Satisfaction of Limited English-Proficient Patients With Phone Interpretation Services Compared to In-Person Interpreters: A Randomized Controlled Trial

Study Overview
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Brief Summary
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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
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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.

Official Title
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Urogynecological Office Visits and Patient Satisfaction of Limited English-Proficient Patients With Phone Interpreter Services Compared to In-Person Interpreters: Randomized Controlled Trial (SIPI)

Conditions
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Pelvic Floor Disorders

Intervention / Treatment
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* Other: Interpretation Modality: In Person
* Other: Interpretation Modality: Telephonic


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Interpretation Modality: In person<br>Participants assigned to this group will use an in person interpreter for the duration of the UROGYN office visit | Other: Interpretation Modality: In Person<br>* Use of In-Person interpretation support for LEP participant during clinical appointment<br>|
| Active Comparator: Interpretation Modality: Telephonic<br>Participants assigned to this group will use a phone interpreter for the duration of the UROGYN office visit | Other: Interpretation Modality: Telephonic<br>* Use of telephonic interpretation support for LEP participant during clinical appointment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | Immediately assessed after office visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Quality Care, Access to health care, Interpretation services