Developing Digital Facilitation of Assessments in the Absence of an Interpreter: Participatory Design and Feasibility Evaluation With Allied Health Groups

作者：Jill Freyne, DanaKai Bradford, Courtney Pocock, David Silvera‐Tawil, Karen L. Harrap, Sally Brinkmann · 发表于：JMIR Formative Research · 年份：2018 · DOI：10.2196/formative.8032 · 被引用次数：29 · 研究领域：Interpreting and Communication in Healthcare、Cultural Competency in Health Care、Migration, Health and Trauma

BACKGROUND: To ensure appropriate and timely care, interpreters are often required to aid communication between clinicians and patients from non-English speaking backgrounds. In a hospital environment, where care is delivered 24 hours a day, interpreters are not always available. Subsequently, culturally and linguistically diverse (CALD) patients are sometimes unable to access timely assessment because of clinicians' inability to communicate directly with them. OBJECTIVE: The aim of this study was to design and evaluate CALD Assist, a tablet app to assist communication between patients and allied health clinicians in the absence of an interpreter. CALD Assist uses key phrases translated into common languages and uses pictorial, written, and voice-over prompts to facilitate communication during basic patient assessment. METHODS: CALD Assist's design, functionality, and content were determined through focus groups with clinicians and informed by interpreting and cultural services. An evaluation was conducted in a live trial phase on eight wards across 2 campuses of a hospital in Victoria, Australia. RESULTS: A commercial grade CALD Assist mobile app for five disciplines within allied health was developed and evaluated. The app includes a total of 95 phrases in ten different languages to assist clinicians during their initial assessment. Evaluation results show that clinicians' confidence in their assessment increased with use of the CALD Assist app: clinicians' reports of "comp...