Non–English Language Availability of Community Health Center Websites

Rodriguez, Jorge A.; Davis, Roger B.; Percac‐Lima, Sanja

doi:10.1097/mlr.0000000000001027

Cited by 13 publications

(25 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, previous studies have found a lack of linguistically appropriate mobile apps and clinic websites. 44,45 Thus, the mechanisms underpinning these digital divides deserve special focus as telehealth expands.…”

Section: Discussionmentioning

confidence: 99%

Disparities In Telehealth Use Among California Patients With Limited English Proficiency

et al. 2021

Self Cite

View full text Add to dashboard Cite

Telehealth services that allow remote communication between the patient and the clinical team are an emerging part of care delivery. Given language barriers, patients with limited English proficiency present a unique set of challenges in integrating telehealth and ensuring equity. Using data from 84,419 respondents in the 2015-18 California Health Interview Survey, we assessed the association between limited English proficiency and telehealth use (telephone and video visits) and evaluated the impact of telehealth use on health care access and use. We found that patients with limited English proficiency had lower rates of telehealth use (4.8 percent versus 12.3 percent) compared with proficient English speakers. In weighted multivariable logistic regression, patients with limited English proficiency still had about half the odds of using telehealth. Telehealth use was associated with increased emergency department use for all patients. This study suggests that policy makers and clinicians must focus on limited English proficiency as an important dimension to promote telehealth equity and decrease digital divides. F or the 25.6 million people with limited English proficiency in the US, language barriers pose a significant challenge to their health care experience and receipt of high-quality care. 1 Patients with limited English proficiency experience significant disparities in care including increased numbers of hospitalizations, lengths-ofstay, numbers of thirty-day readmissions, and numbers of emergency department (ED) visits and decreased access to preventive services. [2][3][4][5] The equitable deployment of technology offers opportunities to ameliorate these gaps. 6 Telehealth represents an emerging technology that could bridge gaps in care. Evidence suggests that extending care beyond the clinic setting improves access. 7,8 Telehealth has been shown to improve patient satisfaction, care access, and outcomes in multiple diseases, including dermatologic conditions, diabetes, cerebrovascular disease, and alcohol use disorder. 7,9-13 National-

show abstract

Section: Discussionmentioning

confidence: 99%

Disparities In Telehealth Use Among California Patients With Limited English Proficiency

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…The higher rates of exclusive breastfeeding and the lower rates of early discontinuation may be explained the fact that our sample was highly educated and overwhelmingly English-speaking. It is likely that these participants were able to seek out timely breastfeeding [ 33 ] support and utilize the many breastfeeding resources that are readily available in English to overcome their challenges.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a breastmilk hand expression toolkit: the M.I.L.K survey study

et al. 2022

View full text Add to dashboard Cite

Background Breastmilk hand expression (BMHE) is recommended to promote lactation, relieve breast engorgement, and collect milk for future infant feedings. Resources to teach this skill are limited and infrequently developed in partnership with the obstetrical population. In collaboration with maternity care experts and individuals with recent breastfeeding experience, we designed a one-page toolkit that describes the process of BMHE and includes step-by-step instructions and images to illustrate the technique. This study aimed to evaluate the readability, clarity of content, layout, and informational value of this BMHE toolkit. Methods Individuals who intended to breastfeed, were currently breastfeeding, or had recently breastfed were electronically surveyed and completed a two-part survey that consisted of radio, multi-select, Likert scale, and open-ended questions. Part one captured sociodemographic factors, obstetrical history, and breastfeeding practices. Part two collected feedback on the BMHE toolkit. Participants were recruited electronically through social media and posters were circulated in antenatal and postnatal care settings in Ottawa, Canada between November 2020 and February 2021. Results Of the 123 participants, 117 (95.1%) had heard of hand expression prior to reviewing the toolkit and 99 (80.5%) had hand expressed before. Among the 48 participants who were no longer exclusively breastfeeding at the time of the survey, 22 (45.8%) had exclusively breastfed their infant for at least six months and 7 (14.6%) had discontinued exclusive breastfeeding within the first month. When asked about the BMHE toolkit, 118 (95.9%) participants said it was informative, 115 (93.5%) said it was easy to understand, and 114 (92.7%) said it was well laid-out. When asked about information seeking behaviours, participants indicated a preference for online resources (58.5%) and video resources (22.0%). Conclusions The BMHE toolkit was well received by participants and the feedback was favourable overall. The survey feedback will be used to create a revised version of the toolkit that has been validated by the obstetrical patient population. Future research should focus on identifying implementation strategies to optimize the use of the toolkit and increase its effectiveness as an educational resource to teach participants correctly BMHE.

show abstract

“…The higher rates of exclusive breastfeeding and the lower rates of early discontinuation may be explained the fact that our sample was highly educated and overwhelmingly English-speaking. It is likely that these participants were able to seek out timely breastfeeding support and utilize the many breastfeeding resources that are readily available in English to overcome their challenges [31].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Breastmilk Hand Expression Toolkit: The M.I.L.K Survey Study

Alibhai

Murphy

Dunn

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Breastmilk hand expression (BMHE) is recommended to promote lactation, relieve breast engorgement, and collect milk for future infant feedings. Resources to teach this skill are limited and infrequently developed in partnership with the obstetrical population. In collaboration with maternity care experts and individuals with recent breastfeeding experience, we designed a one-page toolkit that describes the process of BMHE and includes step-by-step instructions and images to illustrate the technique. This study aimed to evaluate the readability, clarity of content, layout, and informational value of this BMHE toolkit. Methods: Individuals who intended to breastfeed, were currently breastfeeding, or had recently breastfed were electronically surveyed between November 2020 and March 2021. The two-part survey consisted of radio, multi-select, Likert scale, and open-ended questions. Part one captured sociodemographic factors, obstetrical history, and breastfeeding practices. Part two collected feedback on the BMHE toolkit. Participant characteristics and feedback were summarized using descriptive statistics. Categorical and continuous variables were summarized using frequencies and percentages, and means and standard deviations, respectively. Results: Of the 123 participants, 117 (95.1%) had heard of hand expression prior to reviewing the toolkit and 99 (80.5%) had hand expressed before. Among the 48 participants who were no longer exclusively breastfeeding at the time of the survey, 22 (45.8%) had exclusively breastfed their infant for at least six months and 7 (14.6%) had discontinued exclusive breastfeeding within the first month. When asked about the BMHE toolkit, 118 (95.9%) participants said it was informative, 115 (93.5%) said it was easy to understand, and 114 (92.7%) said it was well laid-out. When asked about information seeking behaviours, participants indicated a preference for online resources (58.5%) and video resources (22.0%).Conclusion: The BMHE toolkit was well received by participants and the feedback was favourable overall. The survey feedback will be used to create a revised version of the toolkit that has been validated by the obstetrical patient population. Future research should focus on identifying implementation strategies to optimize the use of the toolkit and increase its effectiveness as an educational resource to correctly teach BMHE.

show abstract

Non–English Language Availability of Community Health Center Websites

Cited by 13 publications

References 11 publications

Disparities In Telehealth Use Among California Patients With Limited English Proficiency

Disparities In Telehealth Use Among California Patients With Limited English Proficiency

Evaluation of a breastmilk hand expression toolkit: the M.I.L.K survey study

Evaluation of a Breastmilk Hand Expression Toolkit: The M.I.L.K Survey Study

Contact Info

Product

Resources

About