Abstract
In face-to-face group counseling, active client participation contributes to the counseling agenda by a variety of social processes, but little is known about how video mediation shapes client participation. In this article, we use conversation analysis to investigate how transmission delay affects client participation in video-mediated group counseling through shaping the resolution of overlapping talk. Data are video recordings from three video-mediated group health counseling sessions recorded simultaneously in the two participating locations. The delay changes the timing of the overlapping turns and pauses at each end of the mediated counseling, making it difficult to interpret who should take the turn after the overlap. This may pose obstacles to client participation. While mediated counseling services can increase access to services and thus improve client participation at a macro level, transmission delay can pose threats to active client participation at the micro level of interaction.
Highlights
Group health counseling offers practical knowledge about healthier living and enables beneficial social processes that are not available in individual counseling, such as social support (Cormack et al, 2018; Frigerio & Montali, 2016; Logren et al, 2019a, 2019b)
We examine how interaction dynamics, possibilities for client participation, and related positive social processes in VM group health counseling for Type 2 diabetes are shaped by transmission delay caused by the technical processes of VM
Previous research maintains that active participation at the level of interaction dynamics is a prerequisite for effective group counseling: Such positive social dynamics can only emerge when counseling clients interact with one another and the supervisor (e.g., Hughes et al, 2017; Taggart et al, 2012; see Peräkylä & Ruusuvuori, 2007, for client participation as an interactional phenomenon in other health care contexts)
Summary
Group health counseling offers practical knowledge about healthier living and enables beneficial social processes that are not available in individual counseling, such as social support (Cormack et al, 2018; Frigerio & Montali, 2016; Logren et al, 2019a, 2019b). A growing strand of research on interaction processes has emerged to investigate the practices and processes that enable participation in different counseling settings (e.g., Miller & Silverman, 1995) These studies have described both ways in which professionals can encourage participation and how clients are able to initiate an active role in counseling encounters. When group members engage in these practices, they work collaboratively toward the goals of counseling, sometimes in ways that are not available to the counselor While these previous studies have provided important knowledge of the practices and processes through which participation is enabled in copresent counseling situations, detailed study of such practices in VM settings and how the VM setting affects them are lacking. In their recent study on VM consultations between individual patients and their doctors, Seuren et al (2020) showed that transmission delay can cause problems with turn-taking and produces unintended interruptions and silences
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