Improving language access services for patients with limited English proficiency

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This community-based study engages stakeholders to develop and evaluate a culturally and linguistically sensitive approach to enhance language access services for patients with limited English proficiency in New York City. The study consists of four phases: preparatory work, pre-implementation, implementation, and post-implementation. It involves collecting data on existing language access policies, conducting surveys and interviews with stakeholders, and creating educational materials to improve communication between patients and healthcare providers. The ultimate goal is to promote health equity and reduce disparities in preventive health service usage and outcomes.

Why it matters

Who can join: the full rules

Inclusion Criteria (pre- and post- implementation phase):

Post-visit survey (Patients/Caregivers):

* Patient seen for ambulatory care preventive visit at one of the study locations OR caregiver of a pediatric patient seen for ambulatory preventive visit at one of the study locations.
* 18 years of age and older
* Willingness and ability to participate

H+H EHR Reports:

• Patient seen for ambulatory care preventive visit at one of the study locations

Community survey (Community members):

* Individual that attends community based organizations (CBO) events or uses CBOs' services
* 18 years of age and older
* Willingness and ability to participate

Key Stakeholder interviews:

Patients/Caregivers/Community Members Inclusion Criteria: In order to be eligible to participate, an individual must meet all of the following criteria:

* Prefers to speak in Bengali, French, Spanish, Mandarin, or Polish
* 18 years of age or older
* Patient seen for ambulatory care preventive visit at one of the 4 study locations, caregiver of a pediatric patient seen for ambulatory care preventive visit at one of the 4 study locations OR a community member referred by a CBO
* Willingness and ability to participate

NYC H+H Leadership/Providers/Staff Inclusion Criteria:

* Work at one of the 4 NYC H+H study locations that does language access related work or communicates with patients that prefer to speak a language other than English regularly.
* Leadership (e.g., chief medical officer, Department Director, etc.), provider (Physician, Nurse, Resident), or staff (Interpreter, language access coordinator, clerical staff) at the NYC H+H location
* 18 years of age or older
* Willingness and ability to participate

CBO Leadership/Staff Inclusion Criteria:

* CBO leadership (Director/Coordinator) or staff (Case manager, Patient navigator, etc.)
* 18 years of age or older
* Willingness and ability to participate

Exclusion Criteria (pre- and post- implementation phase):

CBO Leadership/Staff Exclusion Criteria:

* Does not have a working phone number
* Uncorrected hearing impairment

Post-visit survey (Patients/Caregivers):

* Enrolled to key stakeholder interviews
* Does not have a working phone number

H+H EHR Reports (Patients):

• No exclusion criteria

Community survey (Community members):

• Does not have a regular doctor in the US.

Key Stakeholder interviews:

Patients/Caregivers/Community Members Exclusion Criteria:

* Speaks English very well (non-LEP)
* Does not have a working phone number
* Uncorrected hearing impairment

NYC H+H Leadership/Providers/Staff Exclusion Criteria:

* Does not have a working phone number
* Uncorrected hearing impairment

Where it's running

• Health + Hospitals Diagnostic/Treatment Centers
  New York, New York, United States Recruiting
• NYC Health + Hospitals/Bellevue
  New York, New York, United States Recruiting
• NYC Health + Hospitals/Woodhull
  New York, New York, United States Recruiting

Study contacts

• Principal investigator: Hsiang Yin, MD — NYU Langone Health
• Study coordinator: Hsiang Yin, MD
• Email: Hsiang.Yin@nyulangone.org
• Phone: 212-562-2821

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.