Visualizations to Improve Pain Communication Between Patients, Interpreters, and Providers

NCT04975789 | Completed Results

• 5 other identifiers: 2020-1256A545000NUR/FACULTY AFFAIRS/ADMINProtocol Approved 10/11/211K23NR019289-01A1
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to pilot test a pain assessment information visualization (InfoViz) tool to facilitate communication about pain severity, location, and quality to increase mutual understanding between patients with limited English proficiency (LEP), interpreters, and providers during pain assessment. 40 participants will be enrolled and can expect to be on study for up to 4 weeks.

Conditions

Communication; Pain

Keywords

pain assessment; limited English proficiency; mutual understanding

Outcome Measures

Primary Outcomes (7)

• Percentage of Eligible Patients Enrolled

  Feasibility with respect to recruitment will be measured by the percent of eligible patients who enroll.

  up to 1 day

• Proportion of Patients Who Complete the Study

  Feasibility with respect to retention will be measured by the proportion of patients who complete the study.

  up to 4 weeks

• Percentage of InfoViz Tools Completely Filled Out

  Feasibility with respect to tool use will be measured as the proportion of InfoViz tools with pain severity marked, at least one pain location marked, and at least one pain quality marked on the InfoViz tool.

  up to 1 day

• Percentage of Items Correctly Performed on the Investigator Designed Fidelity Checklist

  Feasibility will be in part measured by InfoViz tool fidelity. The percentage of items correctly performed by participants on the investigator-designed fidelity checklist will be reported.

  up to 1 day

• Percentage of Congruency in Mutual Understanding: Patient to Interpreter

  One question item from the 6-item Mutual Understanding Scale (MUS) asks participants about their main symptom (i.e., "What was the most important health complaint for which the physician was visited?") and providers to report participants' main symptom (e.g., "What was the most important health complaint for which the patient consulted with you?"). The percentage of congruency between the patient and interpreter response, from 0-100 where 100 is total congruency.

  up to 1 day

• Percentage of Congruency in Mutual Understanding: Interpreter to Provider

  One question item from the 6-item Mutual Understanding Scale (MUS) asks participants about their main symptom (i.e., "What was the most important health complaint for which the physician was visited?") and providers to report participants' main symptom (e.g., "What was the most important health complaint for which the patient consulted with you?"). The percentage of congruency between the interpreter and provider, from 0-100 where 100 is total congruency.

  up to 1 day

• Percentage of Congruency in Mutual Understanding: Patient to Provider

  One question item from the 6-item Mutual Understanding Scale (MUS) asks participants about their main symptom (i.e., "What was the most important health complaint for which the physician was visited?") and providers to report participants' main symptom (e.g., "What was the most important health complaint for which the patient consulted with you?"). The percentage of congruency between patient and provider, from 0-100 where 100 is total congruency.

  up to 1 day

Secondary Outcomes (4)

• Participant Satisfaction With Communication Answer

  up to 1 day

• Participant Pain Relief Measured Using a 5 Point Verbal Rating Scale

  one time post 4-6 weeks after the clinic vist

• Participant Response to Pain Interference Question

  usual care participants assessed at baseline and InfoViz participants assessed at 4 weeks

• Quality of Communication Answer

  up to 1 day

Study Arms (2)

Usual Care Control

NO INTERVENTION

Standard of Care

InfoViz Intervention

EXPERIMENTAL

Pain information visualization (InfoViz) tool, Trained interpreters will use the InfoViz tool twice, before and during the clinical encounter

Other: InfoViz

Interventions

InfoViz OTHER

The pain InfoViz tool is a two-page paper tool that consists of an explanation of how to use the tool in both Hmong and English, a culturally-appropriate Faces pain severity scale, pain body diagram, and 13 pain qualities in the form of icons representing each pain quality metaphor. The interpreter explains the instructions in Hmong, then marks the body areas corresponding to the location of pain reported by the participant, and marks the pain qualities expressed by the metaphors selected by the Hmong patient. In the clinic appointment, the interpreter communicates to the physician, in English, the pain location and qualities identified by the participant, using the medical terms identified on the InfoViz tool.

Also known as: Pain Assessment Tool

InfoViz Intervention

Eligibility Criteria

• Age: 13 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• age 18 and up
• Hmong patients that indicate they do not speak English well (LEP)
• self reported pain

You may not qualify if:

• indicate that they speak English well
• years old or greater
• self-identify as interpreting for a Hmong individual in the health care setting
• telephone interpreters as they are unable to view and use the InfoViz tool

Sponsors & Collaborators

• University of Wisconsin, Madison: lead
• National Institute of Nursing Research (NINR): collaborator

Study Sites (2)

Access Community Health Center

Madison, Wisconsin, 53704, United States

Location

University of Wisconsin

Madison, Wisconsin, 53705, United States

Location

Related Publications (1)

• Lor M, Li A, Brown R, Swedlund MP, Hawkins JG, Nolander ET, Chewning B. Improving pain communication between limited English-speaking Hmong patients, medical interpreters, and health care providers in primary care: A pilot study. Res Nurs Health. 2024 Jun;47(3):289-301. doi: 10.1002/nur.22363. Epub 2024 Jan 4.

  PMID: 38175545 RESULT

MeSH Terms

Conditions

Communication; Pain

Condition Hierarchy (Ancestors)

Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Results Point of Contact

• Title: Maichou Lor, PhD, RN
• Organization: University of Wisconsin - Madison, School of Nursing

mlor2@wisc.edu

608-265-4248

Study Officials

• Maichou Lor, PhD, RN

  University of Wisconsin, Madison

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 14, 2021
• First Posted: July 23, 2021
• Study Start: October 7, 2021
• Primary Completion: January 6, 2023
• Study Completion: February 23, 2023
• Last Updated: June 7, 2024
• Results First Posted: June 7, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)