1
|
Coffin A, Elder B, Luercio M, Ahuja N, Barber R, DeCamp LR, Encalada K, Fan AL, Farkas JS, Jain P, Johnson TM, Mallick N, Wilder JL, Yang TJ, Yin HS, Lion KC, Khan A. Creating Culturally Adapted Multilingual Materials for Research. Pediatrics 2024; 154:e2023063988. [PMID: 38860305 DOI: 10.1542/peds.2023-063988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 04/16/2024] [Accepted: 04/17/2024] [Indexed: 06/12/2024] Open
Abstract
Patients who speak languages other than English are frequently excluded from research. This exclusion exacerbates inequities, biases results, and may violate federal regulations and research ethics. Language justice is the right to communicate in an individual's preferred language to address power imbalances and promote equity. To promote language justice in research, we propose a method to translate and culturally-adapt multifaceted research materials into multiple languages simultaneously. Our method involves a multistep approach, including professional translation, review by bilingual expert panels to refine and reach consensus, and piloting or cognitive interviews with patients and families. Key differences from other translation approaches (eg, the World Health Organization) include omitting back-translation, given its limited utility in identifying translation challenges, and limiting expert panelist and piloting-participant numbers for feasibility. We detail a step-by-step approach to operationalizing this method and outline key considerations learned after utilizing this method to translate materials into 8 languages other than English for an ongoing multicenter pediatric research study on family safety-reporting. Materials included family brochures, surveys, and intervention materials. This approach took ∼6 months overall at a cost of <$2000 per language (not including study personnel costs). Key themes across the project included (1) tailor scope to timeline, budget, and resources, (2) thoughtfully design English source materials, (3) identify and apply guiding principles throughout the translation and editing process, and (4) carefully review content and formatting to account for nuances across multiple languages. This method balances feasibility and rigor in translating participant-facing materials into multiple languages simultaneously, advancing language justice in research.
Collapse
Affiliation(s)
- Alyssa Coffin
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
- Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
| | - Brynn Elder
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - Marcella Luercio
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
- Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
| | - Namrata Ahuja
- Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California
- Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, California
| | - Rebecca Barber
- Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California
| | - Lisa Ross DeCamp
- Department of Pediatrics, University of Colorado School of Medicine Anschutz Medical Campus, Children's Hospital Colorado, Aurora, Colorado
- Adult and Child Center for Outcomes Research and Delivery Science, Aurora, Colorado
- Latino Research and Policy Center, Anschutz Medical Campus, Aurora, Colorado
| | - Karen Encalada
- Department of Pediatrics, New York University Grossman School of Medicine, New York, New York
| | - Angela L Fan
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - Jonathan S Farkas
- Department of Pediatrics, New York University Grossman School of Medicine, New York, New York
- Department of Pediatrics, New York University Langone Health and Bellevue Hospital Center, New York, New York
| | - Pia Jain
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - Tyler M Johnson
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - Nandini Mallick
- Family Advisory Council, Boston Children's Hospital, Boston, Massachusetts
| | - Jayme L Wilder
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
- Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
| | - Tracy J Yang
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - H Shonna Yin
- Department of Pediatrics, New York University Grossman School of Medicine, New York, New York
- Department of Population Health, New York University Grossman School of Medicine, New York, New York
| | - K Casey Lion
- Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington
- Department of Pediatrics, University of Washington School of Medicine, Seattle Washington
| | - Alisa Khan
- Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
- Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
| |
Collapse
|
2
|
Chokroverty L. Management of Psychiatric Emergencies Among Migrant Youth in Institutional and Community Settings. Child Adolesc Psychiatr Clin N Am 2024; 33:219-236. [PMID: 38395507 DOI: 10.1016/j.chc.2023.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/25/2024]
Abstract
Migrant youth commonly access mental health care for the first time during emergencies, rather than through ambulatory means. Suicidal behaviors may occur more often among migrants than nonmigrant youth, and they may suffer from post-traumatic stress, depression, anxiety, and display disruptive behaviors more frequently than their nonmigrant counterparts. Brief emergency interventions include safety planning, psychoeducation, parent training on communication and establishing routines, and behavioral therapies like activity scheduling and sleep hygiene.
Collapse
Affiliation(s)
- Linda Chokroverty
- Department of Psychiatry and Behavioral Sciences, Montefiore Health Systems/ Albert Einstein College of Medicine, Bronx, NY, USA; Department of Pediatrics, Montefiore Health Systems/ Albert Einstein College of Medicine, Bronx, NY, USA.
| |
Collapse
|
3
|
Stall M, Germann JN, Orta M, Winick N, Kaye EC. Equitable communication for pediatric cancer patients and families who speak languages other than English. Pediatr Blood Cancer 2024; 71:e30828. [PMID: 38146021 PMCID: PMC10831864 DOI: 10.1002/pbc.30828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 12/07/2023] [Accepted: 12/14/2023] [Indexed: 12/27/2023]
Affiliation(s)
- Melanie Stall
- University of Texas Southwestern Medical Center, Division of Pediatric Hematology-Oncology, Dallas, TX, USA
| | - Julie N. Germann
- University of Texas Southwestern Medical Center, Department of Psychiatry, Dallas, TX, USA
- Children’s Medical Center Dallas, Department of Psychiatry, Dallas, TX, USA
| | - Martin Orta
- Children’s Medical Center Dallas, Department of Language Access Services, Dallas, TX, USA
| | - Naomi Winick
- University of Texas Southwestern Medical Center, Division of Pediatric Hematology-Oncology, Dallas, TX, USA
| | - Erica C. Kaye
- St. Jude Children’s Research Hospital, Department of Oncology, Memphis, TN, USA
| |
Collapse
|
4
|
Jeffries KN, Mundy A, Williford DE, Slagle B, Filipek J, Cantu RM. Impact of Preferred Written Language in Patients Discharged With Bronchiolitis From a Children's Hospital. Hosp Pediatr 2024; 14:e139-e143. [PMID: 38327219 DOI: 10.1542/hpeds.2023-007241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
OBJECTIVES This study aimed to identify differences in length of stay and readmission in patients admitted with bronchiolitis based on preferred written language. A secondary aim was to assess adherence to providing written discharge instructions in patients' preferred language. METHODS In this cross-sectional study, we included 384 patients aged 0 to 2 years discharged from 2 children's hospitals with bronchiolitis from May 1, 2021, through April 30, 2022; patients were excluded for history of prematurity, complex chronic condition, or ICU stay during the study period. A manual chart review was performed to determine preferred written language and language of written discharge instructions. RESULTS Patients preferring a written language other than English had a longer length of stay compared with English-preferring patients (37.9 vs 34.3 hours, P < .05), but there was no significant difference in unplanned 7-day readmissions. All patients who preferred English and Spanish received written discharge instructions in their preferred written language; no patients with other preferred languages did. CONCLUSIONS Patients who preferred a written language other than English had a longer length of stay than those preferring English but there was no difference in 7-day readmissions, though power for readmissions was limited. The study also identified significant disparities in the provision of written discharge instructions in languages other than English and Spanish.
Collapse
Affiliation(s)
- Kristyn N Jeffries
- University of Arkansas for Medical Sciences, Department of Pediatrics, Little Rock, Arkansas
- Arkansas Children's Hospital, Little Rock, Arkansas
| | - Allison Mundy
- University of Arkansas College of Medicine, Little Rock, Arkansas
| | - Dustin E Williford
- University of Arkansas for Medical Sciences, Department of Pediatrics, Little Rock, Arkansas
- Arkansas Children's Hospital, Little Rock, Arkansas
| | - Brittany Slagle
- University of Arkansas for Medical Sciences, Department of Pediatrics, Little Rock, Arkansas
- Arkansas Children's Hospital, Little Rock, Arkansas
| | - Jacob Filipek
- University of Arkansas for Medical Sciences, Department of Pediatrics, Little Rock, Arkansas
- Arkansas Children's Hospital, Little Rock, Arkansas
| | - Rebecca M Cantu
- University of Arkansas for Medical Sciences, Department of Pediatrics, Little Rock, Arkansas
- Arkansas Children's Hospital, Little Rock, Arkansas
| |
Collapse
|