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Papers by Esen Gokpinar Shelton

˜The œAIR professional file, 2024

Estimates show that between 35-50% of patients with chronic conditions do not adhere to medical p... more Estimates show that between 35-50% of patients with chronic conditions do not adhere to medical prescriptions. Lack of adherence to treatment plans results in poor clinical/patient outcomes, higher healthcare costs, and lost productivity. Adherence is connected to health literacy and health communication. Health literacy includes the ability to comprehend medical information and make decisions about healthy behaviors. Much of the focus on health literacy has been on reading and numeracy; however, in the clinic setting, health information is most often exchanged through provider-patient verbal communication. Verbal exchange of information includes speaking and listening. Linguistic tactics can be used to draw individuals' attention to messages, selecting specific words, phrases, and style of communicating, informed by linguistics, can create a psychological closeness between the message and the audience. Increasing attention to oral messages should be a key strategy in health communication to promote adherence and self-management. This presentation describes the effectiveness and the practicality of an innovative psychosociolinguistic intervention tool, based on previous research in linguistic analysis of patient talk, the CoMac Descriptor TM and the subsequent psychosociolinguistically informed communication (Connor et al., 2012; Connor & Lauten 2014). As an interdisciplinary team of researchers from the International Center for Intercultural Communication (ICIC) at IUPUI, we have used the CoMac Descriptor TM , a 12-question survey, to identify and segment patients with Type 2 Diabetes Mellitus (T2DM) based on patients' psychosociolinguistic characteristics. We have then offered healthcare providers psychosociolinguistically informed communication, matching the linguistic styles of patients. We will share the key findings such as 1) patients' and healthcare professionals' overall satisfaction with the CoMac Descriptor TM and psychosociolinguistically informed communication; and 2) statistically significant relationship between the health behaviors and health outcomes of patients using the CoMac Descriptor and psychosociolinguistically informed communication. (286)

part of a NICU pre-discharge education program Authors:  Ulla Connor: International Center for I... more part of a NICU pre-discharge education program Authors:  Ulla Connor: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI  Rylin Rodgers: Family Voices Indiana  Ana Traversa: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI  Jennifer Akers: Family Voices Indiana  Esen Gokpinar-Shelton: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI  Matt Lorch: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI

Higher Education, 2021

Learning communities are often associated with higher student engagement and academic achievement... more Learning communities are often associated with higher student engagement and academic achievement. Few studies to date, however, have examined the impacts of these practices among international students. To address this gap, the following questions led the current study: “To what degree is participation in learning communities associated with international students’ (1) engagement in educationally beneficial activities, (2) learning outcomes (e.g., general, practical, and professional development), and (3) overall satisfaction with their institutional environment and educational experience?” Drawing on student development theory, we designed a path analysis using a structural equation modelling to assess both the direct and the indirect effects. The results suggest that while students’ participation in learning communities positively correlates to student learning gains and satisfaction, the student engagement indicators are the significant mediating predictors for both outcomes, thus recommending that institutions interested in assessing the impacts of learning communities should determine not only the direct effects but also the indirect effects of these practices. Our results also show differences in participation patterns among international student subgroups. Institutions should be aware of such differences and make efforts to scale high impact practices like learning communities to provide opportunities for more students to become involved in these educationally purposeful activities. The findings call for future research aimed at identifying the environmental and individual conditions that are most conducive to the cultivation of these practices for international students.

International Journal of Language & Linguistics, 2019

Children born to Limited English Proficient (LEP) caregivers experience high risks of mortality a... more Children born to Limited English Proficient (LEP) caregivers experience high risks of mortality and have difficulty obtaining specialty care. English and health literacy programs tailored to caregivers are rare. This study developed tailored English instruction to assist native Spanish speaking LEP caregivers to more fully integrate into their children's healthcare teams. We implemented a thorough needs assessment leading to a six-module tailored English intervention with five LEP caregivers. Pre/post analyses were conducted to measure effect of interventions on healthcare literacy, confidence, and integration into the healthcare team. All subjects showed improvement from pre to post tests of English language use and health literacy while qualitative data showed increases in confidence and integration into healthcare teams. In hospital, English language interventions can improve LEP caregiver participation in their children's healthcare team and improve language and health literacy skills, but feasibility concerns of providing these programs remain.

Journal of English for Academic Purposes, 2017

Over the last several decades, the perceived norms of writing in English for Academic Purposes (E... more Over the last several decades, the perceived norms of writing in English for Academic Purposes (EAP) and English for Specific Purposes (ESP) have been affected by the dominance of that language across an array of fields and settings. As writers and audiences become more linguistically and culturally diverse, the ways that English is composed at the linguistic, rhetorical, and discursive levels are changing, resulting in an ongoing search for adequate theoretical frameworks to describe the reality of academic and professional writing practices. Two related frameworks, English as a Lingua Franca (ELF) and translingualism, propose more flexible patterns of communication between users of different varieties of English, with negotiation and accommodation being keys to success. In this paper, we argue that the efforts to introduce ELF and translingualism into EAP and ESP contexts can benefit from Intercultural Rhetoric (IR), or "the study of written discourse between and among individuals with different cultural backgrounds" (Connor, 2011, p.2), which has adopted a dynamic view of culture, while continuing to stress the importance of genre comparability. Finally, we make recommendations for research and pedagogical applications that draw from IR, ELF, and translingualism to promote the growth of EAP/ESP in an ever-changing, globalized world.

˜The œAIR professional file, 2024

Estimates show that between 35-50% of patients with chronic conditions do not adhere to medical p... more Estimates show that between 35-50% of patients with chronic conditions do not adhere to medical prescriptions. Lack of adherence to treatment plans results in poor clinical/patient outcomes, higher healthcare costs, and lost productivity. Adherence is connected to health literacy and health communication. Health literacy includes the ability to comprehend medical information and make decisions about healthy behaviors. Much of the focus on health literacy has been on reading and numeracy; however, in the clinic setting, health information is most often exchanged through provider-patient verbal communication. Verbal exchange of information includes speaking and listening. Linguistic tactics can be used to draw individuals' attention to messages, selecting specific words, phrases, and style of communicating, informed by linguistics, can create a psychological closeness between the message and the audience. Increasing attention to oral messages should be a key strategy in health communication to promote adherence and self-management. This presentation describes the effectiveness and the practicality of an innovative psychosociolinguistic intervention tool, based on previous research in linguistic analysis of patient talk, the CoMac Descriptor TM and the subsequent psychosociolinguistically informed communication (Connor et al., 2012; Connor & Lauten 2014). As an interdisciplinary team of researchers from the International Center for Intercultural Communication (ICIC) at IUPUI, we have used the CoMac Descriptor TM , a 12-question survey, to identify and segment patients with Type 2 Diabetes Mellitus (T2DM) based on patients' psychosociolinguistic characteristics. We have then offered healthcare providers psychosociolinguistically informed communication, matching the linguistic styles of patients. We will share the key findings such as 1) patients' and healthcare professionals' overall satisfaction with the CoMac Descriptor TM and psychosociolinguistically informed communication; and 2) statistically significant relationship between the health behaviors and health outcomes of patients using the CoMac Descriptor and psychosociolinguistically informed communication. (286)

part of a NICU pre-discharge education program Authors:  Ulla Connor: International Center for I... more part of a NICU pre-discharge education program Authors:  Ulla Connor: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI  Rylin Rodgers: Family Voices Indiana  Ana Traversa: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI  Jennifer Akers: Family Voices Indiana  Esen Gokpinar-Shelton: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI  Matt Lorch: International Center for Intercultural Communication, IU School of Liberal Arts at IUPUI

Higher Education, 2021

Learning communities are often associated with higher student engagement and academic achievement... more Learning communities are often associated with higher student engagement and academic achievement. Few studies to date, however, have examined the impacts of these practices among international students. To address this gap, the following questions led the current study: “To what degree is participation in learning communities associated with international students’ (1) engagement in educationally beneficial activities, (2) learning outcomes (e.g., general, practical, and professional development), and (3) overall satisfaction with their institutional environment and educational experience?” Drawing on student development theory, we designed a path analysis using a structural equation modelling to assess both the direct and the indirect effects. The results suggest that while students’ participation in learning communities positively correlates to student learning gains and satisfaction, the student engagement indicators are the significant mediating predictors for both outcomes, thus recommending that institutions interested in assessing the impacts of learning communities should determine not only the direct effects but also the indirect effects of these practices. Our results also show differences in participation patterns among international student subgroups. Institutions should be aware of such differences and make efforts to scale high impact practices like learning communities to provide opportunities for more students to become involved in these educationally purposeful activities. The findings call for future research aimed at identifying the environmental and individual conditions that are most conducive to the cultivation of these practices for international students.

International Journal of Language & Linguistics, 2019

Children born to Limited English Proficient (LEP) caregivers experience high risks of mortality a... more Children born to Limited English Proficient (LEP) caregivers experience high risks of mortality and have difficulty obtaining specialty care. English and health literacy programs tailored to caregivers are rare. This study developed tailored English instruction to assist native Spanish speaking LEP caregivers to more fully integrate into their children's healthcare teams. We implemented a thorough needs assessment leading to a six-module tailored English intervention with five LEP caregivers. Pre/post analyses were conducted to measure effect of interventions on healthcare literacy, confidence, and integration into the healthcare team. All subjects showed improvement from pre to post tests of English language use and health literacy while qualitative data showed increases in confidence and integration into healthcare teams. In hospital, English language interventions can improve LEP caregiver participation in their children's healthcare team and improve language and health literacy skills, but feasibility concerns of providing these programs remain.

Journal of English for Academic Purposes, 2017

Over the last several decades, the perceived norms of writing in English for Academic Purposes (E... more Over the last several decades, the perceived norms of writing in English for Academic Purposes (EAP) and English for Specific Purposes (ESP) have been affected by the dominance of that language across an array of fields and settings. As writers and audiences become more linguistically and culturally diverse, the ways that English is composed at the linguistic, rhetorical, and discursive levels are changing, resulting in an ongoing search for adequate theoretical frameworks to describe the reality of academic and professional writing practices. Two related frameworks, English as a Lingua Franca (ELF) and translingualism, propose more flexible patterns of communication between users of different varieties of English, with negotiation and accommodation being keys to success. In this paper, we argue that the efforts to introduce ELF and translingualism into EAP and ESP contexts can benefit from Intercultural Rhetoric (IR), or "the study of written discourse between and among individuals with different cultural backgrounds" (Connor, 2011, p.2), which has adopted a dynamic view of culture, while continuing to stress the importance of genre comparability. Finally, we make recommendations for research and pedagogical applications that draw from IR, ELF, and translingualism to promote the growth of EAP/ESP in an ever-changing, globalized world.