protocolSection identificationModule nctId: NCT06272110, orgStudyIdInfo id: 22-01303, briefTitle: Promoting Equitable Access to Language Services in Health and Human Services, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-02, primaryCompletionDateStruct date: 2025-07, completionDateStruct date: 2025-08, studyFirstPostDateStruct date: 2024-02-22, lastUpdatePostDateStruct date: 2024-02-22, sponsorCollaboratorsModule leadSponsor name: NYU Langone Health, class: OTHER, collaborators name: Department of Health and Human Services, descriptionModule briefSummary: This is a community-based study that will engage community and health care stakeholders to develop, implement, and evaluate a Health Literacy (HL)-informed, culturally- and linguistically- sensitive approach to improving language access services for patients with limited English proficiency (LEP) to promote health equity and reduce disparities in preventive health services use and health outcomes in New York City (NYC). This study will have a total of 4 phases that include a preparatory work phase (Non-Human Subjects Research), a pre-implementation phase, an implementation phase, and a post-implementation phase.Findings from the preparatory work and pre-implementation phase and discussions with key partners will inform the co-design of intervention strategies and endpoints for the later phases (implementation and post-implementation phase)., conditionsModule conditions: Appropriate Use of Language Across Services, designModule studyType: OBSERVATIONAL, designInfo observationalModel: COHORT, timePerspective: RETROSPECTIVE, enrollmentInfo count: 17500, type: ESTIMATED, armsInterventionsModule interventions name: System level Language Access (LA) intervention, outcomesModule primaryOutcomes measure: Percentage of appropriate interpreter use, primaryOutcomes measure: Percentage of appropriate interpreter use, secondaryOutcomes measure: Percentage of patients up to date with preventive screenings and vaccinations, secondaryOutcomes measure: Percentage of patients up to date with preventive screenings and vaccinations, secondaryOutcomes measure: Percentage of patients with knowledge of federal rights related to LA services, secondaryOutcomes measure: Percentage of patients with knowledge of federal rights related to LA services, secondaryOutcomes measure: Percentage using untrained interpreters, secondaryOutcomes measure: Percentage using untrained interpreters, secondaryOutcomes measure: Percentage using recommended HL-informed verbal counseling practices (e.g., teach-back), secondaryOutcomes measure: Percentage using recommended HL-informed verbal counseling practices (e.g., teach-back), secondaryOutcomes measure: Percentage of patients with satisfaction with LA services preventive health services utilization, secondaryOutcomes measure: Percentage of patients with satisfaction with LA services preventive health services utilization, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Health + Hospitals Diagnostic/Treatment Centers, city: New York, state: New York, zip: 10016, country: United States, geoPoint lat: 40.71427, lon: -74.00597, locations facility: NYC Health + Hospitals/Bellevue, city: New York, state: New York, zip: 10016, country: United States, geoPoint lat: 40.71427, lon: -74.00597, locations facility: NYC Health + Hospitals/Woodhull, city: New York, state: New York, zip: 11206, country: United States, geoPoint lat: 40.71427, lon: -74.00597, hasResults: False