Overcoming Radiation Therapy Language Barriers with the use of an - - PowerPoint PPT Presentation

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Overcoming Radiation Therapy Language Barriers with the use of an - - PowerPoint PPT Presentation

Overcoming Radiation Therapy Language Barriers with the use of an Instant Translation Device for Culturally and Linguistically Diverse Patients Mr Darren Hunter Prof Michal Schneider Honorary Radiation Therapist Mr Nigel Anderson Deputy Head,


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Overcoming Radiation Therapy Language Barriers with the use of an Instant Translation Device for Culturally and Linguistically Diverse Patients

Mr Darren Hunter Honorary Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre darren.hunter@petermac.org

Prof Michal Schneider Deputy Head, Director of Research

  • Dept. of Medical Imaging & Radiation Sciences

Monash University A/Prof Caroline Wright Senior Lecturer – Course Coordinator

  • Dept. of Medical Imaging & Radiation Sciences

Monash University Dr Richard Oates Radiation Therapist – Clinical Educator

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre Dr David Kok Radiation Oncologist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre Mr Nigel Anderson Principal Research Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre

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Introduction: A Nation of Nations

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Background: Literature Review

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Background: ORBIT Study Development

1) How can we provide equitable provision of information, patient experience, optimal care and psychosocial support for non-English speaking patients presenting for radiotherapy treatment? 2) Is there a solution that adheres to patient and staff satisfaction, whilst cost-effective and easy to implement? An instant translation device (ITD) will provide a suitable, reliable and inexpensive platform for daily communication between radiation therapists (RTs) and non-English speaking patients.

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Background: Travis the Translator

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Methodology: ORBIT Study Overview

Completed In Progress

(1) Patient & staff satisfaction, comfort and limitations (2) Suitability for daily use – improved communication/engagement (3) Feasibility for a Stage 3 RCT – cost-benefit, compliance & ancillary care

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Methodology: ORBIT Stage 1

Score Explanation Example Complete mismatch, wrong meaning Cairns in leash 1 One or few correct words, wrong meaning Cans are English 2 Impartial match, ambiguous Will discuss English? 3 Impartial match, same meaning Can you talk in English? 4 Complete match Can you speak English?

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Results: ORBIT Stage 1 – Demographics

Participant Age Gender Ethnicity Birth Nation Qual 1 26 Female Chinese Australia RT 2 28 Female European Australia RT 3 36 Male Pakistani Australia RT 4 24 Male Vietnamese Australia RT 5 43 Female European Australia RT 6 35 Male Malaysian Australia RT Interpreter Age Gender Ethnicity Birth Nation Qual 1 30 Male Chinese China Level 3 - Adv Dip 2 34 Female Chinese China Level 3 - Adv Dip

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Results: ORBIT Stage 1 – Pass Rate (Score >3)

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Discussion: Current & Future States

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Project Timeline

OCT 2017 DEC 2017 JULY 2018 AUG 2018 OCT 2018 DEC 2018 Q3 2019 Q4 2019 Q4 2020

PROGRESS TO DATE PROJECTED

CONCEPT DESIGN & LIT REVIEW PMCC LNR ETHICS APPROVAL MONASH HREC APPROVAL AWARDED VMRPET GRANT FUNDING STAGE 1 VALIDATION COMPLETED STAGE 2 PILOT COMMENCED COMPLETE STAGE 2 PILOT COMMENCE STAGE 3 RCT COMPLETE STAGE 3 RCT

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Project Team & Partners

  • Mr. Darren Hunter (Principal Investigator)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Melbourne

  • Dr. David Kok (Associate Investigator)

Radiation Oncologist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Melb/Sunshine

  • Ms. Olivia Mayberry (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Box Hill

  • Mr. Christopher Marinakis (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Sunshine Prof Michal Schneider (Primary Supervisor) Deputy Head, Director of Research

  • Dept. of Medical Imaging & Radiation Sciences

Monash University, Clayton

  • Mr. Nigel Anderson (Associate Investigator)

Principal Research Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Melbourne

  • Ms. Melinda Brenker (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Box Hill

  • Ms. Jacinta Krstic (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Bendigo A/Prof Caroline Wright (Supervisor – Academic) Senior Lecturer, Course Coordinator

  • Dept. of Medical Imaging & Radiation Sciences

Monash University, Clayton

  • Ms. Nicola Treffry (Study Coordinator)

Radiation Therapist (Clinical Educator)

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Melbourne

  • Ms. Roxanne Hendricks (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Box Hill

  • Ms. Danielle Fong (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Sunshine

  • Dr. Richard Oates (Supervisor – Clinical)

Radiation Therapist (Clinical Educator)

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Bendigo

  • Ms. Tayah Ellis (Clinical Support)

Language Services Coordinator Language Services Peter MacCallum Cancer Centre, Melbourne

  • Mr. Shoaib Afzali (Research Assistant)

Radiation Therapist

  • Dept. of Radiation Oncology

Peter MacCallum Cancer Centre, Moorabbin

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References

1. Australian Bureau of Statistics 2017, 2024.0 – Census of Population and Housing: Australia Revealed, 2016 – Cultural Diversity, Canberra, ACT, viewed 21/01/2018, http://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/2024.0Main%20Features22016?opendocument&tabname=Summary&prodno=2024.0&issue=2016&num=&view= 2. City of Melbourne 2013, Multicultural Community Demographic Profile, Melbourne, VIC, viewed 21/01/2018, http://www.melbourne.vic.gov.au/SiteCollectionDocuments/demographic-profile-multicultural-2013.pdf 3. Gany F, Yogendran L, Massie D, Ramirez J, Lee T, Winkel G, Diamond L, Leng J (2013) Doctor, what do I have? Knowledge of cancer diagnosis among immigrant/migrant minorities. J Cancer Educ 28(1):165-170 4. Costas-Muniz R, Sen R, Leng J, Aragones A, Ramirez J, Gany F (2013) Cancer stage knowledge and desire for information: Mismatch in Latino cancer patients? J Cancer Educ 28(3):458-465. 5. Chen W (2013) Chinese female immigrants’ English-speaking ability and breast & cervical cancer early detection practices in the New York metropolitan area. APJCP 14(2):733-738. 6. Oh K, Zhou Q, Kreps G, Kim W (2014) The influences of immigration on health information seeking behaviours among Korean Americans and native Koreans. Health Education & Behaviour 41(2):173-185. 7. Nguyen GT, Shungu NP, Niederdeppe J, Barg FK, Holmes JH, Armstrong K, Hornik RC (2010) Cancer-related information seeking and scanning behaviour of older Vietnamese immigrants. Journal of Health Communication 15(7):754-768. 8. Hulme J, Moravac C, Farah A, Cleverly S, Lofters A, Ginsburg O, Dunn S (2016) “I want to save my life”: Conceptions of cervical and breast cancer screening among urban women of South Asian and Chinese origin. BMC Public Health 16:1077-1088. 9. Lasser KE, Murillo J, Lisboa S, Casimir AN, Valley-Shah L, Emmons KM, Fletcher RH, Ayanian JZ (2011) Colorectal cancer screening among ethnically diverse, low-income patients: a randomised controlled trial. Archives of Internal Medicine 171(10):906- 912. 10. Linsky A, McIntosh N, Cabral H, Kazis L (2011) Patient-provider language concordance and colorectal cancer screening. Journal of General Internal Medicine 26(2):142-147. 11. McWhirter J, Todd L, Hoffman-Goetz L (2011) Beliefs about causes of colon cancer by English-as-a-second-language Chinese immigrant women to Canada. J Cancer Educ 26(4):734-739. 12. Shelton RC, Jandorf L, King S, Thelemaque L, Erwin DO (2012) Cervical cancer screening among immigrant Hispanics: An analysis by country of origin. Journal of Immigrant and Minority Health 14(4):715-716. 13. Kawar LN (2013) Barriers to breast cancer screening participation among Jordanian and Palestinian American women. European Journal of Oncology Nursing 17(1):88-94. 14. Thomson M, Hoffman-Goetz L (2011) Challenges of recruiting ESL immigrants into cancer education studies: reflections from practice notes. J Cancer Educ 26(1):170-174. 15. Shaw J, Zou X, Butow P (2015) Treatment decision making experiences of migrant cancer patients and their families in Australia. Patient Education and Counselling 98(6):742-747. 16. Butow P, Sze M, Dugal-Beri P, Mikhail M, Eisenbruch M, Jefford M, Schofield P, Girgis A, King M, Goldstein D (2011) From inside the bubble: migrants’ perceptions of communication with the cancer team. Support Care Cancer 19(2):281-290. 17. Hyatt A, Lipson-Smith R, Schofield P, Gough K, Sze M, Aldridge L, Goldstein D, Jefford M, Bell ML, Butow P (2017) Communication challenges experienced by migrants with cancer: A comparison of migrant and English-speaking Australian-born cancer

  • patients. Epidemiology & Biostatistics [in press]

18. Weber O, Sulstarova B, Singy P (2016) Cross-cultural communication in oncology: challenges and training interests. Oncology Nursing Forum 43(1):E24-33. 19. Hunter J, Kelly PJ (2012) Imagined anatomy and other lessons from learner verification interviews with Mexican immigrant women. Journal of Obstetric, Gynaecologic & Neonatal Nursing 41(6):E1-12. 20. Krasnik A, Hassani A, Kristiansen M (2010) A qualitative assessment of implementing a cross-cultural survey on cancer wards in Denmark – a description of barriers. BMC Medical Research Methodology 10(1):4-11. 21. Butow P, Bell M, Aldridge L, Sze M, Eisenbruch M, Jefford M, Schofield P, Girgis A, King M, Duggal P, McGrane J, Goldstein D (2013) Unmet needs in immigrant cancer survivors: a cross-sectional population-based study. Support Care Cancer 21(9):2509- 2520. 22. Leng J, Lee T, Sarpel U, Lau J, Li Y, Cheng C, Chang M, Gany F (2012) Identifying the informational and psychosocial needs of Chinese immigrant cancer patients: a focus group study. Support Care Cancer 20(12):3221-3229. 23. Butow P, Lobb E, Jefford M, Goldstein D, Eisenbruch M, Girgis A, King M, Sze M, Aldridge L, Schofield P (2012) A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients. Support Care Cancer 20(2):235-244. 24. Kristiansen M, Tjornhoj-Thomsen T, Krasnik A (2010) the benefit of meeting a stranger: Experiences with emotional support provided by nurses among Danish-born and migrant cancer patients. European Journal of Oncology Nursing 14(3):244-252. 25. Indiegogo 2018, Travis the Translator, San Francisco, CA, viewed 26/01/2018, https://www.indiegogo.com/projects/travis-i-speak-80-languages-so-can-you-travel#/updates/all