- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06272110
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
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).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The preparatory work phase (Non-Human Subjects Research) will collect information on policies and procedures related to language access (LA) services use. Educational and patient-facing materials will also be reviewed. This information will be collected pre- and post-implementation.
During the pre-implementation phase surveys and in-depth interviews with key stakeholders will be conducted to assess their views on barriers and facilitators to LA services and preventive services use and ideas about potential intervention strategies and resources to improve these services. Additionally, patients seen for ambulatory care preventive visit at one of the 4 study locations will be invited to complete an anonymous post-visit survey to assess their views on LA services use and provider-patient communication. Community members will also be invited to complete an anonymous survey to assess knowledge of LA rights and satisfaction with LA services. NYC Health & Hospitals (H+H) EHR reports will also be generated to collect visit-level information.
The implementation phase will include the development of 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.
During the post-implementation phase surveys and in-depth interviews will be conducted with key stakeholders to assess their views on barriers and facilitators to LA services and preventive services use and ideas about future potential intervention strategies and resources to improve these services. We will also examine perceived appropriateness, acceptability, feasibility, and sustainability of the intervention. We will assess use and adoption of the intervention toolkit. Additionally, patients seen for ambulatory care preventive visit at one of the 4 study locations will be invited to complete an anonymous post-visit survey to assess views on LA services use and provider-patient communication. Community members will be invited to complete an anonymous survey to assess knowledge of LA rights and satisfaction with LA services. H+H EHR reports will also be generated to collect visit-level information.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Hsiang Yin, MD
- Phone Number: 212-562-2821
- Email: Hsiang.Yin@nyulangone.org
Study Contact Backup
- Name: Andy Weng Zheng
- Phone Number: 212-562-2821
- Email: Andy.WengZheng@nyulangone.org
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- Recruiting
- NYC Health + Hospitals/Bellevue
-
New York, New York, United States, 10016
- Recruiting
- Health + Hospitals Diagnostic/Treatment Centers
-
New York, New York, United States, 11206
- Recruiting
- NYC Health + Hospitals/Woodhull
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
- Post-visit survey: Patients or caregivers of pediatric patients seen for ambulatory care preventive visits. (systematic sampling)
- H+H EHR Reports: Patients or caregivers of pediatric patients seen for ambulatory care preventive visits. (systematic sampling)
- Community surveys: Individuals that use CBO services or attend their events. (convenience sampling)
- Key stakeholder interviews: A purposive variation sample of healthcare staff, CBO staff, patients/caregivers/community members. (purposive sampling)
Description
Inclusion Criteria (pre- and post- implementation phase):
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.
- 18 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
- 18 years of age and older
- Willingness and ability to participate
Key Stakeholder interviews:
Patients/Caregivers/Community Members Inclusion Criteria: In order to be eligible to participate, an individual must meet all of the following criteria:
- Prefers to speak in Bengali, French, Spanish, Mandarin, or Polish
- 18 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
NYC H+H Leadership/Providers/Staff Inclusion Criteria:
- 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
- 18 years of age or older
- Willingness and ability to participate
CBO Leadership/Staff Inclusion Criteria:
- CBO leadership (Director/Coordinator) or staff (Case manager, Patient navigator, etc.)
- 18 years of age or older
- Willingness and ability to participate
Exclusion Criteria (pre- and post- implementation phase):
CBO Leadership/Staff Exclusion Criteria:
- 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):
• No exclusion criteria
Community survey (Community members):
• Does not have a regular doctor in the US.
Key Stakeholder interviews:
Patients/Caregivers/Community Members Exclusion Criteria:
- Speaks English very well (non-LEP)
- Does not have a working phone number
- Uncorrected hearing impairment
NYC H+H Leadership/Providers/Staff Exclusion Criteria:
- Does not have a working phone number
- Uncorrected hearing impairment
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Post-visit survey of Patients/Caregivers (pre-implementation)
|
|
H+H EHR reports of Patients (pre-implementation)
|
|
Community survey of Community members (pre-implementation)
|
|
Key stakeholder interviews of Patients/Caregivers/Community Members (pre-implementation)
|
|
Key stakeholder interviews of NYC H+H Leadership/Providers/Staff (pre-implementation)
|
|
Key stakeholder interviews of CBO Leadership/Staff (pre-implementation)
|
|
Post-visit survey of Patients/Caregivers (post-implementation)
|
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.
|
H+H EHR reports of Patients (post-implementation)
|
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.
|
Community survey of Community members (post-implementation)
|
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.
|
Key stakeholder interviews of Patients/Caregivers/Community Members (post-implementation)
|
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.
|
Key stakeholder interviews of NYC H+H Leadership/Providers/Staff (post-implementation)
|
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.
|
Key stakeholder interviews of CBO Leadership/Staff (post-implementation)
|
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.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Percentage of appropriate interpreter use
Time Frame: up to Year 2
|
up to Year 2
|
Percentage of appropriate interpreter use
Time Frame: up to Year 3
|
up to Year 3
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Percentage of patients up to date with preventive screenings and vaccinations
Time Frame: up to Year 2
|
up to Year 2
|
Percentage of patients up to date with preventive screenings and vaccinations
Time Frame: up to Year 3
|
up to Year 3
|
Percentage of patients with knowledge of federal rights related to LA services
Time Frame: up to Year 2
|
up to Year 2
|
Percentage of patients with knowledge of federal rights related to LA services
Time Frame: up to Year 3
|
up to Year 3
|
Percentage using untrained interpreters
Time Frame: up to Year 2
|
up to Year 2
|
Percentage using untrained interpreters
Time Frame: up to Year 3
|
up to Year 3
|
Percentage using recommended HL-informed verbal counseling practices (e.g., teach-back)
Time Frame: up to Year 2
|
up to Year 2
|
Percentage using recommended HL-informed verbal counseling practices (e.g., teach-back)
Time Frame: up to Year 3
|
up to Year 3
|
Percentage of patients with satisfaction with LA services preventive health services utilization
Time Frame: up to Year 2
|
up to Year 2
|
Percentage of patients with satisfaction with LA services preventive health services utilization
Time Frame: up to Year 3
|
up to Year 3
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Hsiang Yin, MD, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 22-01303
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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