Translating Anesthesia Care Throughout

Perioperative Care Clinical Trial

— TACT  

Official title:

Translating Anesthetic Care Throughout: A Feasibility Randomized Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05502029
• Other study ID #: 22-36587
• Status: Completed
• Phase: N/A
• Start date: February 14, 2023
• Est. completion date: June 12, 2023

Study information

• Verified date: July 2023
• Source: University of California, San Francisco
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patients with limited English proficiency (LEP) are at significant risk of receiving care different from those who are English proficient. Through Translating Anesthetic Care Throughout (TACT), the investigators aim to reduce the disparities experienced by participants with LEP undergoing anesthesia by continuing language translation from the preoperative area into the operating room, where participants will be better able to understand what is happening in an otherwise foreign environment. At this time, some participants receive translation in the preoperative area using an interpreter. No further translation is provided beyond the preoperative area unless there is a provider with language concordance or interpretation skills within the perioperative team. The investigators plan to study how extended translation changes a participant's understanding of and feelings about the perioperative period. Supporting language translation for LEP participants from the preoperative area into their operating room (OR) experience will enable providers to better understand how to care for participants from different cultural and language backgrounds and will help us understand how to better serve our community at large. The investigators hypothesize that participants who receive continual translation will have improved informed consent, have improved trust of their anesthesia providers, and be more satisfied with patient care. In addition, they anticipate that the care team also will benefit by the enhanced communication with the participant.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 22
• Est. completion date: June 12, 2023
• Est. primary completion date: June 12, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Participants who identify another language other than English as their preferred language

• Participants with planned general anesthesia

Exclusion Criteria:

• Participants whose preferred language is documented as English

• Participants with planned sedation or monitored anesthesia care

Related Conditions & MeSH terms

• Limited English Proficiency
• Perioperative Care

Intervention

Behavioral:
• Extended translation
Translation extended beyond the preoperative area
• Standard translation
Translation in the preoperative area

Locations

Country	Name	City	State
United States	UCSF Medical Center at Mount Zion	San Francisco	California

Sponsors (2)

Lead Sponsor	Collaborator
University of California, San Francisco	Mount Zion Health Fund

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Informed consent success as assessed by Likert scale	The participant will be asked how well their anesthesia provider prepared them for their general anesthesia experience. A 5-point Likert scale response will be used for the assessment ranging from 1 (not at all) to 5 (extremely well).	One week after general anesthesia
Primary	Participant trust as assessed by survey	Participants will be asked whether they trusted their provider(s) using a yes/no response.	One week after general anesthesia
Primary	Participant satisfaction as assessed by Likert scale	Participants will be asked whether they were satisfied with their anesthesia experience using a yes/no response.	One week after general anesthesia
Secondary	Participant anxiety as assessed by the Amsterdam Preoperative Anxiety and Information Scale	The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a 6-question validated tool used to generate a score to assess a patient's level of preoperative anxiety. Questions 1, 2, 4, and 5 represent anxiety. Each of these questions is assessed with a Likert scale in which 1 rpresents agreement of not at all and 5 represents extremely. Scores from the four anxiety-representing questions are totaled with a possible range from 4 to 20 with a lower score indicating less anxiety and a higher score more anxiety. A score of greater than or equal to 11 signifies participant anxiety.	The day before surgery