Disparities, Limited English Proficiency
Conditions
Brief summary
In this pilot study, limited English proficient (LEP) parents of children at Seattle Children's Hospital for day surgery will be randomized to usual discharge care or usual discharge plus language-concordant, audio-recorded instructions via recordable card. these cards are similar to recordable greeting cards, and can record up to 180 seconds of information. They can be played back over 100 times. We will follow-up with families 2-7 days later to assess satisfaction and comprehension of discharge instructions.
Interventions
OTHERRecordable card
Sponsors
Seattle Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* Limited English proficient (LEP) parents of day surgery patients at Seattle Children's Hospital (main campus) who prefer one of the following languages for care: Spanish, Somali, Russian, Ukrainian, Vietnamese, Mandarin, or Cantonese. Eligible parents are those receiving condition-specific discharge instructions about one or more of the following: a new medication, wound care, diet advancement, return precautions, or more than 1 follow-up appointment
Exclusion criteria
* Child being kept overnight at hospital following surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comprehension of discharge instructions | 2-7 days after discharge | Parent-reported instructions (medication, home care, follow-up, and return precautions) compared to documented instructions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Confidence in caring for the child post-discharge | 2-7 days after discharge | Using 7 health care transition measures |
| Satisfaction with card | 2-7 days after discharge | Measures of satisfaction with the recordable card, asked of those who received one |
Outcome results
None listed