Promoting Equitable Access to Language Services in Health and Human Services
Community and NYC Public Healthcare System Partnership to Promote Equitable Access to Language Services and Optimal Preventive Health Services Use Among Individuals With Limited English Proficiency
NYU Langone Health
17,500 participants
Apr 29, 2024
OBSERVATIONAL
Conditions
Summary
This is a community-based study that will engage community and health care stakeholders to develop, implement, and evaluate a Health Literacy (HL)-informed, culturally- and linguistically- sensitive approach to improving language access services for patients with limited English proficiency (LEP) to promote health equity and reduce disparities in preventive health services use and health outcomes in New York City (NYC). This study will have a total of 4 phases that include a preparatory work phase (Non-Human Subjects Research), a pre-implementation phase, an implementation phase, and a post-implementation phase. Findings from the preparatory work and pre-implementation phase and discussions with key partners will inform the co-design of intervention strategies and endpoints for the later phases (implementation and post-implementation phase).
Eligibility
Inclusion Criteria22
- 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.
- 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
- years of age and older
- Willingness and ability to participate
- Key Stakeholder interviews:
- Prefers to speak in Bengali, French, Spanish, Mandarin, or Polish
- 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
- 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
- years of age or older
- Willingness and ability to participate
- CBO leadership (Director/Coordinator) or staff (Case manager, Patient navigator, etc.)
- years of age or older
- Willingness and ability to participate
Exclusion Criteria14
- 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):
- Community survey (Community members):
- • Does not have a regular doctor in the US.
- Key Stakeholder interviews:
- Speaks English very well (non-LEP)
- Does not have a working phone number
- Uncorrected hearing impairment
- Does not have a working phone number
- Uncorrected hearing impairment
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Interventions
Culturally and linguistically appropriate and HL informed strategies and materials/toolkit for community members, patients, and health care providers and staff. Findings from the preparatory work and pre-implementation phase and discussions with key partners will inform the co-design of intervention strategies.
Locations(3)
View Full Details on ClinicalTrials.gov
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NCT06272110