MedPath

A Study of Language Interpretation Solutions for People With Breast Cancer

Not Applicable
Recruiting
Conditions
Breast Cancer
Breast Cancer Stage II
Breast Cancer Stage III
Registration Number
NCT06721065
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Brief Summary

The study will be conducted in 2 overlapping phases. In Phase 1, there will be a 3-arm randomized controlled trial of Remote Simultaneous Medical Interpreting/RSMI (Arm 1), versus Remote Consecutive Medical Interpreting/RCMI (Arm 2) and versus Remote Consecutive Video Medical Interpreting/RCVI (Arm 3) in breast cancer outpatient clinical encounters with Spanish- and Mandarin-speaking patients with Limited English Proficiency/LEP (Stages II and III disease) and English- speaking providers (who do not speak Spanish/Mandarin). In Phase 2, there will be a sequential mixed-methods explanatory, multi-stakeholder process evaluation to gather implementation potential data.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
640
Inclusion Criteria

Phase I Patients

  • Age >=18 years (per EMR)
  • Preferred language for healthcare is Spanish or Mandarin (per self-report)
  • Limited English Proficient; cannot speak English "very well" (per self-report)
  • Diagnosis of Stage I, II, III, or IV breast cancer (per EMR)
  • Will be visiting MSK oncologist for the first or second appointment (per EMR)
  • Will be continuing medical oncology visits at MSK (per EMR)
  • Agrees to be audio-recorded (per self-report)

Phase 1 Providers

  • Breast cancer provider who sees patients (e.g., breast oncologists, advanced practice providers, and/or nurses)
  • Does not speak Spanish and/or Mandarin; providers who speak one language and not the other may participate (e.g., speaks Spanish but not Mandarin) (per self-report)
  • Agrees to be audio-record (per self-report) Phase 2 (clinic staff only; patient participants will be drawn from Phase 1)
  • Is a staff member who works/worked in one of the study clinic sites during the period of Phase 1 RCT study activities
  • Agrees to be audio-recorded (per self-report)
Exclusion Criteria

Phase 1 Patients

  • Has significant psychiatric disturbance (i.e., acute psychiatric symptoms) sufficient to preclude completion of the assessments, interviews, or informed consent (per EMR, patient's care team, or study team)
  • Presence of cognitive impairment disorder (i.e., delirium or dementia) sufficient to preclude meaningful informed consent and/or data collection (per EMR, patients, care team, or study team)

Phase I Providers

  • None

Phase 2 (clinic staff only; Phase 1 patient participants follow above criteria)

  • None

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Number of interpretation errorsup to 30 days

Via translation and transcription of audio recordings, errors will be determined in the interpretation of medical facts made in each of the RCT arms during Study Visit 1 (post- diagnosis)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (8)

Memorial Sloan Kettering Basking Ridge (Consent Only)

🇺🇸

Basking Ridge, New Jersey, United States

Memorial Sloan Kettering Monmouth (Consent Only)

🇺🇸

Middletown, New Jersey, United States

Memorial Sloan Kettering Bergen (Consent Only)

🇺🇸

Montvale, New Jersey, United States

Memorial Sloan Kettering Suffolk- Commack (Consent Only)

🇺🇸

Commack, New York, United States

Memorial Sloan Kettering Westchester (Consent Only)

🇺🇸

Harrison, New York, United States

Memorial Sloan Kettering at Ralph Lauren Center (All Protocol Activities)

🇺🇸

New York, New York, United States

Memorial Sloan Kettering Cancer Center (All Protocol Activities)

🇺🇸

New York, New York, United States

Memorial Sloan Kettering Nassau (All Protocol Activities)

🇺🇸

Rockville Centre, New York, United States

© Copyright 2025. All Rights Reserved by MedPath