Translating Anesthesia Care Throughout (TACT)

Translating Anesthetic Care Throughout: A Feasibility Randomized Trial

Patients with limited English proficiency (LEP) are at significant risk of receiving care different from those who are English proficient. Through Translating Anesthetic Care Throughout (TACT), the investigators aim to reduce the disparities experienced by participants with LEP undergoing anesthesia by continuing language translation from the preoperative area into the operating room, where participants will be better able to understand what is happening in an otherwise foreign environment. At this time, some participants receive translation in the preoperative area using an interpreter. No further translation is provided beyond the preoperative area unless there is a provider with language concordance or interpretation skills within the perioperative team. The investigators plan to study how extended translation changes a participant's understanding of and feelings about the perioperative period. Supporting language translation for LEP participants from the preoperative area into their operating room (OR) experience will enable providers to better understand how to care for participants from different cultural and language backgrounds and will help us understand how to better serve our community at large. The investigators hypothesize that participants who receive continual translation will have improved informed consent, have improved trust of their anesthesia providers, and be more satisfied with patient care. In addition, they anticipate that the care team also will benefit by the enhanced communication with the participant.

Study Overview

• Status: Completed
• Conditions: Perioperative Care; Limited English Proficiency
• Intervention / Treatment: Behavioral: Standard translation; Behavioral: Extended translation

• Study Type: Interventional
• Enrollment (Actual): 22
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • California
    • San Francisco, California, United States, 94115
      • UCSF Medical Center at Mount Zion

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Participants who identify another language other than English as their preferred language
• Participants with planned general anesthesia

Exclusion Criteria:

• Participants whose preferred language is documented as English
• Participants with planned sedation or monitored anesthesia care

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Control; Translator in preoperative area	Behavioral: Standard translation; Translation in the preoperative area
Experimental: Intervention; Translator in preoperative area, continued through transport to the operating room, and in the operating room until the patient is under general anesthesia	Behavioral: Extended translation; Translation extended beyond the preoperative area

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Informed consent success as assessed by Likert scale	The participant will be asked how well their anesthesia provider prepared them for their general anesthesia experience. A 5-point Likert scale response will be used for the assessment ranging from 1 (not at all) to 5 (extremely well).	One week after general anesthesia
Participant trust as assessed by survey	Participants will be asked whether they trusted their provider(s) using a yes/no response.	One week after general anesthesia
Participant satisfaction as assessed by Likert scale	Participants will be asked whether they were satisfied with their anesthesia experience using a yes/no response.	One week after general anesthesia

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Participant anxiety as assessed by the Amsterdam Preoperative Anxiety and Information Scale	The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a 6-question validated tool used to generate a score to assess a patient's level of preoperative anxiety. Questions 1, 2, 4, and 5 represent anxiety. Each of these questions is assessed with a Likert scale in which 1 rpresents agreement of not at all and 5 represents extremely. Scores from the four anxiety-representing questions are totaled with a possible range from 4 to 20 with a lower score indicating less anxiety and a higher score more anxiety. A score of greater than or equal to 11 signifies participant anxiety.	The day before surgery

Collaborators and Investigators

• Sponsor: University of California, San Francisco
• Collaborators: Mount Zion Health Fund
• Investigators: Principal Investigator: Odmara Barreto Chang, MD, PhD, University of California, San Francisco

Study record dates

Study Major Dates

• Study Start (Actual): February 14, 2023
• Primary Completion (Actual): June 12, 2023
• Study Completion (Actual): June 12, 2023

Study Registration Dates

• First Submitted: August 12, 2022
• First Submitted That Met QC Criteria: August 12, 2022
• First Posted (Actual): August 16, 2022

Study Record Updates

• Last Update Posted (Actual): August 1, 2023
• Last Update Submitted That Met QC Criteria: July 31, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: 22-36587

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: This is a pilot study whose results are intended to inform the investigators of whether additional study is warranted.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No