Evidence map›Paper›PMID 28774652›Full record

ArticlePatient education and counseling2018

Hospital discharge preparedness for patients with limited English proficiency: A mixed methods study of bedside interpreter-phones.

Jonathan S Lee, Anna Nápoles, Sunita Mutha, Eliseo J Pérez-Stable, Steven E Gregorich, Jennifer Livaudais-Toman, Leah S Karliner

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jonathan S LeeDivision of General Internal Medicine, University of California San Francisco, CA, USA.
Anna NápolesDivision of General Internal Medicine, University of California San Francisco, CA, USA; Multiethnic Health Equity Research Center, University of California San Francisco, CA, USA.
Sunita MuthaDivision of General Internal Medicine, University of California San Francisco, CA, USA; Multiethnic Health Equity Research Center, University of California San Francisco, CA, USA.
Eliseo J Pérez-StableOffice of the Director, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.
Steven E GregorichDivision of General Internal Medicine, University of California San Francisco, CA, USA; Multiethnic Health Equity Research Center, University of California San Francisco, CA, USA.
Jennifer Livaudais-TomanDivision of General Internal Medicine, University of California San Francisco, CA, USA; Multiethnic Health Equity Research Center, University of California San Francisco, CA, USA.
Leah S KarlinerDivision of General Internal Medicine, University of California San Francisco, CA, USA; Multiethnic Health Equity Research Center, University of California San Francisco, CA, USA. Electronic address: leah.karliner@ucsf.edu.
University of California, San Francisco · USNational Institute on Minority Health and Health Disparities · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
Translating Behavioral Interventions for Health Disparity PopulationsZIAMD000014 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI CHOI, KELVIN · 2018 to 2023
$4.8M
Bedside Interpreter Intervention, Hospital Outcomes of Older LEP PatientsR01AG038684 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KARLINER, LEAH S · 2011 to 2014
$1.7M
NIA NIH HHS P30 AG015272NIA NIH HHS R01 AG038684NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

objectiveAssess effects of a bedside interpreter-phone intervention on hospital discharge preparedness among patients with limited English proficiency (LEP).

methodsMixed-methods study compared patient-reported discharge preparedness and knowledge of medications and follow-up appointments among 189 Chinese- and Spanish-speakers before (n=94) and after (n=95) bedside interpreter-phone implementation, and examined nurse and resident-physician interpreter-phone utilization through focus groups.

resultsPre-post discharge preparedness (Care Transitions Measure mean 77.2 vs. 78.5; p=0.62) and patient-reported knowledge of follow-up appointments, discharge medication administration and side effects did not differ significantly. Pre-post knowledge of medication purpose increased in bivariate (88% vs. 97%, p=0.02) and propensity score adjusted analyses [aOR (adjusted odds ratio), 4.49; 95% CI, 1.09-18.4]. Nurses and physicians reported using interpreter-phones infrequently for discharge communication, preferring in-person interpreters for complex discharges and direct communication with family for routine discharges. Post-implementation patients reported continued use of ad-hoc family interpreters (43%) or no interpretation at all (22%).

conclusionImplementation of a bedside interpreter-phone systems intervention did not consistently improve patient-reported measures of discharge preparedness, possibly due to limited uptake during discharges. PRACTICE IMPLICATIONS: Hospital systems must better understand clinician preferences for discharge communication to successfully increase professional interpretation and shift culture away from using family members as interpreters.

Indexed as

AsianCommunicationCommunication BarriersHispanic or LatinoMultilingualismPatient DischargeTranslatingAgedAged, 80 and overAllied Health PersonnelFemaleHumansLanguageMaleMiddle AgedPatient Education as TopicCommunication barriersHealth literacyLanguage accessLimited English proficiencyMedical interpretersPatient educationPhysician-patient relations

Identifiers

PMID28774652
PMCPMC5732033
OpenAlexW2738154114

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.