TY - JOUR
T1 - Challenged assumptions and invisible effects
T2 - an explorative case study of a health education intervention addressing immigrants
AU - Wimmelmann, Camilla Lawaetz
AU - Vitus, Kathrine
AU - Jervelund, Signe Smith
PY - 2017/12/5
Y1 - 2017/12/5
N2 - Purpose - The purpose of this paper is to examine any unanticipated effects of an educational intervention among newly arrived adult immigrants attending a language school in Denmark. Design/methodology/approach - A qualitative case study was conducted including interviews with nine informants, observations of two complete intervention courses and an analysis of the official intervention documents. Findings - This case study exemplifies how the basic normative assumptions behind an immigrant-oriented intervention and the intrinsic power relations therein may be challenged and negotiated by the participants. In particular, the assumed (power) relations inherent in immigrant-oriented educational health interventions, in which immigrants are in a novice position, are challenged, as the immigrants are experienced adults (and parents) in regard to healthcare. The paper proposes that such unexpected conditions for the implementation - different from the assumed conditions - not only challenge the implementation of the intervention but also potentially produce unanticipated yet valuable effects. Research limitations/implications - Newly arrived immigrants represent a hugely diverse and heterogeneous group of people with differing values and belief systems regarding health and healthcare. A more detailed study is necessary to fully understand their health seeking behaviours in the Danish context. Originality/value - Offering newly arrived immigrants a course on health and the healthcare system as part of the mandatory language courses is a new and underexplored means of providing and improving newly arrived immigrants knowledge and use of the Danish healthcare system.
AB - Purpose - The purpose of this paper is to examine any unanticipated effects of an educational intervention among newly arrived adult immigrants attending a language school in Denmark. Design/methodology/approach - A qualitative case study was conducted including interviews with nine informants, observations of two complete intervention courses and an analysis of the official intervention documents. Findings - This case study exemplifies how the basic normative assumptions behind an immigrant-oriented intervention and the intrinsic power relations therein may be challenged and negotiated by the participants. In particular, the assumed (power) relations inherent in immigrant-oriented educational health interventions, in which immigrants are in a novice position, are challenged, as the immigrants are experienced adults (and parents) in regard to healthcare. The paper proposes that such unexpected conditions for the implementation - different from the assumed conditions - not only challenge the implementation of the intervention but also potentially produce unanticipated yet valuable effects. Research limitations/implications - Newly arrived immigrants represent a hugely diverse and heterogeneous group of people with differing values and belief systems regarding health and healthcare. A more detailed study is necessary to fully understand their health seeking behaviours in the Danish context. Originality/value - Offering newly arrived immigrants a course on health and the healthcare system as part of the mandatory language courses is a new and underexplored means of providing and improving newly arrived immigrants knowledge and use of the Danish healthcare system.
KW - Faculty of Health and Medical Sciences
KW - Immigrants
KW - Intervention
KW - Education
KW - Healthcare use
KW - Unanticipated effects
U2 - 10.1108/IJMHSC-03-2016-0014
DO - 10.1108/IJMHSC-03-2016-0014
M3 - Journal article
SN - 1747-9894
VL - 13
SP - 391
EP - 402
JO - International Journal of Migration, Health and Social Care
JF - International Journal of Migration, Health and Social Care
IS - 4
ER -