Evidence map›Paper›PMID 34686604›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2021

A language-matching model to improve equity and efficiency of COVID-19 contact tracing.

Lisa Lu, Benjamin Anderson, Raymond Ha, Alexis D'Agostino, Sarah L Rudman, Derek Ouyang, Daniel E Ho

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Health Equity in Clinical Research Informatics.Yearbook of medical informatics · 2023
    Review
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.

Lisa LuRegulation, Evaluation, and Governance Laboratory, Stanford University, Stanford, CA 94305.ORCID 0000-0001-6060-9481
Benjamin AndersonRegulation, Evaluation, and Governance Laboratory, Stanford University, Stanford, CA 94305.
Raymond HaRegulation, Evaluation, and Governance Laboratory, Stanford University, Stanford, CA 94305.ORCID 0000-0003-0855-1547
Alexis D'AgostinoCounty of Santa Clara Public Health Department, San Jose, CA 95126.
Sarah L RudmanCounty of Santa Clara Public Health Department, San Jose, CA 95126.
Derek OuyangRegulation, Evaluation, and Governance Laboratory, Stanford University, Stanford, CA 94305.ORCID 0000-0001-7823-0752
Daniel E HoRegulation, Evaluation, and Governance Laboratory, Stanford University, Stanford, CA 94305; deho@stanford.edu.
Stanford University · USSanta Clara County Behavioral Health Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Contact tracing is a pillar of COVID-19 response, but language access and equity have posed major obstacles. COVID-19 has disproportionately affected minority communities with many non-English-speaking members. Language discordance can increase processing times and hamper the trust building necessary for effective contact tracing. We demonstrate how matching predicted patient language with contact tracer language can enhance contact tracing. First, we show how to use machine learning to combine information from sparse laboratory reports with richer census data to predict the language of an incoming case. Second, we embed this method in the highly demanding environment of actual contact tracing with high volumes of cases in Santa Clara County, CA. Third, we evaluate this language-matching intervention in a randomized controlled trial. We show that this low-touch intervention results in 1) significant time savings, shortening the time from opening of cases to completion of the initial interview by nearly 14 h and increasing same-day completion by 12%, and 2) improved engagement, reducing the refusal to interview by 4%. These findings have important implications for reducing social disparities in COVID-19; improving equity in healthcare access; and, more broadly, leveling language differences in public services.

Indexed as

LanguageSARS-CoV-2AlgorithmsCaliforniaCommunication BarriersContact TracingCOVID-19FemaleHumansMachine LearningMalePandemicsSurveys and QuestionnairesTrustcontact tracingCOVID-19health equitylanguage accessmachine learning

Identifiers

PMID34686604
PMCPMC8639369
OpenAlexW3206504313

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.