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Limited English Proficiency

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Michael S Wolf, Terry C Davis, Laura M Curtis, Stacy Cooper Bailey, JoAnn Pearson Knox, Ashley Bergeron, Mercedes Abbet, William H Shrank, Ruth M Parker, Alastair J J Wood
BACKGROUND: Patient misunderstanding of prescription drug label instructions is a common cause of unintentional misuse of medication and adverse health outcomes. Those with limited literacy and English proficiency are at greater risk. OBJECTIVE: To test the effectiveness of a patient-centered drug label strategy, including a Universal Medication Schedule (UMS), to improve proper regimen use and adherence compared to a current standard. DESIGN: Two-arm, multi-site patient-randomized pragmatic trial...
August 19, 2016: Journal of General Internal Medicine
L R Stoneking, A L Waterbrook, J Garst Orozco, D Johnston, A Bellafiore, C Davies, T Nuño, J Fatás-Cabeza, O Beita, V Ng, K H Grall, W Adamas-Rappaport
BACKGROUND: After emergency department (ED) discharge, Spanish-speaking patients with limited English proficiency are less likely than English-proficient patients to be adherent to medical recommendations and are more likely to be dissatisfied with their visit. OBJECTIVES: To determine if integrating a longitudinal medical Spanish and cultural competency curriculum into emergency medicine residency didactics improves patient satisfaction and adherence to medical recommendations in Spanish-speaking patients with limited English proficiency...
2016: Advances in Medical Education and Practice
Devora Eisenberg, Lena Seino, Hendrika Meischke, Shin-Ping Tu, Anne M Turner, Brooke Ike, Ian Painter, Mei-Po Yip
Bystander CPR doubles survival from cardiac arrest but limited English proficient (LEP) individuals face barriers calling 911 and performing CPR. Previous training increases the chance that an individual will perform CPR, yet access to classes in non-English speaking populations is limited. We used a cultural adaptation approach to develop a graphic novella for Chinese LEP immigrants about how to call 911 and perform bystander CPR. Collaboration with members of this community occurred through all stages of novella development...
2016: Journal of Health Care for the Poor and Underserved
Sheree M Schrager, Kimberly C Arthur, Justine Nelson, Anne R Edwards, J Michael Murphy, Rita Mangione-Smith, Alex Y Chen
OBJECTIVES: We sought to develop and validate a method to identify social complexity risk factors (eg, limited English proficiency) using Minnesota state administrative data. A secondary objective was to examine the relationship between social complexity and caregiver-reported need for care coordination. METHODS: A total of 460 caregivers of children with noncomplex chronic conditions enrolled in a Minnesota public health care program were surveyed and administrative data on these caregivers and children were obtained...
September 2016: Pediatrics
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