Improving Communication and Building a Stronger Medical Home Among Spanish-speaking Families

Leukemia Clinical Trial

Official title:

Improving Communication With and Building a Stronger Medical Home Among Spanish-speaking Families in the Center for Cancer and Blood Disorders

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05425992
• Other study ID #: 21-4238.cc
• Secondary ID: NCI-2022-04061
• Status: Recruiting
• Start date: March 17, 2022
• Est. completion date: November 4, 2025

Study information

• Verified date: December 2023
• Source: University of Colorado, Denver
• Contact: Wendy Moore
• Phone: 1-720-777-6353
• Email: wendy.moore[@]childrenscolorado.org
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study will seek to improve communication with Spanish speaking families and patients with Cancer and Blood Disorders.

Description:

The Principal Investigator seeks to improve communication with Spanish speaking families with the following goals: 1) to increase patient and family sense of inclusion in the medical community, 2) to increase patient and family medical knowledge and understanding, 3) to improve patient adherence with critical medical regimens, and ultimately, 4) to increase equality of comprehensive medical care delivery across the continuum of care including physical and psychosocial domains.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: November 4, 2025
• Est. primary completion date: November 4, 2024
• Gender: All
• Age group: N/A to 22 Years

Eligibility

Inclusion Criteria:

• 0 to 22 years of age

• Diagnosis of leukemia or non-Hodgkin lymphoma

• Spanish as preferred language for patient, parent or guardian

• Received or receiving care at the Center for Cancer and Blood Disorders (CCBD)

Exclusion Criteria:

• Patients without oncologic diagnosis

• Patients with parents whose language preference is English

• Patients who received care solely outside of the CCBD

Related Conditions & MeSH terms

• Leukemia
• Lymphoma, Non-Hodgkin
• Non Hodgkin Lymphoma

Intervention

Other:
• Interview
Patient/parent dyads expressing interest will be interviewed by a bilingual Spanish certified provider via televideo with as needed interpreter support. Interviews will be audio recorded for review and translation purposes and then will be destroyed. Interview format will be supportive and information seeking only with reassurance that purpose is for care improvement and that all answers will be evaluated without association to patient name. Interviews will then be translated and reviewed by the PI for themes regarding perceived clinic successes and perceived clinic barriers in communication or care.

Locations

Country	Name	City	State
United States	Children's Hospital Colorado	Aurora	Colorado

Sponsors (2)

Lead Sponsor	Collaborator
University of Colorado, Denver	Children's Hospital Colorado

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Determine a baseline level of Spanish speaking patient satisfaction of care	Understand the patient experience using qualitative interview of Spanish speaking patients and families Determine satisfaction based on open-ended question with unsatisfied to satisfied as markers.	12 months
Primary	Determine a baseline level of Spanish Speaking family satisfaction of care	Understand the patient experience using qualitative interview of Spanish speaking patients and families Determine satisfaction based on open-ended question with unsatisfied to satisfied as markers.	12 months
Primary	Determine effects of language barrier on Spanish speaking patient needs	Understand the patient experience using qualitative interview of Spanish speaking patients and families.; Determine satisfaction based on open-ended question to determine a list or pattern of common patient needs.	12 months
Primary	Determine the effect of language barrier on barriers to patient care	Understand the patient experience using qualitative interview of Spanish speaking patients and families.; Determine satisfaction based on open-ended question to determine a list or pattern of common barriers to patient care.	12 months
Primary	Effect of language barrier on efficiency of access to care	Understand the patient experience using qualitative interview of Spanish speaking patients and families.; Determine satisfaction based on open-ended question to determine how quickly patient was able to receive care.	12 months
Secondary	Determine patient interest in home telemedicine support program	Open-ended questions will be used to determine level of interest in a telemedicine support program.	12 months
Secondary	Determine patient interest in home telemedicine support program after discharge	Open-ended questions will be used to determine level of interest in a telemedicine support program to be used after discharge from hospital.	12 months
Secondary	Determine Spanish speaking patient interest in telemedical check-ins during intensive phases of therapy	Open-ended questions will be used to determine level of interest in a telemedical support during treatment.	12 months
Secondary	Determine Spanish speaking patient interest in medication assistance during intensive phases of therapy	Open-ended questions will be used to determine level of interest in a telemedical medication support during therapy.	12 months
Secondary	Determine Spanish speaking patient interest in medical check-ins during maintenance	Open-ended questions will be used to determine level of interest in a telemedical check-ins during maintenance.	12 months
Secondary	Determine Spanish speaking patient interest in medication assistance during maintenance	Open-ended questions will be used to determine level of interest in a telemedical medication assistance during maintenance.	12 months