Implementation of Language Assessments for Staff Interpreters in Community Health Centers

Jaimes, Fatima Nunez de; Batts, Felicia; Noguera, Christine; Guerrero, Lourdes R.; Moreno, Gerardo

doi:10.1353/hpu.2013.0149

Cited by 9 publications

(7 citation statements)

References 15 publications

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“…[42–44] Income and receipt of recommended processes of care [41] were not associated with perception of neighborhood. Because our sample of patients have access to culturally and linguistically appropriate care (35 year-old migrant center) [45] and represents a compressed portion of the SES gradient (rural low-income Latinos), we think that this was due to lack of variation in the sample and is therefore not surprising.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Moreno¹,

Morales

Jaimes

et al. 2014

J Community Health

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Little is known about how neighborhood perceptions are related to diabetes outcomes among Latinos living in rural agricultural communities. Our objective was to examine the association between perceived neighborhood problems and diabetes outcomes. This is a cross-sectional survey study with medical record reviews of a random sample of 250 adult Latinos with type 2 diabetes. The predictor was a rating of patient ratings of neighborhood problems (crime, trash and litter, lighting at night, and access to exercise facilities, transportation, and supermarkets). The primary outcomes were the control of three intermediate outcomes (LDL-c <100 mg/dl, AlC < 9.0%, and blood pressure (BP) < 140/80 mmHg), and body mass index (BMI) < 30 kg/m2. Secondary outcomes were participation in self-care activities (physical activity, healthy eating, medication adherence, foot checks, and glucose checks). We used regression analysis and adjusted for age, gender, education, income, years with diabetes, insulin use, depressive symptoms, and co-morbidities. Forty-eight percent of patients perceived at least one neighborhood problem and out of the six problem areas, crime was most commonly perceived as a problem. Perception of neighborhood problems was independently associated with not having a BP < 140/80 (Adjusted odds ratio [AOR]= 0.45; 95% CI: 0.22, 0.92), and BMI < 30 (AOR=0.43; 95% CI: 0.24, 0.77), after controlling for covariates. Receipt of recommended processes of care was not associated with perception of neighborhood. Perception of neighborhood problems among low-income rural Latinos with diabetes was independently associated with a higher BMI and BP.

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Section: Discussionmentioning

confidence: 99%

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Moreno¹,

Morales

Jaimes

et al. 2014

J Community Health

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“…Although dental researchers have reviewed the impact of language barriers on seeking/accessing dental treatment and preventive services, there is little research defining the benefits of interpreter services in dental care delivery (43). Lessons learned from medical healthcare delivery suggest that interpreter services should be provided throughout care delivery and not just at the clinical encounters (44). Further, bilingual staff should be thoroughly assessed, and language proficiency assessments should be conducted before they provide services to any patients.…”

Section: Delivering Oral Healthcare To Children Of Ethnic Minoritiesmentioning

confidence: 99%

“…Further, bilingual staff should be thoroughly assessed, and language proficiency assessments should be conducted before they provide services to any patients. Patient feedback should be collected periodically to access the quality of service provided by bilingual staff (44). The medical literature also has shown that professional interpreter services have a positive impact on changing behaviors and improving uptake of preventive services by patients with limited English proficiency (45).…”

Section: Delivering Oral Healthcare To Children Of Ethnic Minoritiesmentioning

confidence: 99%

Acculturation and Pediatric Minority Oral Health Interventions

Tiwari

Albino

2017

Dental Clinics of North America

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Synopsis Immigrant populations are growing at a fast pace in the United States. Cultural variations can have implications on oral health of children form immigrant households. Length of stay in the US and language spoken at home, proxies for measuring acculturation, are some of the crucial factors determining the level of acculturation in families. Higher acculturation generally has a positive impact on oral health utilization. Improving cultural competency of the dental team and involving the stakeholders in intervention design and implementation are some strategies that may increase the trust of ethnic minority patients and reduce barriers to access to care.

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“…This could be because of organizational cultural competence programs, access to professional interpreters and bilingual staff, as well as a diabetes education program. 40 These system-level effects may increase participation in self-care for all patients regardless of the ability of a provider to speak Spanish fluently.…”

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confidence: 99%

Language Concordance, Interpersonal Care, and Diabetes Self-Care in Rural Latino Patients

et al. 2014

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BACKGROUND: Interpersonal care (IPC) is increasingly emphasize d as h ealth care systems focus on implementing patient-centered care. Language barriers may be a particularly important influence on IPC ratings among rural Spanish-speaking Latinos. OBJECTIVE: To examine the associations between provider Spanish fluency and Spanish-speaking patients' ratings of IPC and between patient-provider language concordance and patient engagement in diabetes selfcare activities. DESIGN: Cross-sectional survey combined with chart reviews. SETTING/PARTICIPANTS: Two hundred fifty Latino adults with diabetes receiving care at safety-net community health centers in two rural California counties. MAIN MEASURES: Using a validated questionnaire, we assessed patient ratings of IPC in three areas: communication, decision-making, and interpersonal style. Patientprovider language concordance was measured by physician self-reported fluency in Spanish. We measured participation in diabetes self-care activities by patient selfreport. The survey response rate was 68 %. KEY RESULTS: Patients with language-concordant providers had more favorable IPC ratings (20 % to 41 % of language-discordant patients had optimal scores for IPC scales vs. 35 % to 69 % of language-concordant patients, p<0.05), except with respect to discrimination. Patients with language-concordant providers reported higher levels of participation in diabetic foot care (1.4 days vs. 0.7 days per week, p value 0.01) compared to patients with language discordance. There was no association between language concordance and participation in other self-care activities. CONCLUSION: This study provides evidence that language concordance is independently associated with high IPC scores in rural Latino adults with diabetes. Moreover, this study suggests that language concordance may contribute to improved participation diabetes self-care activities.

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Implementation of Language Assessments for Staff Interpreters in Community Health Centers

Cited by 9 publications

References 15 publications

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Acculturation and Pediatric Minority Oral Health Interventions

Language Concordance, Interpersonal Care, and Diabetes Self-Care in Rural Latino Patients

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