Tottori University, Yonago, Japan.
Teikyo University, Tokyo, Japan.
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231164302. doi: 10.1177/21501319231164302.
Dialogue Café, which is an inclusive process that provides a platform for the exchange of ideas or perspectives on certain issues, is a suitable approach to facilitating mutual understanding between health professionals and citizens/patients. However, little is known about the effects of the Dialogue Café on participants in the context of health communication. Previous studies suggest that transformative learning occurs after dialogue.
This study aimed to clarify the process of the transformative learning process among participants of the Dialog Café and to evaluate whether their transformative learning would lead to an understanding of others' perspectives.
We conducted a psychometric analysis of a web-based questionnaire consisting of 72 items for participants of Dialog Café held from 2011 to 2013 in Tokyo and studied the relationships between various concepts using structural equation modeling (SEM). To evaluate the validity and reliability of concept measurement, we conducted an exploratory factor analysis and a confirmatory factor analysis.
The questionnaire response rate was 39.5% (141/357), of which 80 (56.7%) respondents were health professionals and 61 (43.3%) respondents were citizens/patients. The SEM analysis revealed that transformative learning occurred in both groups. The process of transformative learning consisted of 2 types; one process leading directly to "perspective transformation" and the other leading to "perspective transformation" via "critical self-reflection" and "disorienting dilemmas." "Perspective transformation" was related to "understanding others" in both groups. Among health professionals, "perspective transformation" was related to "transformation of awareness toward patients/users."
Dialog Café can facilitate the process of transformative learning among participants, and transformative learning may lead to mutual understanding between health professionals and citizens/patients.
对话咖啡屋是一个包容性的过程，它为交流思想或观点提供了一个平台，是促进卫生专业人员和公民/患者之间相互理解的合适方法。然而，对于对话咖啡屋在卫生交流背景下对参与者的影响知之甚少。之前的研究表明，对话之后会发生转变性学习。
本研究旨在阐明对话咖啡屋参与者转变性学习过程，并评估他们的转变性学习是否会导致对他人观点的理解。
我们对 2011 年至 2013 年在东京举行的对话咖啡屋的参与者进行了基于网络的问卷的心理测量分析，该问卷由 72 个项目组成，并使用结构方程模型（SEM）研究了各种概念之间的关系。为了评估概念测量的有效性和可靠性，我们进行了探索性因子分析和验证性因子分析。
问卷的回复率为 39.5%（141/357），其中 80 名（56.7%）回答者是卫生专业人员，61 名（43.3%）回答者是公民/患者。SEM 分析表明，转变性学习发生在两个群体中。转变性学习过程包括 2 种类型；一种直接导致“观点转变”的过程，另一种通过“批判性自我反思”和“迷失方向的困境”导致“观点转变”的过程。“观点转变”在两个群体中都与“理解他人”有关。在卫生专业人员中，“观点转变”与“对患者/用户的意识转变”有关。
对话咖啡屋可以促进参与者转变性学习的过程，转变性学习可能导致卫生专业人员和公民/患者之间的相互理解。
