Do Language and Motivational Barriers Influence COVID-19 Vaccine Beliefs, Intention, and Behavior? A Longitudinal Study among English-speaking Minorities Living in Quebec

Objectives: The proposed 3-wave retrospective and prospective longitudinal study will examine linguistic and motivational factors that may attenuate intention and uptake of the COVID-19 vaccine among young adults belonging to different language (English vs. French) and visible minority status groups living in Quebec. Based on the Self-Determination Theory (SDT; Deci & Ryan, 1985), the primary objective will identify antecedent factors that predict both vaccine intention and vaccine uptake. Exploratory aims will examine potential group differences and will test whether vaccine intention mediates the relation between motivation and vaccine uptake.

Facilitators and Barriers to Equitable Healthcare Delivery for Linguistic Minorities: A Qualitative Pilot Study of Healthcare Professionals in Montreal, Quebec, Canada

Objectives/Research Questions: 1) What do healthcare professionals perceive as barriers to healthcare access/delivery for linguistic minorities? 2) What resources do healthcare professionals in public and private settings utilize to facilitate healthcare access/delivery for linguistic minority patients?

Methods: This study will be conducted over a period of 6 months using participant snowball sampling. Data gathering will begin with interviews (conversational and guided) with a sample of 10-12 healthcare professionals from different healthcare fields (nursing, speech language pathology, physiotherapy, occupational therapy, and medicine) working in both public and private healthcare settings. With consent, audio recordings and written memos will be taken during the interviews. Data to foster reflexivity will include a detailed record of my own experiences as an upcoming healthcare professional who also identifies as part of the linguistic minority population. Data collection will be recursive, whereby observations will refine interview questions. Healthcare professionals may be invited to participate in a second interview following the initial interview to clarify any emergent questions/observations and ensure accuracy of data interpretations. Data analysis will be ongoing, critical and iterative and will occur in dialogue with relevant critical theories, published evidence, and my supervisory committee.

Interpreters Working in Mental Health Settings with Refugees: A Scoping Review

The objectives of the first phase of the project is: (1) to consolidate and map current knowledge on interpreters working in mental health settings with refugees; (2) to identify the unique issues and dilemmas that arise when interpreters are used in metal health interventions with refugees; (3) to inform the second phase of the project which seeks to explore the experiences and needs of interpreters working in mental healthcare for refugees in Quebec; (4) To contribute to the design and implementation of culturally and linguistically appropriate mental health services and policies for refugees residing in Quebec.

Given that the intention of my study is to produce an overall map of what evidence has been produced in the field of mental health interpretation with refugees, a scoping review is the most suitable review method to deploy in this case. While the review will be international in its scope, concentrating on the relatively few studies in Canada and elsewhere that examine this understudied topic, it aims to analyze the research evidence from a Quebecois perspective.

Practitioner Perspectives on Linguistic Barriers in Access to Health Care for English-Speaking Minorities in Quebec

I propose to conduct a qualitative systematic review examining barriers that healthcare providers experience in providing services to linguistic minorities. In particular, the present study is designed to determine what kind of support healthcare professionals need to provide service to Anglophones in French-speaking Quebec.

Language barriers are increasingly recognized as a serious concern that creates disparities in access to health and social services (Terui, 2017). These inequalities may be reflected in access to services and healthcare delivery (Woloshin et al., 1997), as well as in low “quality of care and provider-patient relationship” (Terui, 2017, p .215). In addition, recent evidence suggests that linguistic minorities may face communication anxiety while anticipating doctor’s appointments (Zhao et al., 2021) and experience tension during appointments and low confidence in received care during (De Moissac & Bowen, 2019). 

This research project will focus on the language barriers that occur during interactions between healthcare providers and Anglophones (English speakers) in Quebec. The goal of the project is to propose feasible solutions to enhance access to health and social services in Quebec for English minority language speakers.

How Healthcare Professionals’ Communication Style Influences Black Language Minority Health Service Users’ Perceived Acceptability and Satisfaction with Healthcare Access in Quebec and Ontario

Official language minorities face language barriers when it comes to accessing health services but many of them also face racial/cultural barriers.

The healthcare system strives to ensure the health of all people equally regardless of race or language. Health-care workers communicate directly with patients and these interactions play a role in how the patients view the health care system. How the patients view the healthcare system will have implications for how they use it (Penchansky & Thomas, 1981).

The project plans to explore and highlight the importance of patient and healthcare workers communication interactions on perceptions of healthcare access from a self-determination theory perspective. The research could help protect more vulnerable groups by participating in investigations on how to reduce inequalities in healthcare access for visible and language minorities. Do health care workers’ level of language proficiency impact perceived autonomy support and perceived access to health? How do previous experiences with healthcare workers impact subsequent perceived access to health care for black linguistic minorities in Quebec and Ontario? How do race and language combine to make interactions with healthcare workers affect perceptions of autonomy support for black linguistic minorities?

Is the Frustration of Basic Psychological Needs Interacting with Language Barriers in Worsening Health Care Access for Black Young Adults during the COVID-19 Pandemic?

The present 3-wave prospective longitudinal study will examine linguistic and motivational factors that may undermine the readiness of Black young adults to seek access to mental health care during the COVID-19 pandemic year. We will also examine whether the motivational factors interact with linguistic minority status in determining how young adults adapt to the challenges of living through the worst pandemic in a century. More precisely, the main objective is to examine whether double minorities (i.e., Black Quebec Anglophones and Black Ontarian Francophones) experiencing need frustration are less likely to seek help for mental health concerns than are Black Quebec Francophones or Black Ontarian Anglophones.