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Limited English Proficiency

Yolanda N Evans, Sarah A Rafton, Eriberto Michel, Beth E Ebel
OBJECTIVE: To examine associations between self-assessed language ability and provision of clinical care without professional interpretation. METHODS: We conducted an anonymous web-based survey of pediatric residents at a large pediatric training program. Respondents self-rated their language ability, and then reported on their willingness to deliver clinical care without professional interpretation in standardized clinical scenarios. RESULTS: All pediatric residents completed the survey (n=81; 100%)...
June 2018: Journal of the National Medical Association
Nicole Blay, Sharelle Ioannou, Marika Seremetkoska, Jenny Morris, Gael Holters, Verily Thomas, Everett Bronwyn
BACKGROUND: Few people with limited English proficiency are provided with the services of a healthcare interpreter when admitted to hospital. This retrospective study utilised health administrative data to explore which patients with limited English proficiency were provided with a healthcare interpreter during their hospital admission. METHOD: A retrospective analysis of health administrative data for adult overnight-stay patients admitted to a public hospital in a region of significant cultural and linguistic diversity in Sydney, Australia in 2014-2015...
May 10, 2018: BMC Health Services Research
Martha P Montgomery, Elizabeth D Allen, Olivia Thomas, Byron F Robinson, Donnie Clark, Ann Connelly, Joshua A Mott, Elizabeth Conrey
OBJECTIVE: Limited English proficiency can be a barrier to asthma care and is associated with poor outcomes. This study examines whether pediatric patients in Ohio with limited English proficiency experience lower asthma care quality or higher morbidity. METHODS: We used electronic health records for asthma patients aged 2-17 years from a regional, urban, children's hospital in Ohio during 2011-2015. Community-level demographics were included from U.S. Census data...
May 8, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Gabriel Perreault, Adam Goodman, Sebastian Larion, Ahana Sen, Kirsten Quiles, Michael Poles, Renee Williams
Background: This study was performed to compare patient-reported tolerability and its barriers in single- vs. split-dose 4-L polyethylene glycol (PEG) bowel preparation for colonoscopy in a large multiethnic, safety-net patient population. Methods: A cross-sectional, dual-center study using a multi-language survey was used to collect patient-reported demographic, medical, socioeconomic, and tolerability data from patients undergoing outpatient colonoscopy. Univariate and multivariate analyses were used to identify demographic and clinical factors significantly associated with patient-reported bowel preparation tolerability...
May 2018: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
Yvette M Janvier, Caroline N Coffield, Jill F Harris, David S Mandell, Zuleyha Cidav
Children with autism spectrum disorder from low-income, minority families or those with limited English proficiency are diagnosed at a later age, or not at all, compared with their more advantaged peers. The Developmental Check-In is a new tool that could potentially be used to screen for autism that uses pictures to illustrate target behaviors. It was developed to enhance early identification of autism spectrum disorder in low literacy groups. The Developmental Check-In was tested in a sample of 376 children between the ages of 24 and 60 months, from underserved communities...
April 1, 2018: Autism: the International Journal of Research and Practice
Giyeon Kim, Minjung Kim, Soohyun Park, Daniel E Jimenez, David A Chiriboga
Background and Objectives: This study examined the effect of limited English proficiency (LEP) on trajectories of depressive symptoms among Mexican American older adults in the United States. Research Design and Methods: The sample was drawn from Waves 1 to 6 (1993-2007) of the Hispanic Established Population for Epidemiological Studies of the Elderly (H-EPESE). A total of 2,945 Mexican American older adults were included in the analyses. A latent growth curve modeling was conducted...
April 23, 2018: Gerontologist
A Alm Pfrunder, A Falk, V Vicente, V Lindström
AIMS AND OBJECTIVES: To explore the strategies of nurses working in the ambulance service while caring for patients with limited Swedish-English proficiency. BACKGROUND: Communication difficulties due to lack of mutual language is a challenge in health care systems around the world. Little is known about nurses' strategies while caring for patients with whom they do not share a mutual language in an unstructured, unplanned prehospital emergency environment, the ambulance service...
April 20, 2018: Journal of Clinical Nursing
Brenda Pavill
This article highlights how academia and industry leaders in health care communication can partner to provide students practice caring for individuals who are limited English proficient and how such practice opportunities can be integrated into academic programs. Highlighted are key elements to consider when partnering with industry leaders to develop a program for students. A course exemplar provides a comprehensive description of a practice exercise integrated in a nursing physical assessment course. Students obtain hands-on experiences caring for limited English proficient standardized patients using state-of-the-art digital video interpreting technology...
April 19, 2018: Nursing Education Perspectives
Sinjini Biswas, Michael Seman, Nicholas Cox, Christopher Neil, Angela Brennan, Diem Dinh, Antony Walton, William Chan, Jeffrey Lefkovits, Christopher Reid, Dion Stub
Doctor-patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP...
April 2018: Internal Medicine Journal
Monica Eneriz-Wiemer, Shih-Dun Liu, Michael Cy Chu, Tarsicio Uribe-Leitz, Krishna Rajani, Meera Sankar, Shira L Robbins, Henry C Lee, Claire Woodard, C Jason Wang
PURPOSE: Retinopathy of prematurity (ROP) may cause visual impairment in infants with very low birth weight. Lack of parent knowledge may contribute to gaps in screening and treatment. We studied parents' knowledge and education of ROP. DESIGN: Cross-sectional study. METHODS: SETTING: Four high-acuity neonatal intensive care units in California (40-84 beds). PARTICIPANTS: 194 English- and Spanish-speaking parents of very low birth weight (<1,500 grams) infants recruited from September 2013 to April 2015...
April 2, 2018: American Journal of Ophthalmology
Linda Weiss, Maya Scherer, Tongtan Chantarat, Theo Oshiro, Patrick Padgen, Jose Pagan, Peri Rosenfeld, H Shonna Yin
Approximately 25 million people in the United States are limited English proficient (LEP). Appropriate language services can improve care for LEP individuals, and health care facilities receiving federal funds are required to provide such services. Recognizing the risk of inadequate comprehension of prescription medication instructions, between 2008 and 2012, New York City and State passed a series of regulations that require chain pharmacies to provide translated prescription labels and other language services to LEP patients...
April 3, 2018: Journal of Urban Health: Bulletin of the New York Academy of Medicine
Karen Kim, Michal Quinn, Helen Lam
Chinese Americans are one of the fastest-growing and largest Asian-American subgroups. Approximately 70% of Chinese Americans are immigrants with 46% being of limited English proficiency. Despite colorectal cancer (CRC) being the second leading cause of cancer death in Chinese Americans, Chinese Americans have lower CRC screening rates than other Asian subgroups, and only 40% of CRC cases among Chinese Americans are diagnosed early. Furthermore, CRC is the second most common cancer among Chinese American women...
March 30, 2018: Journal of Racial and Ethnic Health Disparities
Laurence Tan, Hui Jin Toh, Lai Kiow Sim, James Alvin Low
BACKGROUND: The current screening tools for depression can be tedious to administer, especially in the elderly population with hearing impairment and/or limited proficiency in English language. OBJECTIVES: To look at the feasibility of using emoticon as a screening and assessment tool for depression in the elderly. DESIGN: Cross-sectional study. METHOD: A total of 77 elderly patients completed the study from June 2014 to August 2015 in a general geriatric outpatient clinic of an acute care hospital in Singapore...
March 1, 2018: Journal of the American Psychiatric Nurses Association
Alejandra Casillas, Gerardo Moreno, Jonathan Grotts, Chi-Hong Tseng, Leo S Morales
BACKGROUND: Use of an Internet portal to refill medicines positively affects medication adherence among English-speakers. No prior studies, however, have specifically examined the relationship between Internet refills and medication adherence among patients who are limited English proficient (LEP). OBJECTIVES: (1) Examine the relationship between Internet medication refill system use and medication adherence among linguistically diverse patients with chronic conditions and (2) compare this relationship between LEP and English-proficient (EP) patients...
March 29, 2018: Journal of Racial and Ethnic Health Disparities
Elizabeth L McQuaid
OBJECTIVE: Significant disparities exist in asthma outcomes. Racial and ethnic minorities have lower controller medication adherence, which may contribute to differences in asthma morbidity between minority and non-minority groups. The objective of this review is to identify individual, patient-provider communication, and systems issues that contribute to this pattern of medication underuse and to discuss potential strategies for intervention. DATA SOURCES: Data were gathered from numerous sources, including reports of pharmacy and medical records, observational studies, and trials...
March 23, 2018: Annals of Allergy, Asthma & Immunology
Mi T Tran, Matthew B Jeong, Vickie V Nguyen, Michael T Sharp, Edgar P Yu, Filmer Yu, Elisa K Tong, Marjorie Kagawa-Singer, Charlene F Cuaresma, Angela U Sy, Janice Y Tsoh, Ginny L Gildengorin, Susan L Stewart, Tung T Nguyen
BACKGROUND: To the authors' knowledge, there are few studies to date regarding colorectal cancer (CRC) beliefs, knowledge, and screening among multiple Asian American populations, who are reported to have lower CRC screening rates compared with white individuals. The current study was performed to assess knowledge and beliefs regarding the causes of CRC, its prevention, and factors associated with CRC screening among 3 Asian American groups. METHODS: The authors conducted an in-language survey with Filipino (Honolulu, Hawaii), Hmong (Sacramento, California), and Korean (Los Angeles, California) Americans aged 50 to 75 years who were sampled through social networks...
April 1, 2018: Cancer
Anne Saw, Debora A Paterniti, Lei-Chun Fung, Janice Y Tsoh, Elisa K Tong
BACKGROUND: Chinese men smoke at high rates, and this puts household members at risk for tobacco-related diseases. Culturally responsive interventions that provide education and support are needed to promote smokefree living and reduce smoke exposure, particularly for US immigrants who experience changes in smokefree social norms. This qualitative study examines perspectives of Chinese American smoker and nonsmoker household pairs in the Creating Smokefree Living Together program. METHODS: Four focus groups were conducted with 30 Chinese American participants (15 smokers and 15 nonsmokers) who, in household pairs, completed smokefree education interventions of either brief or moderate intensity...
April 1, 2018: Cancer
Tabina K Choudhury, Kimberley Stanton, Steve Balsis
Alexithymia, characterized by deficits in recognition or expression of emotional experiences, has been demonstrated to be associated with depressive symptoms. In psychotherapy, alexithymia can partly manifest as stunted, disfluent speech when an individual attempts to describe his or her subjective experiences. However, similarly stunted, disfluent speech can be observed in individuals with limited English proficiency who are not diagnosed with a depressive disorder. For individuals who present with both symptoms of depression and limited English proficiency, it can be difficult to determine if disfluent speech is a clinical symptom secondary to depression or simply a byproduct of a language barrier...
March 2018: Psychotherapy
Lindsay Zibrik, Alan Huang, Vivian Wong, Helen Novak Lauscher, Queenie Choo, Eric M Yoshida, Kendall Ho
INTRODUCTION: Chronic hepatitis B (HBV) is prevalent among Asian immigrants in Canada with high morbidity and mortality rates. While some studies have identified barriers to health care and information access, few have studied the impact of culturally relevant information and addressed challenges with recommendations for effective public education and outreach programs. METHODS: Culturally tailored HBV education workshops were delivered over a 12-month period to Chinese, Filipino, Korean and Punjabi immigrants in Lower Mainland, British Columbia (BC)...
March 19, 2018: Journal of Racial and Ethnic Health Disparities
Breena R Taira
No abstract text is available yet for this article.
March 19, 2018: JAMA Internal Medicine
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