Barrier-free Communication in Maternity Care of Allophone Migrants

NCT02695316 | Completed

• 1 other identifier: BernUAS
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 6

Brief Summary

The aim of this study is to describe access and communication barriers of migrant women who do not speak the local language in the Swiss maternity care service provision from the perspective of users, health care professionals and interpreters.

Conditions

Expectant and Nursing Mother; Communication; Experiences

Keywords

Migrants; Communication Barriers; Maternal Health Services; Health Services Needs and Demand; Access to Health Care; Professional-Patient Relations; Eritrea; Kosovo; Switzerland

Outcome Measures

Primary Outcomes (1)

• Experiences of migrant women by focus group discussions

  Qualitative description of experiences made with maternity care services during pregnancy, birth, post partum up to one year after birth

  after 6 weeks, up to 12 months

Secondary Outcomes (3)

• Experiences of health care professionals by focus group discussions

  within last five years of their professional experience

• Experiences of Interpreters by one-to-one interview

  within last five years of their professional experience

• Quality of telephone interpreting consultations with questionnairs

  within 24 hours after the consultation

Study Arms (4)

Migrant Women

OTHER

Focus Group Discussion in native Language with n=20

Other: Focus Group Discussion in native Language

Health Care Professionals

OTHER

Focus Group Discussion with n=20 Health Care Professionals

Other: Focus Group Discussion

Interpreters

OTHER

One-to-one Interviews with n=4 intercultural Interpreters

Other: One-to-one Interview

Telephone Interpreting Protocols

OTHER

Retrospective quantitative analysis of n=50 Telephone Interpreting Protocols (questionnairs)

Other: Retrospective Quantitative Analysis

Interventions

Focus Group Discussion in native Language OTHER

Group Interview with semi-structured key question, moderated in the native language of the participants. Interpreters translate the discussion for the Researcher analogically and adapt it culturally. The discussions are audio-recorded, summarized, translated and transcribed into German.

Migrant Women

Focus Group Discussion OTHER

Group Interview with semi-structured key question, audio-recorded and ad verbatim transcription

Health Care Professionals

One-to-one Interview OTHER

One-to-one Interview with semi-structured key question, audio-recorded and ad verbatim transcription.

Interpreters

Retrospective Quantitative Analysis OTHER

Retrospective Quantitative Analysis of questionnaires (Telephone Interpreting Protocols)

Telephone Interpreting Protocols

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• healthy women speaking Albanian or Tigrinja
• mothers of a healthy infant up to one year after birth

You may not qualify if:

• women speaking fluent German
• women with a serious illness during pregnancy, childbirth and/or postpartum or who's infant was seriously ill or died
• Minimum one year working experience
• Experience with allophone Tigrinya or Albanian speaking women
• Female
• Minimum one year working experience
• having either telephone or face-to-face interpreting Expertise
• Group 4: No limitation

Sponsors & Collaborators

• Bern University of Applied Sciences: lead
• Zurich University of Applied Sciences: collaborator
• Swiss Tropical & Public Health Institute: collaborator
• FamilyStart of both Basel: collaborator
• Swiss Midwifery Association: collaborator
• Federal Office of Public Health, Switzerland: collaborator
• Swiss Agency for Combating Racism: collaborator

Study Sites (6)

Zurich Universtiy of Applied Sciences

Winterthur, Zurcih, Switzerland

Location

FamilyStart

Basel, Switzerland

Location

University Hospital Basel

Basel, Switzerland

Location

Swiss Midwifery Association SHV

Bern, Switzerland

Location

University Hospital Insel Bern

Bern, Switzerland

Location

Swiss Service for Telephone Interpreter (Schweizerischer Telefondolmetschdienst )

Zurich, Switzerland

Location

Related Publications (7)

• Merten, S., & Gari, S. (2013). Die reproduktive Gesundheit der Migrationsbevölkerung in der Schweiz und anderen ausgewählten Aufnahmeländern. Eine Zusammenfassung der Literatur 2006-2012. Basel: Swiss Tropical and Public Health Institute.

  BACKGROUND

• Kurth, E. (2013). FamilyStart beider Basel - ein koordinierter Betreuungsservice für Familien nach der Geburt. hebamme.ch(7/8), 35-37.

  BACKGROUND

• Saladin, P. (Ed.). (2009). Diversität und Chancengleichheit. Grundlagen für erfolgreiches Handeln im Mikrokosmos der Gesundheitsinstitutionen (3. ed.). Bern: Bundesamtes für Gesundheit BAG in Zusammenarbeit mit H+ Die Spitäler der Schweiz.

  BACKGROUND

• Hermann, M. (2013). Migrationsgerechte Angebote im Bereich reproduktive Gesundheit und frühe Kindheit in der Schweiz. In E. D. d. I. Schweizerische Eidgenossenschaft (Ed.), Eine Bestandesaufnahme von Projekten, Massnahmen und Arbeitsmethoden: Bundesamt für Gesundheit, Sektion Migration und Gesundheit.

  BACKGROUND

• Bundesamt für Statistik. (2015). Integration - Indikatoren: Sprache - Personen, die 3,2,1 oder keine Landessprache beherrschen. Retrieved 23.03.2015, from Schweizerische Eidgenossenschaft www.bfs.admin.ch/bfs/portal/de/index/themen/

  BACKGROUND

• Origlia Ikhilor P., van Goch S., Kurth E., Cignacco E. Stocker Kalberer B., Pehlke-Milde J. 2015 Lancierte Studie soll Kommunikation mit allophonen Migrantinnen erleichtern Hebamme.ch 10:4-8

  BACKGROUND

• Origlia Ikhilor P, Hasenberg G, Kurth E, Stocker Kalberer B, Cignacco E, Pehlke-Milde J. Barrier-free communication in maternity care of allophone migrants: BRIDGE study protocol. J Adv Nurs. 2018 Feb;74(2):472-481. doi: 10.1111/jan.13441. Epub 2017 Oct 5.

  PMID: 28833465 DERIVED

MeSH Terms

Conditions

Communication

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Paola Origlia Ikhilor, MSc

  Bern University of Applied Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof.

Study Record Dates

• First Submitted: February 9, 2016
• First Posted: March 1, 2016
• Study Start: September 1, 2015
• Primary Completion: June 1, 2016
• Study Completion: December 1, 2016
• Last Updated: February 1, 2017

Record last verified: 2017-01

Data Sharing

• IPD Sharing: Will not share

Locations

CH (6)