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Limited English Proficiency

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https://www.readbyqxmd.com/read/28074754/legal-and-ethical-imperatives-for-using-certified-sign-language-interpreters-in-health-care-settings-how-to-do-no-harm-when-it-s-all-greek-sign-language-to-you
#1
Angela M Nonaka
Communication obstacles in health care settings adversely impact patient-practitioner interactions by impeding service efficiency, reducing mutual trust and satisfaction, or even endangering health outcomes. When interlocutors are separated by language, interpreters are required. The efficacy of interpreting, however, is constrained not just by interpreters' competence but also by health care providers' facility working with interpreters. Deaf individuals whose preferred form of communication is a signed language often encounter communicative barriers in health care settings...
September 1, 2016: Care Management Journals: Journal of Case Management ; the Journal of Long Term Home Health Care
https://www.readbyqxmd.com/read/28029348/ethnic-identity-and-paranoid-thinking-implicit-out-group-preference-and-language-dominance-predict-paranoia-in-emirati-women
#2
Justin Thomas, Richard P Bentall, Lowri Hadden, Lily O'Hara
BACKGROUND AND OBJECTIVES: Psychotic experiences including persecutory beliefs are elevated among immigrant and minority populations, especially when living in low ethnic density neighbourhoods (the ethnic density effect). Discrimination, victimization and experiencing a sense of 'not belonging' are hypothesized to play a role in this effect. Because a secure ethnic identity protects against poor self-esteem it may also protect against paranoia. This study explores the relationship between language proficiency (Arabic/English), in-group identity (implicit and explicit) and paranoia in female Emirati university students...
October 24, 2016: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/27981169/challenges-in-cancer-self-management-of-patients-with-limited-english-proficiency
#3
Fang-Yu Chou, Lily Y Kuang, Jeannette Lee, Grace J Yoo, Lei-Chun Fung
OBJECTIVE: This paper summarizes the barriers and challenges in cancer care reported from a validation project of a self-management intervention handbook from Chinese-American cancer patients with limited English proficiency (LEP). METHODS: Seven health-care providers (HCPs) and 16 Chinese-American cancer survivors with LEP were invited to validate a self-management intervention handbook through networking sampling method. Bilingual versions were developed and validated using the repeated translation process...
July 2016: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/27979993/caring-for-children-and-families-with-limited-english-proficiency-current-challenges-and-an-agenda-for-the-future
#4
K Casey Lion
No abstract text is available yet for this article.
January 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/27979992/communication-with-limited-english-proficient-families-in-the-picu
#5
Adrian D Zurca, Kiondra R Fisher, Remigio J Flor, Catalina D Gonzalez-Marques, Jichuan Wang, Yao I Cheng, Tessie W October
OBJECTIVE: Health care disparities have been described for children of limited English-proficient (LEP) families compared with children of English-proficient (EP) families. Poor communication with the medical team may contribute to these worse health outcomes. Previous studies exploring communication in the PICU have excluded LEP families. We aimed to understand communication experiences and preferences in the 3 primary communication settings in the PICU. We also explored LEP families' views on interpreter use in the PICU...
January 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/27923838/the-effect-of-limited-english-proficiency-on-pediatric-hospital-readmissions
#6
Mindy Ju, Nathan Luna, K T Park
BACKGROUND: The relationship between limited English proficiency (LEP) and worse pediatric health outcomes is well documented. OBJECTIVES: To determine the relationship between LEP status and pediatric hospital readmissions. METHODS: We performed a retrospective cohort analysis of children ≤ 18 years old admitted to a tertiary children's hospital from 2008 to 2014. The main exposure was LEP status. Independent variables included sex, age, race/ethnicity, insurance, median household income, surgical/medical status, severity of illness (SOI), the presence of a complex chronic condition, and length of stay...
January 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/27922716/cost-in-translation
#7
Joey Berlin
In October, federal language access requirements for patients with limited English proficiency took effect. The new rules raise financial concerns for some physicians and their practices.
December 1, 2016: Texas Medicine
https://www.readbyqxmd.com/read/27866391/adolescent-healthcare-brokering-prevalence-experience-impact-and-opportunities
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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 2-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)...
October 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
#18
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
#19
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
#20
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
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