Pelvic Floor Disorders
Conditions
Keywords
Quality Care, Access to health care, Interpretation services
Brief summary
The aim of the study is to determine if In-person interpreters increases patient satisfaction of URGYN office visits compared to the use of phone interpreter services for Limited English Proficient (LEP) patients
Detailed description
This study is a randomized controlled trial. Patients presenting to the UMass Memorial UROGYN clinic will be screened for eligibility using the inclusion and exclusion criteria. LEP patients will be identified as patients that initiate conversation in a non-English language and are only able to communicate adequately regarding their medical problem in a non-English language. After patients have been seen for their scheduled office visit, they will be invited to participate in the study. Once the patient has agreed to participate in the study the participant will be randomized. Study assignment will be revealed using sequentially numbered sealed opaque envelopes. Randomization will be performed using software and a block randomization scheme to yield a 50% chance of having an in-person interpreter. Those assigned to the control group will receive phone translation services and the experimental group will have in person interpreters. At the subsequent visit, demographic information will be collected and patients will then receive interpretation services from the phone or an in-person interpreter.
Interventions
OTHERInterpretation Modality: In Person
Use of In-Person interpretation support for LEP participant during clinical appointment
OTHERInterpretation Modality: Telephonic
Use of telephonic interpretation support for LEP participant during clinical appointment
Sponsors
University of Massachusetts, Worcester
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* LEP speaking Spanish and Portuguese female patients presenting to the U Mass UROGYN clinic with or without Ad-hoc interpreters * Spanish and Portuguese speaking female patients with LEP presenting to the U Mass UROGYN clinic for an office visit of any type
Exclusion criteria
* Unable to provide consent * Under 18 years of age * Pregnant women * Prisoners * LEP subjects who decline interpreter services * Non -Spanish or Non - Portuguese speaking subjects * Patients with cognitive impairment * Visually or hearing impaired patients * Patients not requiring a follow up appointment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction | Immediately assessed after office visit | Patient satisfaction will be measured by a 14 - item questionnaire. The questionnaire was created, validated, and used in a previous study from the field of Emergency medicine. There are 3 subscales assessing patient satisfaction with interpreter, nursing, and physician. Satisfaction with interpreters was calculated using the summation index of 4 items. Satisfaction with physician and nursing communication was measure by a summated index of 5 items that measure increasing level of satisfaction with a likert scale. Answers ranged from 1 to 4 where 4 equaled strongly agree and 1 equaled strongly disagree. All items were weighted on a 100 point scale to facilitate interpretation of the means. A lower score means less satisfaction/greater dissatisfaction and a higher score indicates more satisfaction/less dissatisfaction. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Interpretation Modality: In Person Participants assigned to this group will use an in person interpreter for the duration of the UROGYN office visit
Interpretation Modality: In Person: Use of In-Person interpretation support for LEP participant during clinical appointment | 49 |
| Interpretation Modality: Telephonic Participants assigned to this group will use a phone interpreter for the duration of the UROGYN office visit
Interpretation Modality: Telephonic: Use of telephonic interpretation support for LEP participant during clinical appointment | 57 |
| Total | 106 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 11 | 17 |
Baseline characteristics
| Characteristic | Interpretation Modality: Telephonic | Total | Interpretation Modality: In Person |
|---|---|---|---|
| Age, Continuous | 52.4 years STANDARD_DEVIATION 13.8 | 54.1 years STANDARD_DEVIATION 11.1 | 55.3 years STANDARD_DEVIATION 9.9 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 30 Participants | 55 Participants | 25 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 27 Participants | 51 Participants | 24 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Language of Translation Portugese | 27 Participants | 51 Participants | 24 Participants |
| Language of Translation Spanish | 30 Participants | 55 Participants | 25 Participants |
| Sex: Female, Male Female | 57 Participants | 106 Participants | 49 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 38 | 0 / 40 |
| other Total, other adverse events | 0 / 38 | 0 / 40 |
| serious Total, serious adverse events | 0 / 38 | 0 / 40 |
Outcome results
Primary
Patient Satisfaction
Patient satisfaction will be measured by a 14 - item questionnaire. The questionnaire was created, validated, and used in a previous study from the field of Emergency medicine. There are 3 subscales assessing patient satisfaction with interpreter, nursing, and physician. Satisfaction with interpreters was calculated using the summation index of 4 items. Satisfaction with physician and nursing communication was measure by a summated index of 5 items that measure increasing level of satisfaction with a likert scale. Answers ranged from 1 to 4 where 4 equaled strongly agree and 1 equaled strongly disagree. All items were weighted on a 100 point scale to facilitate interpretation of the means. A lower score means less satisfaction/greater dissatisfaction and a higher score indicates more satisfaction/less dissatisfaction.
Time frame: Immediately assessed after office visit
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Interpretation Modality: In Person | Patient Satisfaction | 100 score on a scale |
| Interpretation Modality: Telephonic | Patient Satisfaction | 94 score on a scale |
p-value: =0.002Wilcoxon (Mann-Whitney)