Physician Use of Non-English Language Skills in Cancer Care

Completed

• Conditions: Lung Cancer; Colon Cancer; Breast Cancer
• Interventions: Behavioral: Audio record; Behavioral: survey

• Registration Number: NCT02726360
• Lead Sponsor: Memorial Sloan Kettering Cancer Center

Brief Summary

The purpose of this study is to test a method for analyzing interactions between patients and doctors, the Roter Interaction Analysis System (RIAS). The RIAS measures the quality of communication between patients and their cancer doctors.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-12-14
• Study First Submitted: 2016-03-15
• Study First Submitted QC: 2016-03-31
• Study First Posted: 2016-04-01
• Status Verified: 2023-08
• Primary Completion: 2023-08-21
• Study Completion: 2023-08-21
• Last Update Submitted: 2023-08-22
• Last Update Posted: 2023-08-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 71

Inclusion Criteria

• is a English or Spanish-speaking patient
• between the ages of 21-80 years old
• has a new diagnosis of any type of cancer (diagnosed within the past 4 months), or has a recurrence of either breast, colon or lung cancer (recurrence diagnosed within the past 4 months)
• scheduled to have surgery or begin chemotherapy and/or radiation therapy within the next 2 months

Oncology clinician Inclusion:

• provides care to LEP patients
• has MD, DO, RN, NP or PA degree
• is between the ages of 21-80

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Exclusion Criteria

• is unable to provide informed consent in either English or Spanish

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
patients	Audio record	Audio record the initial visits between patients and their treating physician. Analyze 48 patient-physician dyad recordings using the Roter Interaction Analysis System (RIAS).
Oncology physician	survey	Physicians (MD or DO) in the oncology departments of participating hospitals will complete a survey. Non-English language proficiency will be assessed by self-assessment using Interagency Language Roundtable (ILR) scale, which the PI has previously used. The physician survey is collected among treating physicians of patients enrolled to MSK IRB approved protocols 12-099 and 12-223 at some of the participating hospitals. For physicians who already completed this survey as part of participation in protocol 12-099 or 12-223, data will be extracted from the respective study's REDCap database.
Oncology physician	Audio record	Physicians (MD or DO) in the oncology departments of participating hospitals will complete a survey. Non-English language proficiency will be assessed by self-assessment using Interagency Language Roundtable (ILR) scale, which the PI has previously used. The physician survey is collected among treating physicians of patients enrolled to MSK IRB approved protocols 12-099 and 12-223 at some of the participating hospitals. For physicians who already completed this survey as part of participation in protocol 12-099 or 12-223, data will be extracted from the respective study's REDCap database.

Primary Outcome Measures

Name	Time	Method
study-specific coding structure	2 years	using the RIAS in cancer care across English and Spanish languages will be assessed by evaluating whether this existing, validated coding system 'works' across a language barrier.

Trial Locations

Locations (5)

Queens Cancer Center of Queens Hospital; 🇺🇸 Jamaica, New York, United States

Memorial Sloan Kettering Cancer Center; 🇺🇸 New York, New York, United States

Lincoln Medical Center; 🇺🇸 Bronx, New York, United States

Ralph Lauren Center for Cancer Care and Prevention; 🇺🇸 New York, New York, United States

Elmhurst Hospital Center; 🇺🇸 Queens, New York, United States