Associations of Providers' Language and Cultural Skills With Latino Parents' Perceptions of Well-Child Care

Boudreau, Alexy D. Arauz; Fluet, Christina; Reuland, Colleen Peck; Delahaye, Jennifer; Perrin, James M.; Kuhlthau, Karen

doi:10.1016/j.acap.2010.01.002

Cited by 19 publications

(10 citation statements)

References 27 publications

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“…Participant characteristics, however, match that of the larger clinic population, and these mothers, although perhaps distinct in their ability to commit to meeting attendance, are low-income, immigrant women who do not speak English well and in general have limited education. Board members report similar values for pediatric primary care as LEP Latina mothers in prior research and the improvements suggested for the clinic are also similar to reported shortcomings of pediatric primary care for this population in other settings (Arauz Boudreau et al, 2010; Brousseau, Hoffmann, Yauck, Nattinger, & Flores, 2005; Clark, 2002; Clark & Redman, 2007; Coker, Chung, Cowgill, Chen, & Rodriguez, 2009; DeCamp et al, 2013; Sobo, Seid, & Reyes Gelhard, 2006). Thus, the pediatric primary care experiences of board members may reflect that of other LEP Latina parents at the clinic and across the United States.…”

Section: Limitationssupporting

confidence: 68%

A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

DeCamp¹,

Gregory²,

Polk³

et al. 2015

Hisp Hlth Care Int

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Latino children experience disparities in health care access and quality. Family advisory groups for clinics and hospitals may be one way to address disparities. We implemented and sustained an advisory board whose parent participants were exclusively limited-English proficient Latina mothers. As part of the board evaluation, we conducted semistructured individual interviews with parent participants during initial participation and after the final board meeting of the year. Members were satisfied with their board participation in both initial and follow-up interviews. They reported that board membership was an important way to improve clinic services and a unique opportunity for Latinos in the community. Experiences of discrimination and marginalization in health care settings were a theme across interviews. Members reported board membership countered these negative experiences. An advisory board including Spanish-speaking parents is an opportunity to engage vulnerable populations, which may result in broader impact on health care disparities. Los niños latinos experimentan disparidad en el acceso y calidad del cuidado de salud. Grupos de familias asesoras para clínicas y hospitales pueden ser una forma de hacer frente a las disparidades. Nosotros implementamos y sostuvimos un consejo asesor cuyos participantes fueron exclusivamente madres latinas con dominio limitado del inglés. Como parte de la evaluación del consejo, condujimos entrevistas semi-estructuradas individuales con las madres participantes durante la participación inicial y después de la última reunión del año del consejo. Los miembros estaban satisfechas con su participación en el consejo en ambas entrevistas, la inicial y la de seguimiento. Ellas reportaron que ser miembros del consejo era una forma importante para mejorar los servicios de la clínica y una oportunidad única para los latinos en la comunidad. Las experiencias de discriminación y marginalización en las instalaciones de cuidado de salud eran un tema a lo largo de las entrevistas. Los miembros reportaron que ser miembros del consejo contrarrestó estas experiencias negativas. Un consejo asesor incluyendo padres que hablan español es una oportunidad para involucrar a poblaciones vulnerables, las cuales pueden resultar en un impacto más amplio en las disparidades del cuidado de salud.

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Section: Limitationssupporting

confidence: 68%

A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

DeCamp¹,

Gregory²,

Polk³

et al. 2015

Hisp Hlth Care Int

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“…Errors in medical interpretation may interfere with effective communication, 23 or providers may offer less information or communicate differently when faced with a language barrier. 24,25 Cultural competency has been associated with quality of care in other settings, 26 indicating cultural differences also may factor into our findings. Culturally, many Latino families often do not speak up and express their concerns unless directly asked.…”

Section: Discussionmentioning

confidence: 80%

Communication With Limited English-Proficient Families in the PICU

Zurca¹,

Fisher²,

Flor

et al. 2017

Hospital Pediatrics

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OBJECTIVE Health care disparities have been described for children of limited English-proficient (LEP) families compared with children of English-proficient (EP) families. Poor communication with the medical team may contribute to these worse health outcomes. Previous studies exploring communication in the PICU have excluded LEP families. We aimed to understand communication experiences and preferences in the 3 primary communication settings in the PICU. We also explored LEP families’ views on interpreter use in the PICU. PATIENTS AND METHODS EP and Spanish-speaking LEP families of children admitted to the PICU of a large tertiary pediatric hospital completed surveys between 24 hours and 7 days of admission. RESULTS A total of 161 of 184 families were surveyed (88% response rate); 52 were LEP and 109 EP. LEP families were less likely to understand the material discussed on rounds (odds ratio [OR] 0.32, 95% confidence interval [CI] 0.11–0.90), to report that PICU nurses spent enough time speaking with them (OR 0.15, 95% CI 0.05–0.41), and to report they could rely on their nurses for medical updates (OR 0.07, 95% CI 0.02–0.25) controlling for covariates, such as education, insurance type, presence of a chronic condition, PICU length of stay, and mortality index. LEP families reported 53% of physicians and 41% of nurses used an interpreter “often.” CONCLUSIONS Physician and nurse communication with LEP families is suboptimal. Communication with LEP families may be improved with regular use of interpreters and an increased awareness of the added barrier of language proficiency.

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“…For example, family centeredness, but not language concordance, has been associated with parent perception of higher quality care. 21 Finally, the questions on the CAT are not particularly sensitive to language concordance (e.g. greeting, showing respect, care and concern), and this may have limited our ability to detect differences between groups.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents

Flower

Skinner

Yin

et al. 2017

Academic Pediatrics

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Background and Objective Effective communication with primary care physicians is important yet incompletely understood for Spanish-speaking parents. We predicted lower satisfaction among Spanish-speaking compared with English-speaking Latino and non-Latino parents. Methods Cross-sectional analysis at 2-month well visits within the Greenlight study at 4 pediatric resident clinics. Parents reported satisfaction with 14 physician communication items using the validated Communication Assessment Tool (CAT). High satisfaction was defined as “excellent” on each CAT item. Mean estimations compared satisfaction for communication items among Spanish and English-speaking Latinos and non-Latinos. We used generalized linear regression modeling, adjusted for parent age, education, income, and clinic site. Among Spanish-speaking parents, we compared visits conducted in Spanish with and without an interpreter, and in English. Results Compared with English-speaking Latino (N=127) and non-Latino parents (N=432), fewer Spanish-speaking parents (N=303) reported satisfaction with 14 communication items. No significant differences were found between English-speaking Latinos and non-Latinos. Greatest differences were found in: greeting that made the parent comfortable (59.4% of Spanish-speaking Latinos endorsing “Excellent” vs. 77.5% English-speaking Latinos, p<0.01) and discussing follow-up (62.5% of Spanish-speaking Latinos vs. 79.8% English-speaking Latinos, p<0.01). After adjusting for parent age, education, income, and study site, Spanish-speaking Latinos were still less likely to report high satisfaction with these communication items. Satisfaction was not different among Spanish-speaking parents when the physician spoke Spanish versus used an interpreter. Conclusions Satisfaction with physician communication was associated with language, but not ethnicity. Spanish-speaking parents less frequently report satisfaction with communication, and innovative solutions to enhance communication quality are needed.

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Associations of Providers' Language and Cultural Skills With Latino Parents' Perceptions of Well-Child Care

Cited by 19 publications

References 27 publications

A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

Communication With Limited English-Proficient Families in the PICU

Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents

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