Evidence map›Paper›PMID 39643251›Full record

ArticleJournal of pain and symptom management2025

Language Justice as Health Equity in Palliative Care: A Scoping Review.

Sharon E Bigger, Daniela Obregon, Christiana Keinath, Katherine Doyon

Abstract readScoping Review
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
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

4 authors.

Sharon E BiggerEast Tennessee State University (S.B., C.K.), Johnson City, Tennessee.
Daniela ObregonChildren's Hospital Los Angeles (D.O.), Los Angeles, California.
Christiana KeinathEast Tennessee State University (S.B., C.K.), Johnson City, Tennessee.
Katherine DoyonBoise State University (K.D.), College of Nursing, Boise, Idaho. Electronic address: katherinedoyon@boisestate.edu.

Funding

Tracking and EvaluationU54GM104944 · NIGMS · UNIVERSITY OF NEVADA LAS VEGAS · PI SHUTTLEWORTH, CLAUDE W · 2013 to 2023
$39.6M
LEADing End-of-Life Dementia Care ConversationsR01AG069033 · NIA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KARA Bottiggi Dassel · 2022 to 2026
$3.1M
NIA NIH HHS R01 AG069033NIGMS NIH HHS U54 GM104944
6 · The paper itself

Abstract

contextCommunication is the foundation of optimal healthcare provision. Linguistic diversity is a reality in palliative care settings.

objectivesTo identify the state of the literature on language interpreting in palliative care and to examine inclusion of stakeholders in dissemination products.

methodsOur scoping review included three databases using search terms "advance care planning," "goals of care," "hospice care," "palliative care," combined with "communication barriers," "interpreter," and "translating." We included original research, reports on tools or curricula, and opinion pieces. Four National Consensus Project (NCP) Guidelines were selected a priori to inform the coding schema. Health equity, specific to language justice, framed the study.

resultsIn 31 included products, we identified four themes. Some reflected more than one theme: Language discordance as a communication barrier, gap, or challenge (n = 27), value added by qualified medical interpreters (n = 13), training for interpreters and palliative care professionals (n = 12), and inclusion of interpreters in the palliative care team (n = 9). All studies reflected at least one, and up to four, of the NCP guidelines. Eighteen products acknowledged language-based inequity, 8 described steps to mitigate language-based inequity, 3 described language-justice-based interventions associated with outcomes, and none described accomplishing language justice.

conclusionTo provide equitable care reflecting language justice, investigators and clinicians should include interpreters, patients, and families as integral team members. The increase in number of interventional studies suggests evidence of the value interpreters add to the palliative care team. Collaborating with linguistically diverse stakeholders reflects language justice and holds promise for ensuring optimal communication.

Indexed as

Communication BarriersHealth EquityLanguagePalliative CareSocial JusticeHumansTranslatingcultural and linguistic diversityInterpretinglimited English proficiencypalliative care

Identifiers

PMID39643251
PMCPMC11802314

What OpenQuestion holds

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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.