Interpreters as advocates for Spanish speaking people

口译员是西班牙语人士的倡导者

• 批准号: 7620013
• 负责人: J. DARYL THORNTON
• 金额: $ 17.66万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7620013
• 关键词: Address; Adverse effects; Advocate; American; Caring; Civil Rights; Clinical; Condition; Diagnosis; Future; Goals; Health; Health Personnel; Healthcare; High Prevalence; Hispanics; Hypertension; Institute of Medicine (U.S.); Intervention; Kidney Diseases; Language; Learning; Life; Medical; Minority Groups; Outcome; Patients; Physicians; Play; Primary Care Physician; Provider; Randomized Controlled Trials; Rate; Recommendation; Reporting; Role; Sample Size; Services; Severities; Standards of Weights and Measures; Surveys; Testing; Training; Translating; United States; Use Effectiveness; Visit; Work; blood pressure regulation; comparison group; cost effectiveness; follow-up; health disparity; improved; inner city; novel; response; satisfaction; treatment planning

Limited English proficiency is common and has major adverse impacts on health and health care. Even when interpreters are used, patients are often unaware of key aspects of their treatment plan, are reluctant to ask for more information, and are dissatisfied with care. Lay health advisors and other navigator-type interventions appear to be promising approaches to help overcome barriers to care. We hypothesize that combining the most potent features of interpreters and navigators will improve the outcomes of non-English speaking patients. Our specific aims are A) To determine the informational needs of Spanish-speaking inner city patients with hypertension or kidney disease; B) To train interpreters to act as advocates for patients with hypertension or kidney disease; and C) To perform a randomized controlled trial to test the utility of using interpreters as advocates. We will first determine the informational needs of Spanish-speaking inner city patients with hypertension or kidney disease and then use this information to train interpreters to act as advocates. Next, we will conduct a randomized controlled trial involving 150 patients who receive help from a standard interpreter when they see their primary care physician and 150 patients who receive help from an interpreteradvocate. In addition to translating conversations (standard interpretation), interpreter-advocates will encourage patients and providers to discuss treatment details that have not been addressed as well as patients' goals and concerns. Primary outcomes wilt focus on patient and physician satisfaction and informational exchange while secondary outcomes will examine blood pressure control. The proposed project will test a novel intervention to help patients with limited English proficiency. Future work will involve learning how to make the intervention more potent, determining the impact of intervention on hypertension management and other clinical outcomes, extending the intervention for use with other medical conditions, and determining the cost-effectiveness of interpreter-advocates.

有限的英语水平很普遍，对健康和卫生保健产生了重大不利影响。甚至 当使用口译员时，患者通常不知道其治疗计划的关键方面 要求提供更多信息，并对护理不满意。外行健康顾问和其他导航器类型 干预似乎是有前途的方法来帮助克服护理障碍。我们假设这一点 结合口译员和导航员的最有效功能将改善非英语的结果 说话的患者。 我们的具体目的是a）确定讲西班牙语内城患者的信息需求 高血压或肾脏疾病； b）培训口译员充当高血压患者的拥护者 或肾脏疾病； c）执行随机对照试验以测试使用口译员的实用性 拥护者。 我们将首先确定具有高血压或高血压的西班牙语内城患者的信息需求 肾脏疾病，然后使用这些信息来培训口译员，以充当拥护者。接下来，我们会的 进行一项随机对照试验，涉及150名从标准口译员获得帮助的患者 当他们看到他们的初级保健医生和150名从IntervereDvocate获得帮助的患者时。 除了翻译对话（标准解释）外，解释器顾问还将 鼓励患者和提供者讨论尚未解决的治疗细节以及 患者的目标和关注点。主要结果witt着重于患者和医师的满意度和 二次结果的信息交换将检查血压控制。 拟议的项目将测试一种新颖的干预措施，以帮助英语能力有限的患者。未来 工作将涉及学习如何使干预更有效，并确定干预的影响 关于高血压管理和其他临床结果，扩展了与其他的干预措施 医疗状况，并确定口译员顾问的成本效益。