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Limited English Proficiency

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https://www.readbyqxmd.com/read/27866391/adolescent-healthcare-brokering-prevalence-experience-impact-and-opportunities
#1
Jennifer R Banas, Lisa C Wallis, James W Ball, Sarah Gershon
BACKGROUND: Limited health literacy disproportionately affects those with limited English proficiency (LEP). Parents with LEP might rely on their adolescent children to interpret health information. We call this adolescent healthcare brokering. This study uncovers the prevalence of brokering, kinds of tasks, emotional and academic impact, and desired support. METHODS: We invited 165 students from health classes (in a community in which 29.8% are foreign-born and 53...
December 2016: Journal of School Health
https://www.readbyqxmd.com/read/27856741/universal-screening-increases-the-representation-of-low-income-and-minority-students-in-gifted-education
#2
David Card, Laura Giuliano
Low-income and minority students are substantially underrepresented in gifted education programs. The disparities persist despite efforts by many states and school districts to broaden participation through changes in their eligibility criteria. One explanation for the persistent gap is that standard processes for identifying gifted students, which are based largely on the referrals of parents and teachers, tend to miss qualified students from underrepresented groups. We study this hypothesis using the experiences of a large urban school district following the introduction of a universal screening program for second graders...
November 29, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27818443/screening-for-parental-depression-in-urban-primary-care-practices-a-mixed-methods-study
#3
James P Guevara, Marsha Gerdes, Brooke Rothman, Victor Igbokidi, Susan Doughterty, Russell Localio, Rhonda C Boyd
We sought to determine feasibility and acceptability of parental depression screening in urban pediatric practices. We recruited seven practices to participate. Patient Health Questionnaire-2, a validated two-item screening tool, was used to screen for depressive symptoms at 1-3 year old well visits. We conducted semi-structured interviews with clinicians to identify barriers and facilitators to screening. Of 8,621 eligible parents, 21.1% completed screening with site-specific rates ranging from 10.1% to 48...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27780380/a-web-based-educational-video-to-improve-asthma-knowledge-for-limited-english-proficiency-latino-caregivers
#4
Antonio Riera, Agueda Ocasio, Gunjan Tiyyagura, Anita Thomas, Patricia Goncalves, Lauren Krumeich, Kyle Ragins, Sandra Trevino, Federico E Vaca
OBJECTIVES: To evaluate limited English proficiency (LEP) Latino caregiver asthma knowledge after exposure to an educational video designed for this target group. METHODS: A cross-sectional, interventional study was performed. We aimed to evaluate the post-test impact on asthma knowledge from baseline after exposure to a patient-centered, evidence-based, and professionally produced Spanish asthma educational video. Participants included LEP Latino caregivers of children 2-12 years old with persistent asthma...
October 26, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/27760879/investigating-the-performance-of-second-language-medical-students-on-lengthy-clinical-vignettes
#5
Mark R Raymond, Yu Ling, Irina Grabovsky
This study evaluated the extent to which medical students with limited English-language experience are differentially impacted by the additional reading load of test items consisting of long clinical vignettes. Participants included 25,012 examinees who completed Step 2 of the U.S. Medical Licensing Examination®. Test items were categorized into five levels based on the number of words per item, and examinee scores at each level were evaluated as a function of English-language experience (English as a second language [ESL] status and scores on a test of English-speaking proficiency)...
October 19, 2016: Evaluation & the Health Professions
https://www.readbyqxmd.com/read/27733838/cognate-costs-in-bilingual-speech-production-evidence-from-language-switching
#6
Mirjam Broersma, Diana Carter, Daniel J Acheson
This study investigates cross-language lexical competition in the bilingual mental lexicon. It provides evidence for the occurrence of inhibition as well as the commonly reported facilitation during the production of cognates (words with similar phonological form and meaning in two languages) in a mixed picture naming task by highly proficient Welsh-English bilinguals. Previous studies have typically found cognate facilitation. It has previously been proposed (with respect to non-cognates) that cross-language inhibition is limited to low-proficient bilinguals; therefore, we tested highly proficient, early bilinguals...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27712605/creating-a-professional-ladder-for-interpreters-for-improvement-of-care
#7
Lori Marshall, Anna Fischer, Allison Noyes Soeller, Richard Cordova, Yvonne R Gutierrez, Luis Alford
BACKGROUND: Children's Hospital Los Angeles (CHLA), a metropolitan academic medical center, recognized limitations in how the professional interpreters from the Diversity Services Department were used to support effective patient-provider communication across the organization. Given the importance of mitigating language and communication barriers, CHLA sought to minimize clinical and structural barriers to health care for limited English proficiency populations through a comprehensive restructuring of the Diversity Services Department...
2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27687285/interpreter-training-for-medical-students-pilot-implementation-and-assessment-in-a-student-run-clinic
#8
Jennifer E L Diaz, Nydia Ekasumara, Nikhil R Menon, Edwin Homan, Prashanth Rajarajan, Andrés Ramírez Zamudio, Annie J Kim, Jason Gruener, Edward Poliandro, David C Thomas, Yasmin S Meah, Rainier P Soriano
BACKGROUND: Trained medical interpreters are instrumental to patient satisfaction and quality of care. They are especially important in student-run clinics, where many patients have limited English proficiency. Because student-run clinics have ties to their medical schools, they have access to bilingual students who may volunteer to interpret, but are not necessarily formally trained. METHODS: To study the feasibility and efficacy of leveraging medical student volunteers to improve interpretation services, we performed a pilot study at the student-run clinic at the Icahn School of Medicine at Mount Sinai...
September 29, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27670360/the-inclusion-of-ethnic-minority-patients-and-the-role-of-language-in-telehealth-trials-for-type-2-diabetes-a-systematic-review
#9
Talia Isaacs, Daniel Hunt, Danielle Ward, Leila Rooshenas, Louisa Edwards
BACKGROUND: Type 2 diabetes is a serious, pervasive metabolic condition that disproportionately affects ethnic minority patients. Telehealth interventions can facilitate type 2 diabetes monitoring and prevent secondary complications. However, trials designed to test the effectiveness of telehealth interventions may underrecruit or exclude ethnic minority patients, with language a potential barrier to recruitment. The underrepresentation of minorities in trials limits the external validity of the findings for this key patient demographic...
2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27661469/the-effect-of-chair-yoga-on-biopsychosocial-changes-in-english-and-spanish-speaking-community-dwelling-older-adults-with-lower-extremity-osteoarthritis
#10
Juyoung Park, David Newman, Ruth McCaffrey, Jacinto J Garrido, Mary Lou Riccio, Patricia Liehr
Chair yoga (CY), a mind-body therapy, is a safe nonpharmacological approach for managing osteoarthritis (OA) in older adults who cannot participate in standing exercise. However, there is no linguistically tailored CY program for those with limited English Proficiency (LEP). This two-arm randomized controlled trial compared the effects of a linguistically tailored yoga program (English and Spanish versions) on the outcomes of pain, physical function, and psychosocial factors compared to the effects of a linguistically tailored Health Education Program (HEP; English and Spanish versions)...
September 23, 2016: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/27651271/medicaid-expansion-and-healthcare-access-lessons-from-asian-american-and-pacific-islander-experiences-in-california
#11
Won Kim Cook, Iyanrick John, Corina Chung, Winston Tseng, Juliet P Lee
Medicaid coverage increases access to care and improves health outcomes for disadvantaged populations. Yet disparities in enrollment and access to care persist. To understand the facilitators and barriers of Medicaid enrollment and accessing care under the Affordable Care Act for disadvantaged Asian Americans and Pacific Islanders. Focus groups and key informant interviews were conducted. Informational barriers to accessing care were pervasive among most new enrollees. Immigrants with limited English proficiency experienced disproportionate difficulties in enrolling and accessing care post enrollment...
September 20, 2016: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/27630722/hepatitis-b-related-concerns-and-anxieties-among-people-with-chronic-hepatitis-b-in-australia
#12
Behzad Hajarizadeh, Jacqui Richmond, Naomi Ngo, Jayne Lucke, Jack Wallace
BACKGROUND: The psychological wellbeing of people with chronic hepatitis B (CHB) may be negatively affected due to the chronic and transmissible nature of the disease, and possible serious complications (e.g. cirrhosis and liver cancer). There are limited data investigating concerns and anxieties among people living with CHB. OBJECTIVES: This study examined feelings about having hepatitis B among people with CHB, including hepatitis B-related concerns and anxieties...
June 2016: Hepatitis Monthly
https://www.readbyqxmd.com/read/27617562/is-there-inequity-in-hospital-care-among-patients-with-acute-coronary-syndrome-who-are-proficient-and-not-proficient-in-english-language-analysis-of-the-snapshot-acs-study
#13
Karice K Hyun, Julie Redfern, Mark Woodward, Tom Briffa, Derek P Chew, Chris Ellis, John French, Carolyn Astley, Greg Gamble, Kellie Nallaiah, Tegwen Howell, Karen Lintern, Robyn Clark, Kannikar Wechkunanukul, David Brieger
BACKGROUND: The provision of equitable acute coronary syndrome (ACS) care in Australia and New Zealand requires an understanding of the sources of variation in the provision of this care. OBJECTIVE: The aim of this study was to compare the variation in care and outcomes between ACS patients with limited English proficiency (LEP) and English proficiency (EP) admitted to Australian and NZ hospitals. METHODS: Data were collected from 4387 suspected/confirmed ACS patients from 286 hospitals between May 14 and 27, 2012, who were followed for 18 months...
September 10, 2016: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/27601267/speaking-my-patient-s-language-bilingual-nurses-perspective-about-provision-of-language-concordant-care-to-patients-with-limited-english-proficiency
#14
Parveen Azam Ali, Stacy Johson
AIM: The aim of this study was to explore bilingual nurses' perspective about providing language concordant care to patients with limited English proficiency and its impact on patients and nurses. Factors affecting the provision of language concordant care to patients limited English proficiency were also explored. BACKGROUND: With an increase in migration and mobility of people across the world, the likelihood of experiencing language barriers while providing and receiving care is high...
September 7, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27587453/including-language-access-into-medicaid-aco-design
#15
Rachel Gershon, Lisa Morris, Warren Ferguson
Quality health care relies upon communication in a patient's preferred language. Language access in health care occurs when individuals are: (1) Welcomed by providers regardless of language ability; and (2) Offered quality language services as part of their care. Federal law generally requires access to health care and quality language services for deaf and Limited English Proficient (LEP) patients in health care settings, but these patients still find it hard to access health care and quality language services...
September 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/27579909/convenient-access-to-professional-interpreters-in-the-hospital-decreases-readmission-rates-and-estimated-hospital-expenditures-for-patients-with-limited-english-proficiency
#16
Leah S Karliner, Eliseo J Pérez-Stable, Steven E Gregorich
BACKGROUND: Twenty-five million people in the United States have limited English proficiency (LEP); this growing and aging population experiences worse outcomes when hospitalized. Federal requirements that hospitals provide language access services are very challenging to implement in the fast-paced, 24-hour hospital environment. OBJECTIVE: To determine if increasing access to professional interpreters improves hospital outcomes for older patients with LEP. DESIGN: Natural experiment on a medicine floor of an academic hospital...
August 30, 2016: Medical Care
https://www.readbyqxmd.com/read/27571582/the-lived-experiences-of-acute-care-bedside-registered-nurses-caring-for-patients-and-their-families-with-limited-english-proficiency-a-silent-shift
#17
Jami-Sue Coleman, Alona D Angosta
AIMS AND OBJECTIVES: To explore the lived experiences of acute care bedside nurses caring for patients and their families with limited English proficiency (LEP). BACKGROUND: Approximately 8.6% of the total United States population is considered limited English proficient. In the hospital setting, registered nurses provide the most direct contact with patients and their families. Effective communication between patients and health care professionals is essential when providing quality health care...
August 29, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27564924/lay-health-educators-increase-colorectal-cancer-screening-among-hmong-americans-a-cluster-randomized-controlled-trial
#18
Elisa K Tong, Tung T Nguyen, Penny Lo, Susan L Stewart, Ginny L Gildengorin, Janice Y Tsoh, Angela M Jo, Marjorie L Kagawa-Singer, Angela U Sy, Charlene Cuaresma, Hy T Lam, Ching Wong, Mi T Tran, Moon S Chen
BACKGROUND: Asian Americans have lower colorectal cancer (CRC) screening rates than non-Hispanic white individuals. Hmong Americans have limited socioeconomic resources and literacy. The current randomized controlled trial was conducted to determine whether bilingual/bicultural lay health educator (LHE) education could increase CRC screening among Hmong Americans. METHODS: A cluster randomized controlled trial was conducted among Hmong Americans in Sacramento, California...
August 26, 2016: Cancer
https://www.readbyqxmd.com/read/27556291/the-15-item-version-of-the-boston-naming-test-as-an-index-of-english-proficiency
#19
Laszlo A Erdodi, Katherine A Jongsma, Meriam Issa
OBJECTIVE: The present study was designed to examine the potential of the Boston Naming Test - Short Form (BNT-15) to provide an objective estimate of English proficiency. A secondary goal was to examine the effect of limited English proficiency (LEP) on neuropsychological test performance. METHOD: A brief battery of neuropsychological tests was administered to 79 bilingual participants (40.5% male, MAge = 26.9, MEducation = 14.2). The majority (n = 56) were English dominant (EN), and the rest were Arabic dominant (AR)...
August 24, 2016: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/27548649/an-orthopedist-s-guide-to-shoulder-ultrasound-a-systematic-review-of-examination-protocols
#20
Kelms Amoo-Achampong, Benedict U Nwachukwu, Frank McCormick
BACKGROUND: The utilization of musculoskeletal ultrasound has expanded within the setting of the orthopedic clinic as a cost-effective, point-of-care diagnostic tool for shoulder pathology. In experienced hands, ultrasound exhibits capabilities equivalent to that of magnetic resonance imaging in the diagnosis of many shoulder diseases including full-thickness and partial-thickness rotator cuff tears. Although similarly effective in identifying additional shoulder disease processes, major obstacles to its widespread use include user dependence and intrinsic limitation to extra-articular diagnosis...
August 22, 2016: Physician and Sportsmedicine
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