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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03470194
Recruitment Status : Completed
First Posted : March 19, 2018
Results First Posted : April 5, 2021
Last Update Posted : April 5, 2021
Sponsor:
Information provided by (Responsible Party):
University of Massachusetts, Worcester

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

Condition or disease Intervention/treatment Phase
Pelvic Floor Disorders Other: Interpretation Modality: In Person Other: Interpretation Modality: Telephonic Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 106 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Urogynecological Office Visits and Patient Satisfaction of Limited English-Proficient Patients With Phone Interpreter Services Compared to In-Person Interpreters: Randomized Controlled Trial (SIPI)
Actual Study Start Date : December 15, 2017
Actual Primary Completion Date : June 10, 2019
Actual Study Completion Date : June 15, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: Interpretation Modality: In person
Participants assigned to this group will use an in person interpreter for the duration of the UROGYN office visit
Other: Interpretation Modality: In Person
Use of In-Person interpretation support for LEP participant during clinical appointment

Active Comparator: Interpretation Modality: Telephonic
Participants assigned to this group will use a phone interpreter for the duration of the UROGYN office visit
Other: Interpretation Modality: Telephonic
Use of telephonic interpretation support for LEP participant during clinical appointment




Primary Outcome Measures :
  1. Patient Satisfaction [ Time Frame: 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.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Gender Based Eligibility:   Yes
Gender Eligibility Description:   female
Accepts Healthy Volunteers:   No
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03470194


Locations
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United States, Massachusetts
U Mass Memorial Hospital
Worcester, Massachusetts, United States, 01605
Sponsors and Collaborators
University of Massachusetts, Worcester
Investigators
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Principal Investigator: Michael Flynn, MD UMass Worcester
  Study Documents (Full-Text)

Documents provided by University of Massachusetts, Worcester:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: University of Massachusetts, Worcester
ClinicalTrials.gov Identifier: NCT03470194    
Other Study ID Numbers: H00013745
First Posted: March 19, 2018    Key Record Dates
Results First Posted: April 5, 2021
Last Update Posted: April 5, 2021
Last Verified: March 2021

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by University of Massachusetts, Worcester:
Quality Care
Access to health care
Interpretation services
Additional relevant MeSH terms:
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Pelvic Floor Disorders
Pregnancy Complications