA)
Answer: Accessibility to food/groceries
What are one of the four ways CCA defines communicative inequalities?
Resources of Representation, voice, and decision making in addition to information resources.
When it comes to normative models, the challenge is that they are linked by sociocultural norms. What is a unique aspect of BHC model that can help addressing social injustice and protect the bilingual patients?
Interpreters’ agency and responsibility in addressing social injustice and protecting patients’ voices and perspectives.
What other theories can you connect to these two theories and how?
Culture-Contract Theory, Undocu Crit, Ethnic Theory
In the United States, Black Women have a higher mortality rate compared to other women when giving birth. Healthcare providers tend to minimize the pain their patient is feeling because of beliefs that black women physiology operate differently. This belief shapes the way healthcare providers interact and believe in their patients. Which theory describes how an individual's perception of health is influenced?
Culture Centered Approach to Communicating Health