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Interpreter proxy versus healthcare interpreter for administration of patient surveys following arthroplasty: a pilot study
- Source :
- BMC Medical Research Methodology, BMC Medical Research Methodology, Vol 19, Iss 1, Pp 1-9 (2019)
- Publication Year :
- 2019
- Publisher :
- Research Square Platform LLC, 2019.
-
Abstract
- Background Clinical quality registries and other systems that conduct routine post-discharge surveillance of patient outcomes following surgery may have difficulty surveying patients who have limited proficiency in the language of the healthcare provider. Interpreter proxies (family and carers) are often used due to limited access to certified healthcare interpreters (due to cost or availability). The aim of this study was to assess the reliability of engaging interpreter proxies compared with certified healthcare interpreters for the administration of patient-reported health-related surveys for people with limited English proficiency (LEP). Methods People with LEP and due for a routine 6-month telephone follow-up post knee or hip arthroplasty were invited to participate. Participants were randomly allocated to having their first interview with an interpreter proxy or a certified healthcare interpreter followed by the second (crossover) interview within 2 weeks (range: 4 to 12 days) after the first interview using the alternative method. Agreement between the two methods was assessed using quadratic weighted Cohen’s kappa, intraclass correlation and concordance correlation co-efficient where appropriate for EQ-5D health domains, total Oxford hip and knee scores, patient satisfaction, operation success, readmission, reoperation, and post-surgical complication responses. The mean of the differences between the same data items collected by each of the two methods was also calculated. Results Eighty five participants (96%) completed the study. There was substantial to excellent inter-rater agreement (kappa = 0.69–0.87 and ICCs above 0.74) for all but one measure. The mean differences between family proxy and healthcare interpreter scores for each participant were small, ranging from 0.01 (score range of 1–5) to 0.72 (score range of 0–100). Conclusion These results suggest that using interpreter proxies is a reliable alternative to certified healthcare interpreters in conducting patient-reported health surveys, potentially making this process easier and cost effective for researchers and registries.
- Subjects :
- Male
medicine.medical_specialty
Interpreter
Epidemiology
Intraclass correlation
Concordance
Arthroplasty, Replacement, Hip
Health Informatics
Pilot Projects
Certification
computer.software_genre
Proxy (climate)
Arthroplasty
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Surveys and Questionnaires
Health care
Osteoarthritis
Medicine
Humans
Arthroplasty, Replacement, Knee
Aged
lcsh:R5-920
030222 orthopedics
business.industry
030503 health policy & services
Australia
Reproducibility of Results
Middle Aged
Translating
Reliability
Proxy
Treatment Outcome
Patient Satisfaction
Limited English proficiency
Family medicine
Female
lcsh:Medicine (General)
0305 other medical science
business
Clinical quality registry
computer
Research Article
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- BMC Medical Research Methodology, BMC Medical Research Methodology, Vol 19, Iss 1, Pp 1-9 (2019)
- Accession number :
- edsair.doi.dedup.....b63fd62efc2c048eb026a6b7a1cae14d
- Full Text :
- https://doi.org/10.21203/rs.2.12241/v3