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The Effect of Translated information to improve consent for surgery in non-English speaking patients: a randomised controlled trial

Evaluating the efficacy of a Google-translated patient education website on informed consent for surgery in Orthopaedic patients with limited English: a randomised controlled trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624001114538
Acronym
Surgical consent Optimisation; Linguistically Inclusive and Diverse – a Randomised Controlled Trial
Enrollment
10
Registered
2024-09-16
Start date
2025-01-10
Completion date
2026-06-30
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This randomised controlled trial aims to find out whether a patient education website, translated into patients' preferred language using Google translate, improves the knowledge of non-English-speaking (NES) patients during the surgical consent process. Previous studies have shown that patient education websites improves patient knowledge of their planned orthopaedic surgery in English-speaking patients. Non-English speaking patients are more likely to have poorer health understanding and a less thorough informed consent for surgery. We do not know if an education website translated using Google Translate is helpful for non-English speaking patients. We are using Google Translate for this purpose because it translates instantly for free and is easily available to both patients and doctors. We are hoping that this will improve care by increasing both patient knowledge and satisfaction during the process of informed consent for surgery for patients who do not speak English.

Interventions

This study will evaluate the use of a Google-Translated patient education website following standard informed consent for surgery process, to assess if it can improve non-English-speaking patient knowledge compared to the standard surgical consent process. The intervention will be the use of a Google-translated patient education website (orthoanswer.org). The researcher will provide participants in the intervention group with access to the Orthoanswer web page with information specific to thei

This study will evaluate the use of a Google-Translated patient education website following standard informed consent for surgery process, to assess if it can improve non-English-speaking patient knowledge compared to the standard surgical consent process. The intervention will be the use of a Google-translated patient education website (orthoanswer.org). The researcher will provide participants in the intervention group with access to the Orthoanswer web page with information specific to their operation (total hip or knee replacement) translated in their preferred language using a Google Translate widget. The content provided on the patient education website includes information on diagnosis, alternative interventions, benefits of surgical intervention, post-operative expectations, potential risks and complications, what to expect before, during and after surgery and recovery and rehabilitation, Participants will be given up to 30 minutes to read the content. Patients will have an interpreter present and available for any questions that may arise. In order to monitor adherence to the intervention, patients will be supervised by research staff and a timer set to 30minutes will be used to track the period of reading and viewing the content.

Sponsors

Western Health - Orthopaedic Unit
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

- waitlisted for a total knee replacement or total hip replacement - adult patient, aged 18 and over - have limited or no English proficiency, requiring an interpreter for surgical consent - have an interpreter and Google Translate available for their preferred language - have not used the Orthoanswer website to read translated information about their planned procedure in their preferred language - have self-reported ability to read and understand basic medical information in their preferred language.

Exclusion criteria

- unable to or not willing to consent to research - have self-reported inability to read basic medical information in their preferred language - are unable to participate fully in the trial procedures

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026