Speaking the language of the outsider

There are a variety of audiences for educational research, for example: fellow researchers, educators, those who develop and implement policy for education, and the community. In general the audiences with which we have most effectively communicated are the first two. These can be characterised as ‘insiders’, with whom communications about our research reflect a shared understanding of education practices. Communication with the latter two groups needs to be different as the members of the ‘outsider’ communities generally do not share the same understandings of educational practices and purposes. In this paper we will explore implications of these challenges drawing on our research on school-community collaborations in school science programs.

Developing in a new language-speaking setting

This study investigated the effect of English-language acquisition on the learning experiences of a four-year-old Taiwanese immigrant child in a state kindergarten in New Zealand. Data was collected through child observations and parents’ and teachers’ interviews. The child’s learning experience was analysed based on five behaviours –‘taking an interest’, ‘being involved’, ‘persisting with difficulty’, ‘expressing a point of view’, and ‘taking responsibility’ – adopted from the child assessment technique of ‘Learning Stories’ utilised in many childcare services in New Zealand. Results suggested that, regardless of English-language incompetence, the child demonstrated learning dispositions under two circumstances: first, there was little interaction required between him and the English-speaking children; second there was a teacher participating in what he was doing. It is suggested that the child’s learning outcomes were contingent on the situations in which he found himself.

Barriers and enablers to healthcare access and use among Arabic-speaking and Caucasian English-speaking patients with type 2 diabetes mellitus: a qualitative comparative study

OBJECTIVE: The objective of this study was to explore the decision-making processes and associated barriers and enablers that determine access and use of healthcare services in Arabic-speaking and English-speaking Caucasian patients with diabetes in Australia. STUDY SETTING AND DESIGN: Face-to-face semistructured individual interviews and group interviews were conducted at various healthcare settings-diabetes outpatient clinics in 2 tertiary referral hospitals, 6 primary care practices and 10 community centres in Melbourne, Australia. PARTICIPANTS: A total of 100 participants with type 2 diabetes mellitus were recruited into 2 groups: 60 Arabic-speaking and 40 English-speaking Caucasian. DATA COLLECTION: Interviews were audio-taped, translated into English when necessary, transcribed and coded thematically. Sociodemographic and clinical information was gathered using a self-completed questionnaire and medical records. PRINCIPAL FINDINGS: Only Arabic-speaking migrants intentionally delayed access to healthcare services when obvious signs of diabetes were experienced, missing opportunities to detect diabetes at an early stage. Four major barriers and enablers to healthcare access and use were identified: influence of significant other(s), unique sociocultural and religious beliefs, experiences with healthcare providers and lack of knowledge about healthcare services. Compared with Arabic-speaking migrants, English-speaking participants had no reluctance to access and use medical services when signs of ill-health appeared; their treatment-seeking behaviours were straightforward. CONCLUSIONS: Arabic-speaking migrants appear to intentionally delay access to medical services even when symptomatic. Four barriers to health services access have been identified. Tailored interventions must be developed for Arabic-speaking migrants to improve access to available health services, facilitate timely diagnosis of diabetes and ultimately to improve glycaemic control.