An Exploratory Study of the Characteristics of and Challenges for International Families Seeking Medical Care in the United States

This study has been completed.
Sponsor:
Information provided by:
National Institutes of Health Clinical Center (CC)
ClinicalTrials.gov Identifier:
NCT01211990
First received: September 29, 2010
Last updated: November 27, 2013
Last verified: May 2013
  Purpose

Background:

- State-of-the art care for children with cancer or rare diseases is not available in all countries. Owing to the proximity of Latin America and the growing numbers of Latinos already in the United States, many international patients receiving specialized medical care in U.S. hospitals are from Spanish-speaking countries. Although there are benefits associated with obtaining specialized care in the United States, linguistic barriers and cultural differences as well as the general stresses of caring for a child with a serious illness may affect families ability to obtain adequate care for their children. Researchers are interested in exploring the experiences and needs of international Latino families receiving medical care for their child in the United States in order to help health care centers provide more appropriate resources and improve the overall quality of culturally sensitive care.

Objectives:

- To understand the experiences of international Latino families who are receiving treatment for their child or have enrolled their child in a research study in the United States.

Eligibility:

  • Caregivers of a child between birth and 25 years of ages who are from Latin America (which includes Mexico, all countries in Central America and South America, and Spanish-speaking Caribbean countries) and who have traveled to the United States to enroll their child in a research protocol and/or seek treatment for their child s medical condition.
  • Caregivers must have a child enrolled on a research protocol at the time of this study.
  • Caregivers must have been away from their country of origin for a minimum of 3 months.

Design:

  • This study requires a single interview that should take approximately 1 hour.
  • Participants will complete the interview with a member of the research team who is bilingual or fluent in Spanish.
  • Participants will be asked open-ended questions about why they chose to come to the United States, how they are adjusting to living and getting medical care for their child in the United States, and what hopes they have for treatment outcomes and future medical care.
  • Researchers will record the interviews to be reviewed later. The recordings will be used for this study only.

Condition
Cancer
Allogeneic Peripheral Blood Stem Cell Transplant
Bone Marrow Transplantation

Study Type: Observational
Study Design: Time Perspective: Prospective
Official Title: An Exploratory Study of the Characteristics of and Challenges for International Families Seeking Medical Care in the United States

Resource links provided by NLM:


Further study details as provided by National Institutes of Health Clinical Center (CC):

Enrollment: 22
Study Start Date: August 2010
Estimated Study Completion Date: May 2013
  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria
  • INCLUSION CRITERIA:
  • Caregivers of children aged 0-25.
  • The children of the participants must be involved in clinical research or be receiving treatment for their child s medical condition. This includes but is not limited to oncological and hematological diseases, conditions requiring transplant, and rare immunodeficiency or genetic conditions.
  • The family traveled to the US for the purpose of addressing their child s medical condition.
  • Caregivers must be from a country outside of the United States. Care givers must be fluent in Spanish or English.
  • Caregiver has been away from the country of origin for a minimum of three months.
  • The child s treatment protocol PI must agree to have the research team contact potential participants in order to explore their interest in this protocol.

EXCLUSION CRITERIA:

  • The caregiver participant immigrated to the US for reasons other than enrolling in a research study or addressing their child s medical condition.
  • Presence of psychotic symptoms or severe psychological distress, which in the judgment of the Principal or Associate Investigator or consulting psychiatrist would compromise the caregiver s ability to engage in the interview or is likely to interfere with the study procedures or results.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01211990

Locations
United States, Maryland
National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, United States, 20892
Sponsors and Collaborators
Investigators
Principal Investigator: Maryland Pao, M.D. National Institute of Mental Health (NIMH)