Physician Use of Non-English Language Skills in Cancer Care

NCT02726360 | Completed

• 1 other identifier: 15-316
• Study Type: observational
• Target: 71
• Locations: 1 country
• Sites: 5

Brief Summary

The purpose of this study is to test a method for analyzing interactions between patients and doctors, the Roter Interaction Analysis System (RIAS). The RIAS measures the quality of communication between patients and their cancer doctors.

Conditions

Breast Cancer; Colon Cancer; Lung Cancer

Keywords

Communication; 15-316; Physician; Use; Non-English; Language Skills

Outcome Measures

Primary Outcomes (1)

• study-specific coding structure

  using the RIAS in cancer care across English and Spanish languages will be assessed by evaluating whether this existing, validated coding system 'works' across a language barrier.

  2 years

Study Arms (2)

Oncology physician

Physicians (MD or DO) in the oncology departments of participating hospitals will complete a survey. Non-English language proficiency will be assessed by self-assessment using Interagency Language Roundtable (ILR) scale, which the PI has previously used. The physician survey is collected among treating physicians of patients enrolled to MSK IRB approved protocols 12-099 and 12-223 at some of the participating hospitals. For physicians who already completed this survey as part of participation in protocol 12-099 or 12-223, data will be extracted from the respective study's REDCap database.

Behavioral: survey; Behavioral: Audio record

patients

Audio record the initial visits between patients and their treating physician. Analyze 48 patient-physician dyad recordings using the Roter Interaction Analysis System (RIAS).

Behavioral: Audio record

Interventions

survey BEHAVIORAL

The ILR Scale, a non-English language proficiency self-assessment.

Also known as: ILR Scale

Oncology physician

Audio record BEHAVIORAL

Audio record the initial visits between patients and their treating physician

Oncology physician; patients

Eligibility Criteria

• Age: 21 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study will enroll all treating physicians of participating sites who are likely to treat LEP Spanish-speaking patients. All patient recruitment will be done by bilingual research staff who are consenting professionals with (when necessary) a volunteer affiliation with the collaborating study site.

You may qualify if:

• is a English or Spanish-speaking patient
• between the ages of 21-80 years old
• has a new diagnosis of any type of cancer (diagnosed within the past 4 months), or has a recurrence of either breast, colon or lung cancer (recurrence diagnosed within the past 4 months)
• scheduled to have surgery or begin chemotherapy and/or radiation therapy within the next 2 months
• provides care to LEP patients
• has MD, DO, RN, NP or PA degree
• is between the ages of 21-80

You may not qualify if:

• is unable to provide informed consent in either English or Spanish

Sponsors & Collaborators

• Memorial Sloan Kettering Cancer Center: lead
• Edward-Elmhurst Health System: collaborator
• Johns Hopkins University: collaborator
• Lincoln Medical and Mental Health Center: collaborator
• Queens Cancer Center of Queens Hospital: collaborator

Study Sites (5)

Queens Cancer Center of Queens Hospital

Jamaica, New York, 11432, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Ralph Lauren Center for Cancer Care and Prevention

New York, New York, United States

Location

Elmhurst Hospital Center

Queens, New York, 11373, United States

Location

Lincoln Medical Center

The Bronx, New York, United States

Location

Related Links

• Memorial Sloan Kettering Cancer Center

MeSH Terms

Conditions

Breast Neoplasms; Colonic Neoplasms; Lung Neoplasms; Communication

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases; Colorectal Neoplasms; Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Respiratory Tract Neoplasms; Thoracic Neoplasms; Lung Diseases; Respiratory Tract Diseases; Behavior

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Lisa Diamond, MD, MPH

  Memorial Sloan Kettering Cancer Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 15, 2016
• First Posted: April 1, 2016
• Study Start: December 14, 2015
• Primary Completion: August 21, 2023
• Study Completion: August 21, 2023
• Last Updated: August 23, 2023

Record last verified: 2023-08

Locations

US (5)