Translating Anesthesia Care Throughout

NCT05502029 | Completed

• 1 other identifier: 22-36587
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Limited English Proficiency; Perioperative Care

Outcome Measures

Primary Outcomes (3)

• 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 Outcomes (1)

• Participant anxiety as assessed by the Amsterdam Preoperative Anxiety and Information Scale

  The day before surgery

Study Arms (2)

Control

ACTIVE COMPARATOR

Translator in preoperative area

Behavioral: Standard translation

Intervention

EXPERIMENTAL

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

Interventions

Extended translation BEHAVIORAL

Translation extended beyond the preoperative area

Intervention

Standard translation BEHAVIORAL

Translation in the preoperative area

Control

Eligibility Criteria

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

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• University of California, San Francisco: lead
• Mount Zion Health Fund: collaborator

Study Sites (1)

UCSF Medical Center at Mount Zion

San Francisco, California, 94115, United States

Location

Study Officials

• Odmara Barreto Chang, MD, PhD

  University of California, San Francisco

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 12, 2022
• First Posted: August 16, 2022
• Study Start: February 14, 2023
• Primary Completion: June 12, 2023
• Study Completion: June 12, 2023
• Last Updated: August 1, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)