• Demi Krystallidou and Peter Pype.
• KU Leuven, Faculty of Arts (Antwerp campus), Antwerp, Belgium. Electronic address: demi.krystallidou@kuleuven.be.
• Patient Educ Couns. 2018 Oct 1; 101 (10): 1804-1813.

ObjectiveTo investigate i) how the patient's participation in interaction occurs in interpreter-mediated consultations (IMCs) when the doctor provides information to the patient or tries to elicit information from them; ii) how the interpreter's presence in the consultation influences the patient's participation.MethodWe analyzed 20 authentic video-recorded IMCs using the A.R.T. framework, an analytical tool for the study of participation in video recorded interpreter-mediated interactions.ResultsWe coded 521 doctor utterances through which doctors either provided information or tried to elicit information from the patient. In 448 of them, the interpreter established a participation and engagement framework (PEF) with the patient while translating the doctor's utterances. In 48 cases the interpreter established a PEF with the doctor and in 25 cases the interpreter avoided establishing a PEF with either of the participants while translating the doctor's utterances.ConclusionWhen the interpreter established a PEF with either of the participants, they used verbal and nonverbal means that created the conditions in interaction in order to enable and/or rectify the patient's participation.Practice ImplicationsDoctors and interpreters should become more aware of their own and each other's actions in interaction and their influence on the patient's participation in the consultation.Copyright © 2018 Elsevier B.V. All rights reserved.

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