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Lifelong Learning Programme
Lifelong Learning Programme, Grundtvig - Multilateral Project
Project no.: 142235-2008-LLP-NL-GRUNDTVIG-GMP
Project title: TRICC - Training Intercultural and Bilingual Competencies in Health and Social Care
Interdisciplinary Social Science Department
Utrecht University

Utrecht, the Netherlands
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Boğaziçi University
Istanbul, Turkey
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COOSS Marche
Ancona, Italy
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Hamburg, Germany
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PPRE Limited
London, Great Britain
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Interdisciplinary Social Science Department, Utrecht University

utrecht university logo

 

Ludwien Meeuwesen · Sione Twilt · J.A.M. Harmsen · Barbara Schouten


Ludwien Meeuwesen

Dr. Ludwien Meeuwesen is a social psychologist and has been involved for many years in interdisciplinary research and teaching on the quality of (mental) health care in modern multicultural society. She studies doctor-patient communication, cultural variations in health care, bilingualism and interpreting in health and social care, migrants in health care, gender in health care, cross-national comparison in medical communication, social support and social isolation in modern society (life events, personal competences, health issues, neighbourhoods and social participation). The research strategies she uses are both quantitative (surveys, controlled trials, content analysis) and qualitative (in depth interviews, discourse and conversation analysis).

Key publications
Meeuwesen, L., & Brink-Muinen, A. van den., & Hofstede, G. (2009). Can dimensions of national culture predict cross-national differences in medical communication? Patient Education and Counseling.
Meeuwesen, L., Tromp, F., Schouten, B., & Harmsen, J. (2007). Cultural differences in managing information during medical interaction: How does the physician get a clue? Patient Education and Counseling, 67, 183-190.
Schouten, B.C., & Meeuwesen, L. (2006). Culture differences in medical communication: A review of the literature. Patient Education and Counseling, 64, 21-34.
Meeuwesen, L., Harmsen, H., Bernsen, R., & Bruijnzeels, M. (2006). Do Dutch doctors communicate differently with immigrant patients than with Dutch patients? Social Science and Medicine, 63, 2407-2417.
Hortulanus, R., Machielse, A., & Meeuwesen, L. (2006). Social isolation in modern society. London Routledge.
Harmsen, H., Bernsen, R., Meeuwesen, L., Thomas, S., Dorreboom, G, Pinto, D., & Bruijnzeels, M. (2005). The effect of an educational intervention on intercultural communication: Results of a randomised controlled trial. British Journal of General Practice, 55, 343-350.
Tates, K., & Meeuwesen, L. (2001). Doctor-parent-child communication: A (re)view of the literature. Social Science and Medicine, 56, 839-851.
Meeuwesen, L., Schaap, C., & Staak, C. van der (1991). Verbal analysis of doctor-patient communication. Social Science and Medicine, 32, 1143-1150.

All publications:
www.fss.uu.nl/asw/meeuwesen

Ludwien Meeuwesen, Ph.D.
Associate professor
Utrecht Uni­versity
Interdisciplinary Social Scien­ce Department
P.O. Box 80.140
3508 TC Utrecht
The Nether­lands

Tel.: +31 30 253 6729
Fax: +31 30 253 4733
Mail: l.meeuwesen@uu.nl
Site: www.fss.uu.nl/asw/meeuwesen

 

Sione Twilt, MA

Sione Twilt (MA) is a researcher at the Interdisciplinary Social Science Department, Utrecht University. Furthermore, she is a teacher at the Higher Vocational Education in Rotterdam (Hogeschool Rotterdam). Since 2002 Sione is working as a speech/voice therapist in diverse settings in the multicultural city Rotterdam. In this setting, she has often worked with patients from different cultures.
In 2004 she started studying Interdisciplinary Social Science. She finished her master Communication Studies in 2007. Her thesis was focused on the role of the informal interpreter in consultations in general practice.
Further, Sione has experience in amateur theatre plays. Her great affinity with being on stage might be valuable for forum theatre methods.
Per December 2008 Sione is coordinator of the TRICC-project. Furthermore she will perform research and as a teacher she will be involved in the preparation and evaluation of the trainings for health professionals.

Publications
Twilt, S. (2004). Meertaligheid en verstaanbaarheidproblematiek. Logopedie en Foniatrie, 12, 807-809
Twilt, S. (2007). “Hmm.. hoe zal ik dat vertellen?” De rol van de niet professionele tolk in arts-patiënt-gesprekken. Utrecht: Universiteit Utrecht.
Twilt, S., Meeuwesen, L., Thije, J.D. ten, Harmsen, H. (submitted). Informal interpreting in medical encounters: Do Turkish immigrant patients and Dutch doctors understand each other?

Sione Twilt, MA
Interdisciplinary Social Science Department
Utrecht University

Tel.: +31-30-2532232
Mail: s.twilt@uu.nl

 

Besides the participants of Utrecht University, two more Dutch researchers (Hans Harmsen and Barbara Schouten) are involved in the project because of their expertise in intercultural communication in health and social care.

 

J.A.M. Harmsen

J.A.M.Harmsen was born on the 19th January 1949 in Zevenaar (Netherlands). Studied medicine in Nijmegen
In 1980 he settled as a GP in Rotterdam-Charlois in association with his wife: S.H. Lo Fo Wong. Nowadays he still works (part time ) as a GP in his practice
From 1980 till 1999 he was representative in diverse committees of national Dutch board of GPs concerning GP-care in old people's homes and certification of quality of this kind of care. and member, secretary and chairman of GP retraining organization (Post-graduate courses: Commissie voor de Artsencursus Rotterdam) From 1996 till 2003 he worked as a reasearcher on intercultural communication in general practice. He got his PhD on 22 of October with his thesis: When Cultures meet in Medical Practice and in 2004 he received the Telesphorus award of the Dutch College of General Practitioners (NHG) for his thesis.
From 2005 tot today he works as a teacher of vocational training in general practice: Department of General Practice, Erasmus MC Rotterdam, as well as practising GP. He is also still active in research on inter cultural communication in healthcare.
He is married since 1973 with Sylvia Lo Fo Wong. They have two daughters 2 (Eva 1983 and Roos 1985).

Publications
1. Keeman, J.N., et al., Het Medisch jaar, ed. B.S.v. Loghum. 2007, Houten.
2. Harmsen, H., et al., The effect of educational intervention on intercultural communication: results of a randomised controlled trial. Br J Gen Pract., 2005. 55(514): p. 343-50.
3. Harmsen, H., et al., When cultures meet in general practice: intercultural differences between GPs and parents of child patients. Patient Educ Couns., 2003. 51(2): p. 99-106.
4. Harmsen, J., When cultures meet in medical practice. Improvement in intercultural communication evaluated., in General practice. 2003, Erasmus MC, university medical center: Rotterdam. p. 153.
5. Harmsen, J., Allochtone patienten op het spreekuur. Patient Care, 2004: p. 201-5.
6. Harmsen, J. and M. Bruijnzeels, Etnisch-cultureel verschillende patiënten op het spreekuur, maakt het wat uit? Huisarts en Wet., 2005. 48: p. 166-170.
7. Harmsen, J.A., et al., Assessment of mutual understanding of physician patient encounters: development and validation of a Mutual Understanding Scale (MUS) in a multicultural general practice setting. Patient Educ Couns., 2005. 59(2): p. 171-81. Epub 2004 Dec 21.
8. Harmsen, J.A.M., Problemen tussen huisartsen en allochtone patienten. Modern Medicine, 2002(4): p. 33-35.
9. Harmsen, J.A.M., R.M.D. Bernsen, and M.A. Bruijnzeels, Impact of culture on perceived quality of care and satisfaction with the general practitioner. submitted, 2004.
10. Harmsen, J.A.M., et al., Werkbelasting van huisartsen: objectieve toename in 9 praktijken in Rotterdam en omgeving, 1992-1997 en een extrapolatie naar 2005 [Dutch: Workload of GPs: An objectively observed increase in 9 practices in the Rotterdam region, 1992-1997and extrapolation to 2005]. Ned Tijdschr Geneeskd, 2001. 145(23): p. 1114-1118.
11. Harmsen, J.A.M., et al., Cultural dissimilarities in general practice:Development and validation of a patient's cultural background scale. J Immigr Health, 2006. 8((april)): p. 115-24.
12. Harmsen, J.A.M., et al., Allochtone kinderen op het spreekuur. Communicatie tussen huisarts en allochtone ouders [Dutch: GP consultations with ethnic minority children. Communication between parents and the general practitioner]. Huisarts Wet, 1999. 42(5): p. 211-215.
13. Harmsen, J.A.M., R.L. Hulsman, and L. Meeuwesen, Medische communicatie in onderzoek en onderwijs [Dutch: Medical communication in research and education]. Toegepaste Taalwetenschap in Artikelen, 2007. 78: p. 25-35.
14. Harmsen, J.A.M., et al., When cultures meet in general practice: intercultural differences between GPs and parents of child patients. Patient Educ Couns, 2003. 51: p. 99-106.
15. Meeuwesen, L. and H. Harmsen, Valkuilen in de multiculturele huisartspraktijk: Het 'stille gesprek'[Dutch:Pitfalls in multicultural general practice:The silent consultation]. Modern Medicine, 2007. 31(2): p. 34-38.
16. Meeuwesen, L., et al., Do Dutch doctors communicate differently with immigrant patients than with Dutch patients? Soc Sci Med., 2006. 63(9): p. 2407-17. Epub 2006 Aug 22.
17. Meeuwesen, L., et al., Cultural differences in managing information during medical interaction: how does the physician get a clue? Patient Educ Couns, 2007. 67(1-2): p. 183-90.
18. Schouten, B.C., L. Meeuwesen, and H.A. Harmsen, The impact of an intervention in intercultural communication on doctor-patient interaction in The Netherlands. Patient Educ Couns., 2005. 58(3): p. 288-95.
19. Schouten, B.C., et al., Cultural diversity in patient participation: The influence of patients' characteristics and doctors' communicative behaviour. Patient Educ Couns, 2007. 67(1-2): p. 214-23.

 

Barbara Schouten

Barbara Schouten is a social psychologist and works as an assistant professor at the University of Amsterdam, department of Communication Science. In 2002 she got her Ph.D. in social dentistry on a dissertation about dentist-patient communication. She has worked as a post-doc researcher at Utrecht University on a project about intercultural communication in general practice. Since 2005 she has worked as an assistant professor on several research projects related to culture, communication and health. At present, her research interests are cultural and linguistic barriers in health care communication, Muslim Youth and sexual risk-behavior and HIV/Aids prevention in Sub-Saharan Africa.

Publications (selection):
Schouten, B.C., Meeuwesen, L., Harmsen, H. GPs interactional styles in consultations with Dutch and non-Western patients. Journal of ethnic and minority health (in press).
Schouten, B.C. & Velden, C van der. Living in discrepant worlds: exploring the cultural context of sexuality among Turkish and Moroccan male adolescents. Nova Publishers: Hauppage, New York (in press)
Schouten, B.C. (2008). Compliance behavior and the role of ethnic background, source expertise, self-construals and values. International journal of intercultural relations 32(6), 515-523.
Schouten, B., Meeuwesen L, Harmsen, H. (2008). Wie tolkt er bij de dokter? De praktijk van informele tolken in de gezondheidszorg (Who is interpreting at the doctor’s office? The practice of informal interpreting inhealth care), Cultuur Migratie en Gezondheid, 5(3), 144-151.
Schouten, B.C. (2008). Verschillen in voorkeuren voor communicatiestijlen onder Nederlanders, Turken en Marokkanen: etnische afkomst versus individuele waarden en zelfbeeld (differences in preferences for communication styles among Dutch, Turkish and Morrrocan people: ethnic background vs. individual values and self-construals). Migrantenstudies, 24(1), 55-71
De Cremer, D. & Schouten, B.C. (2008). When Apologies for Injustice Matter: The Role of Respect. European Psychologist, 13(4), 239-247.
Schouten, B.C. (2008). Communicating bad news in medicine. International Encyclopedia of Communication. Wiley Blackwell Publishing, Boston
Schouten, B.C., Meeuwesen, L., Harmsen J. (2007). Cultural diversity in patient participation: the influence of patients' characteristics and doctors' communicative behaviour. Patient Education and Counseling, 67(2): 214-223
Meeuwesen, L., Tromp, F., Schouten, B.C., Harmsen, J.A.M.(2007). Cultural differences in managing information during medical interaction: How does the physician get a clue? Patient Education and Counseling, 67(2): 183-190
Schouten, B.C., van den Putte, B., Pasmans, M., Meeuwesen L. (2007). Parent- adolescent communication about sexuality: The role of adolescents' beliefs, subjective norm and perceived behavioral control. Patient Education and Counseling, 1:75-83.
Schouten, B.C. (2007). Self-construals and conversational indirectness: A Dutch perspective. International Journal of Intercultural Relations,: 293-7.
Schouten, B.C. & Meeuwesen, L. (2006). Culture and medical communication: a review of the literature. Patient Education and Counseling, 64:21-34
Schouten, B.C., Weeda, W., Mettes, T.G. & Hoogstraten, J. (2006). Dental check-up frequency: preferences of patients. Community Dental Health, 23(3), 133-9.
Schouten, B.C., Meeuwesen, L. & Harmsen, J.A.M. (2005). The effect of an intervention in intercultural communication on doctor-patient interaction in The Netherlands. Patient Education and Counseling, 58(3):288-95.
Schouten, B.C., Eijkman, M.A.J. & Hoogstraten, J. (2004). Dental patients’ need for information and participation in medical decision making. Journal of Dental Research, 83, 961-965
Schouten, B.C., Hoogstraten, J. & Eijkman, M.A.J. (2004). Dutch dentists’ views of informed consent: a replication study. Patient Education and Counseling, 52,165-168.
Schouten, B.C., Hoogstraten, J. & Eijkman, M.A.J. (2003). Patient participation

Barbara Schouten, Ph.D.
University of Amsterdam
Department of Communications Science
Kloveniersburgwal 48
1012 CX Amsterdam
The Netherlands

Tel.: +31 20 5253879
Fax: +31 20 5253681
Mail: b.c.schouten@uva.nl