Bedside manner in (pronunciation) teaching: the BATHE protocol

Clker.com

Sometime the doctor-patient metaphor does work in our work!

Recovering from recent surgery here at home, and especially recalling the wonderful way that I was treated and prepared prior to the operation by the nurse in pre-op, this study, "Inpatient satisfaction improved by five-minute intervention," summarized by Augusta Free Press, published originally in Family Medicine by Pace, Somerville, Enyioha, Allen, J, Lemon and C. Allen of the University of Virginia really hit home, both as an interpersonal framework for dealing with problems in general and (naturally) pronunciation teaching!

The research looked at the effectiveness of a training system for preparing doctors better for talking with patients, bedside manner. In summary, patient satisfaction went up substantially, and time spent per patient generally went down. The acronym for the protocol is BATHE. Below is my paraphrase of what constitutes each phase of the process:

B - Start with getting concise background information with patients
A - Help them talk about how they are feeling (affect)
T - Together, review the problem (trouble)
H - Discuss how the problem is being handled.
E - Confirm your understanding of the situation and how the patient is feeling (empathy).

That is a deceptively elegant protocol. Next time you have a student (or colleague) or friend approach you with a difficult problem, keep that in mind. That also translates beautifully into pronunciation work, especially where there is appropriate attention to the body (like in haptic work, of course!) Here is how the acronym plays out in our work:

B - Start with providing a concise explanation of the target, also eliciting from students what their understanding is of what you'll be working on.
A - Anchor the target sound in a way that learners get a good "felt sense" of it, i.e., awareness and control of the sensations in the vocal track and upper body
T - Together, talk through the "cash value" and functional load of the target and practice the target sound(s) in isolation and context. 
H - Discuss how the student may be handling the problem already, or could, and what you'll do together going forward, including homework and follow up in the classroom in the future.
E - Finally, go back to brief, active, "physical" review and anchoring of the sound, also providing some realistic guidance as to the process of integrating the sound or word into their active speaking, especially the role of consistent, systematic practice.

One remarkable feature of that system, other then the operationalized empathy, of course, is the way it creates a framework for staying focused on the problem and solution. How does that map on to your own "BATHE-side manner?"

Killing pronuciation 8: Unproductive goals and their "goalees!"

Clker.com

The goal (of this) post is to at least partially relieve you of the burden of meeting many of your pronunciation teaching goals--and suggest a better way to reach them! Or at least "Clear-ify" them!

How would you describe your students' personal goals in terms of their English pronunciation, or their L2 learning in general? What would they tell you? Where did they come from? Do they work? Do they make sense? How do you work with them? Are they clear? Are you clear? Good questions. More research needed . . .

 One of the apparent "problems" with pronunciation teaching we are told is unrealistic or "utopian" goals (Derwing, 2010). There is certainly some of that, to be sure.

The actual problem, however, based on a new piece by James Clear, Forget About Setting Goals. Focus on This Instead: Continuous Improvement, may be the practice of (unproductive) goal setting in the first place. (If you, personally, have defective goals, that is a great piece for sorting things out. Clear is good, very good.) Clear's basic point: progress is generally best achieved by following a method, not by simply "keeping your eye on the prize", not by ad libbing your way along with exercises and practice decisions. Good advice, but how do we do that? What's the method?

I am always interested in what pronunciation teaching books recommend to students and instructors regarding goals. Here is a typical example from Learning  English VOA News that really doesn't say much but is actually about half right (The sentence in italics!):

"Start by setting a reasonable goal. Choose one or two sounds that are difficult for you to pronounce. Then, work to improve those sounds. When you have improved, study other sounds. Progress might be slow for you, but don't give up!" There is no clue there or on the website as to HOW you work or practice, but the idea that you commit to an ongoing process of improvement is what Clear is referring to. 

That VOA prescription is still at least as helpful as the typical, high-level, intelligibility-centered goal approach:

• "Aim for intelligibility, not accuracy"
• "Model yourself on an articulate educated L2 speaker of English from your L1"

 Or the more entertaining accent reduction approach:

• "Strive for perfect pronunciation" 
• "Lose your accent"

What Clear is talking about, based on research in physical training, motivation and discipline development, is that what works is commitment to a method, in effect letting the method take over and (get ready!) . . . following it consistently. Hence, the conundrum in contemporary teaching, in general.

On the one hand we want students to take responsibility and control over their learning; on the other, we want them to do what we know is best for them. Short of handing it off to the computer, which is on the horizon to be sure, what do you do? The answer is "clear", a method. Here is a little check list, based on Clear's general framework, of what that method should probably include. You don't need all the pieces but probably most of them, depending on your available "tool kit!"

• Clear sense of what needs to be done.
• Clear, relatively complete procedures for working on the problem sound/sound process, including recommended time-on-task instructions.
• Clear feedback from something/body periodically
• Clear guidelines for out-of class or independent practice and exploration
• Clear reporting or journaling on work/progress.
• Clear signs of progress becoming evident.  
• Clear criteria as to when the goal is achieved.
• Clear understanding and trust between the learner and the instructor.
• And, of course, clear commitment to ongoing progress as "the goal", not just some unattainable model. 

Are we clear on that? If not, ask your local haptician (instructor trained in haptic pronunciation teaching) or personal trainer at the gym about her method.

Derwing, T. M. (2010). Utopian goals for pronunciation teaching. In J. Levis & K. LeVelle (Eds.), Proceedings of the 1st Pronunciation in Second Language Learning and Teaching Conference,

Gollum Speak: Making language improvement less stressful by talking about me

Bill is impressed with a new study by Moser et al at Michigan State University, reported by Science Daily, entitled Third-person self-talk facilitates emotion regulation without engaging cognitive control: Converging evidence from ERP and fMRI. In fact, he finds himself talking about himself thinking about it in the 3rd person constantly . . . He has even given it a name: Gollum Speak. If you are not a fan of Tolkien, you might want to go here, to get a sense of what that sounds like! One implication of the study is that you can use Gollum-like grammar to control emotion--without interfering with "cognitive" functioning. (Really?) The longer term effects of becoming gradually more "Gollum-like" by talking like that are not examined, however.

Bill's local psychotherapist informs him that some form of that technique, making the patient temporarily distance themselves either verbally or visually is a long established trick in the field. Works well sometimes but should NOT be just tossed out as an option for those not supervised or not  up on how to "talk themselves out of it", too. In other words, do NOT try that at home!

On the other hand, Gollum Speak used with language learners may have possibilities. It is, in effect, after all not all that far from role play and drama work, taking on not just the language of the character but the "voice" or perspective as well. Even in working metacognitively with learners on their progress or problems, being detached and "objective" has it merits--although that type of talk can easily devolve into deeper "Gollum": neurotic, uncontrolled self-reflection and . . . doubt. 

Bill has tried a bit of that already and will do it again with a class in a couple of days. His current read on the use of Gollum in the classroom is that students so far have found it hysterically funny--and grammatically a great game-- but were also apparently able to talk with a little more ease about themselves, just as Moser et al would predict. See just how "Gollum-able" you and your students are!

He looks forward to his follow up report--and yours!

KIT

Michigan State University. (2017, July 26). Talking to yourself in the third person can help you control emotions. ScienceDaily. Retrieved August 7, 2017 from www.sciencedaily.com/releases/2017/07/170726102906.htm

Killing pronunciation 5: Deliberate (boring) practice and the Passion-Practice paradox

Pronunciation enthusiasts can be some of the most energetic, entertaining and gesticular among us . . . unfortunately. (Mea culpa!)

Require your students to do boring and repetitive pronunciation in class or homework much? (Do you hold them accountable for quality practice outside of class?) If you have been following the blog for a while, you know that I am a big fan of James Clear. If you need to change something--most anything--and you probably still don't need a coach or therapist to help get you there, his website is worth a visit. His latest post, "The Behavior-change paradox", combined with Eduardo Briceno's TED talk on "How to get better at things you care about" forms a nice program for change of sorts--even pronunciation change!

"Deliberate practice" is back in vogue. One of the great "myths" of our time is that most anything can be learned at near light speed, relatively speaking. The typical pitch from quick-change methodologists (and con artists) such as "change your accent FAST!" reflects that legacy of both behaviorism and technology, especially the latter--and marketing, of course.

The two pieces of the Clear-Briceno model are (simply) consistent, incremental change and focused passion. You need both. Clear's analysis of why we often fail to make change in our habits is simple, but striking, and captures the passion-practice paradox: the more we try to change in the short term or the harder we go at it, the more resistance we encounter. Effective change over time is generally based on disciplined alteration of key practices at the day or even hour-by-hour level.

Clker.com

In other words, in pronunciation teaching, motivating learners, impacting their "cognition", assisting them in planning or thinking about their personal goals and objectives can be pretty much pointless, or worse, unless they know how to practice effectively on a near daily basis. Furthermore, that work is for the most part not sexy or exciting, but often boring--and most importantly--progress at that level is generally not perceptible, although over time it will be.

Do you do that? How is your "passion-practice" balance, especially in assigning homework or getting learners charged up, self-directed and autonomous? If you function in a language lab or do a lot of pronunciation on the web, you may be off the hook somewhat, of course. Now we know why the lab and technology are making a serious comeback in the field--and may eventually replace us all!

In the meantime, if you are having issues with your diet, exercise, budgeting or metaphysical discipline, check out the Clear post (and maybe even download is longer, more detailed instructions on how to get your act together.) Then have a focused, professional talk with your students on incremental, manageable practicing of their pronunciation and their L2 in general . . . regularly.

Before you do, you might also want to check with your local personal fitness training coach or "haptician" on some effective ways to do that!

44 features of effective homework!

I'm doing a workshop this weekend, "Do your homework!" at the BCTEAL Clker.com Regional Conference in Victoria, British Columbia, that focuses on good homework practices in English Language Teaching. Although there is some obvious overlap in the 44 parameters that we pulled from research on homework in general, much of it from North America and Europe (See Reference Section), it is still a helpful inventory. Here is an adapted version of the workshop handout. Just for fun, go through it and see just how many features are evident in your courses (or at least your thinking!) If you can think of more, please add them as comments! Some parameters of effective homework	You do it?
1. Differentiated (for individuals)
2  Can be done independently (with no help from parents or other students)
3. Get started on homework in class
4. Students understand the purpose and value
5. Developmentally appropriate
6. Allows students choice(s) in what to do
7. Students can stop when they believe they understand the  concept well enough
8. Graded (but not figuring in to course grade)
9. Comments requiring follow up
10. Subject matter differences evident.
11. Optimal hours per week? (max 2 per day/night)
12. Integration with lesson(s) recognizable and consistent
13. Student autonomy encouraged
14. Time management required or encouraged
15. Scaffolding implicit or explicit
16. Mentoring/coaching function evident
17. “embodied practice” (Do something other than sit and think and take notes.)
18. Data management system supplied
19. Multi-modality practice
20. Overlearning (especially for beginners)
21. Homework practice interviews done with instructors

22. Tasks that cannot be performed in class
23. Predicted time required indicated
24. Tracking actual homework task time
25. Homework counts toward grades
26. Homework packets provided
27. Recognized benefits to students & teacher presented and acknowledged
28. Effective in class follow up (i.e., checking homework orally; checking homework on the board; and collecting and grading homework)
29. Student “enjoyment” of homework
30. Online applications and storage
31. Cultural expectations met or moderated
32. Gains (8 ~ 31%) evident
33. Reflective practice required
34. Meta-cognitive (planned practice)
35. “learning lexicon” developed over time by students and/or instructor
36. Incidental study recognition
37. Portfolio review
38. Student recommendations, evaluations of homework effectiveness
39. “Filing” system required and reviewed
40. Homework ethnography (f2f interviews focusing on more than just practice)
41. Group homework proposals and review
43. Demonstrates competence
44. Is aesthetically pleasing

Selected references

Cooper, H., Robinson, J., & Patall, E. (2006). Does Homework Improve Academic Achievement? A Synthesis of Research, 1987–2003 Review of Educational Research 76:1, 1-62.

Galloway, M., Conner, J., & Pope, D. (2013). Nonacademic Effects of Homework in Privileged, High-Performing High Schools, Journal of Experimental Education, 81:4, 490-510.

Ozkan E., & Henderson, D.  (2011). Are we wasting our children’s time by giving them more homework?, Economics of Education Review Economics of Education Review, 30:5, 950-961.

National Education Commission on Time and Learning (1994). Retrieved February 2, 2016, http://econpapers.repec.org/article/eeeecoedu/v_3a30_3ay_3a2011_3ai_3a5_3ap_3a950-961.htm.

The Hechinger report (2015). Retrieved from

http://www.usnews.com/news/articles/2015/01/05/study-homework-matters-more-in-certain-countries

Rosario, P., Nunez, J., Vallejo, G., Cunha, J., Nunes, T., Suarez, N., Fuentes, S., & Moreira, T. (2015) The effects of teachers' homework follow-up practices on students' EFL performance: a randomized-group design http://journal.frontiersin.org/article/10.3389/fpsyg.2015.01528/full.

ASCD (2007). The case for and against homework. Retrieved February 4, 2016,

http://www.ascd.org/publications/educational-leadership/mar07/vol64/num06/The-Case-For-and-Against-Homework.aspx.

Challenge Success (2012). Retrieved February 2, 2016, www.challengesuccess.org.

Vatterott, C. (2016). Retrieved February 2, 2016, http://www.homeworklady.com/.

Safakova, Z. (2015). Reasons for doing/not online homework: insights from EFL students, A. & Cubri, M. (Eds).  ECEL2015-14th European Conference on e-Learning, 510-518.