Physician Use of Non-English Language Skills in Cancer Care

Study Overview
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Brief Summary
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The purpose of this study is to test a method for analyzing interactions between patients and doctors, the Roter Interaction Analysis System (RIAS). The RIAS measures the quality of communication between patients and their cancer doctors.

Official Title
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Physician Use of Non-English Language Skills in Cancer Care

Conditions
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Breast Cancer, Colon Cancer, Lung Cancer

Intervention / Treatment
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* Behavioral: survey
* Behavioral: Audio record


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: is a English or Spanish-speaking patient between the ages of 21-80 years old has a new diagnosis of any type of cancer (diagnosed within the past 4 months), or has a recurrence of either breast, colon or lung cancer (recurrence diagnosed within the past 4 months) scheduled to have surgery or begin chemotherapy and/or radiation therapy within the next 2 months Oncology clinician Inclusion: provides care to LEP patients has MD, DO, RN, NP or PA degree is between the ages of 21-80 Exclusion Criteria: is unable to provide informed consent in either English or Spanish

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Oncology physician<br>Physicians (MD or DO) in the oncology departments of participating hospitals will complete a survey. Non-English language proficiency will be assessed by self-assessment using Interagency Language Roundtable (ILR) scale, which the PI has previously used. The physician survey is collected among treating physicians of patients enrolled to MSK IRB approved protocols 12-099 and 12-223 at some of the participating hospitals. For physicians who already completed this survey as part of participation in protocol 12-099 or 12-223, data will be extracted from the respective study's REDCap database. | Behavioral: survey<br>* The ILR Scale, a non-English language proficiency self-assessment.<br>* Other names: ILR Scale;Behavioral: Audio record<br>* Audio record the initial visits between patients and their treating physician<br>|
| patients<br>Audio record the initial visits between patients and their treating physician. Analyze 48 patient-physician dyad recordings using the Roter Interaction Analysis System (RIAS). | Behavioral: Audio record<br>* Audio record the initial visits between patients and their treating physician<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| study-specific coding structure | using the RIAS in cancer care across English and Spanish languages will be assessed by evaluating whether this existing, validated coding system 'works' across a language barrier. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Communication, 15-316, Physician, Use, Non-English, Language Skills