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Interventions for End of Life Decision Making for Patients with Limited English Proficiency

  • Amelia BarwiseEmail author
  • Joyce Balls-Berry
  • Jalal Soleimani
  • Bibek Karki
  • Brandon Barrett
  • Katerina Castillo
  • Samantha Kreps
  • Hilary Kunkel
  • Beatriz Vega
  • Patricia Erwin
  • Nataly Espinoza Suarez
  • Michael E. Wilson
Original Paper
  • 47 Downloads

Abstract

Patients with limited English proficiency (LEP) experience disparities in end-of-life decision making and advance care planning. Our objective was to conduct a systematic review to assess the literature about interventions addressing these issues. Our search strategy was built around end-of-life (EOL), LEP, ACP, and goals of care. The databases included Ovid MEDLINE(R), and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily from 1946 to November 9, 2018, Ovid EMBASE. Eight studies from the US and Australia were included (seven studies in Spanish and one study in Greek and Italian). Interventions used trained personnel, video images, web-based programs, and written materials. Interventions were associated with increased advance directive completion and decreased preferences for some life-prolonging treatments. Interventions were deemed to be feasible and acceptable. Few interventions exist to improve end-of-life care for patients with LEP. Data are limited regarding intervention effectiveness.

Keywords

LEP Limited english proficiency End-of-life decision making End-of-life care Advance care planning Advance directive Disparities Interventions Systematic review 

Notes

Funding

This study was supported by Grant Number UL1 TR002377 from the National Center for Advancing Translational Sciences. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.

Compliance with Ethical Standards

Conflict of interest

The authors have not disclosed any potential conflicts of interest.

Supplementary material

10903_2019_947_MOESM1_ESM.docx (19 kb)
Supplementary material 1 (DOCX 18 kb)

References

  1. 1.
    American Community Survey. Detailed languages spoken at home and ability to speak English for the population 5 years and over. 2009–2013. https://www.census.gov/data.html. Accessed 5 Jan 019.
  2. 2.
    Migration Policy Institute. https://www.migrationpolicy.org/.
  3. 3.
    LEP.gov. https://www.lep.gov/faqs/faqs.html#One_LEP_FAQ. Accessed 5 Jan 2019.
  4. 4.
    Woloshin S, et al. Is language a barrier to the use of preventive services? J Gen Intern Med. 1997;12(8):472–7.PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Orom H. Nativity and perceived healthcare quality. J Immigr Minor Health. 2016;18(3):636–43.PubMedCrossRefPubMedCentralGoogle Scholar
  6. 6.
    John-Baptiste A, et al. The effect of English language proficiency on length of stay and in-hospital mortality. J Gen Intern Med. 2004;19(3):221–8.PubMedPubMedCentralCrossRefGoogle Scholar
  7. 7.
    Karliner LS, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276–82.PubMedCrossRefPubMedCentralGoogle Scholar
  8. 8.
    Ngo-Metzger Q, et al. Providing high-quality care for limited English proficient patients: the importance of language concordance and interpreter use. J Gen Intern Med. 2007;22(Suppl 2):324–30.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Schenker Y, et al. The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study. Patient Educ Couns. 2010;81(2):222–8.PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Harmsen JA, et al. Patients’ evaluation of quality of care in general practice: what are the cultural and linguistic barriers? Patient Educ Couns. 2008;72(1):155–62.PubMedCrossRefPubMedCentralGoogle Scholar
  11. 11.
    Cheng EM, Chen A, Cunningham W. Primary language and receipt of recommended health care among Hispanics in the United States. J Gen Intern Med. 2007;22(Suppl 2):283–8.PubMedPubMedCentralCrossRefGoogle Scholar
  12. 12.
    Flores G, et al. Access barriers to health care for Latino children. Arch Pediatr Adolesc Med. 1998;152(11):1119–25.PubMedCrossRefPubMedCentralGoogle Scholar
  13. 13.
    Hampers LC, et al. Language barriers and resource utilization in a pediatric emergency department. Pediatrics. 1999;103(6 Pt 1):1253–6.PubMedCrossRefPubMedCentralGoogle Scholar
  14. 14.
    Manson A. Language concordance as a determinant of patient compliance and emergency room use in patients with asthma. Med Care. 1988;26(12):1119–28.PubMedCrossRefPubMedCentralGoogle Scholar
  15. 15.
    Schyve PM. Language differences as a barrier to quality and safety in health care: the Joint Commission perspective. J Gen Intern Med. 2007;22(2):360–1.PubMedPubMedCentralCrossRefGoogle Scholar
  16. 16.
    Betancourt JR, Green AR, et al., editors. Improving patient safety systems for patients with limited English proficency. A guide for hospitals, AHRQ. MD: Agency for Healthcare Research and Quality; 2012.Google Scholar
  17. 17.
    Divi C, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60–7.PubMedCrossRefPubMedCentralGoogle Scholar
  18. 18.
    Wilson E, et al. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005;20(9):800–6.PubMedPubMedCentralCrossRefGoogle Scholar
  19. 19.
    Singleton K, Krause E. Understanding cultural and linguistic barriers to health literacy. OJIN. 2009;14(3):4.Google Scholar
  20. 20.
    Barwise A, et al. Differences in code status and end-of-life decision making in patients with limited English proficiency in the intensive care unit. Mayo Clin Proc. 2018;93(9):1271–81.PubMedCrossRefPubMedCentralGoogle Scholar
  21. 21.
    Yarnell CJ, et al. Association between immigrant status and end-of-life care in Ontario, Canada. JAMA. 2017;318:1479–88.PubMedPubMedCentralCrossRefGoogle Scholar
  22. 22.
    Barwise A, et al. An individual housing-based socioeconomic status measure predicts advance care planning and nursing home utilization. Am J Hosp Palliat Med. 2018;36:362–9.CrossRefGoogle Scholar
  23. 23.
    Bullock K. Promoting advance directives among African Americans: a faith-based model. J Palliat Med. 2006;9(1):183–95.PubMedCrossRefPubMedCentralGoogle Scholar
  24. 24.
    Carr D, Luth EA. Advance care planning: contemporary issues and future directions. Innov Aging. 2017;1(1):igx012.PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Fischer SM, et al. Advance directive discussions: lost in translation or lost opportunities? J Palliat Med. 2012;15(1):86–92.PubMedPubMedCentralCrossRefGoogle Scholar
  26. 26.
    Sudore RL, et al. Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel. J Pain Sympt Manag. 2017;53(5):821–32.CrossRefGoogle Scholar
  27. 27.
    Institute of Medicine (US). Dying in America: improving quality and honoring individual preferences near end of life. Washington: The National Academies of Sciences Engineering Medicine: National Academies Press; 2015.Google Scholar
  28. 28.
    Krakauer EL, Crenner C, Fox K. Barriers to optimum end-of-life care for minority patients. J Am Geriatr Soc. 2002;50(1):182–90.PubMedCrossRefPubMedCentralGoogle Scholar
  29. 29.
    Meghani SH, Hinds PS. Policy brief: the Institute of Medicine report Dying in America: Improving quality and honoring individual preferences near the end of life. Nurs Outlook. 2015;63(1):51–9.PubMedCrossRefPubMedCentralGoogle Scholar
  30. 30.
    Lowes, R., Medicare approves payment for end-of-life counseling. Retrieved from 2015.Google Scholar
  31. 31.
    Belanger E, et al. Early utilization patterns of the new medicare procedure codes for advance care planning. JAMA Internal Med. 2019;17:829–30.CrossRefGoogle Scholar
  32. 32.
    Mehta A, Kelley AS. Advance care planning codes—getting paid for quality care. JAMA Internal Med. 2019;179:830–1.CrossRefGoogle Scholar
  33. 33.
    Pelland K, et al. Assessment of first-year use of medicare’s advance care planning billing codes. JAMA Internal Med. 2019;179:827–9.CrossRefGoogle Scholar
  34. 34.
    Keers-Sanchez A. Mandatory provision of foreign language interpreters in health care services. J Legal Med. 2003;24(4):557–78.CrossRefGoogle Scholar
  35. 35.
    Karliner LS, et al. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res. 2007;42(2):727–54.PubMedPubMedCentralCrossRefGoogle Scholar
  36. 36.
    Moher D, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.PubMedPubMedCentralCrossRefGoogle Scholar
  37. 37.
    Higgins JP, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.PubMedPubMedCentralCrossRefGoogle Scholar
  38. 38.
    Wells, G., et al., Newcastle-Ottawa quality assessment scale cohort studies. 2014.Google Scholar
  39. 39.
    Fischer SM, et al. Apoyo con Carino: a pilot randomized controlled trial of a patient navigator intervention to improve palliative care outcomes for Latinos with serious illness. J Pain Symptom Manage. 2015;49(4):657–65.PubMedCrossRefPubMedCentralGoogle Scholar
  40. 40.
    Fischer SM, et al. Effect of Apoyo con Cariño (Support With Caring) Trial of a patient navigator intervention to improve palliative care outcomes for latino adults with advanced cancer: a Randomized clinical trial. JAMA Oncol. 2018;4(12):1736–41.PubMedPubMedCentralCrossRefGoogle Scholar
  41. 41.
    Heyman JC, Gutheil IA. Older Latinos’ attitudes toward and comfort with end-of-life planning. Health Soc Work. 2010;35(1):17–26.PubMedCrossRefPubMedCentralGoogle Scholar
  42. 42.
    Nedjat-Haiem FR, et al. Implementing an advance care planning intervention in community settings with older Latinos: a feasibility study. J Palliat Med. 2017;20(9):984–93.PubMedPubMedCentralCrossRefGoogle Scholar
  43. 43.
    Sudore RL, et al. An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Patient Educ Couns. 2007;69(1–3):165–95.PubMedPubMedCentralCrossRefGoogle Scholar
  44. 44.
    Sudore RL, et al. Engaging diverse english-and spanish-speaking older adults in advance care planning: the PREPARE randomized clinical trial. JAMA Internal Med. 2018;178:1616–25.CrossRefGoogle Scholar
  45. 45.
    Detering K, et al. Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study. BMJ Open. 2015;5(8):e008800.PubMedPubMedCentralCrossRefGoogle Scholar
  46. 46.
    Volandes AE, et al. Overcoming educational barriers for advance care planning in Latinos with video images. J Palliat Med. 2008;11(5):700–6.PubMedCrossRefPubMedCentralGoogle Scholar
  47. 47.
    Cardona-Morrell M, et al. A systematic review of effectiveness of decision aids to assist older patients at the end of life. Patient Educ Couns. 2017;100(3):425–35.PubMedCrossRefPubMedCentralGoogle Scholar
  48. 48.
    Miles L, Corr CA. Death café: what is it and what we can learn from it. OMEGA J Death Dying. 2017;75(2):151–65.CrossRefGoogle Scholar
  49. 49.
    Gould, K.A., A conversation for the holidays: the conversation project. 2014, LWW.Google Scholar
  50. 50.
    Pecanac KE, et al. Respecting Choices® and advance directives in a diverse community. J Palliat Med. 2014;17(3):282–7.PubMedCrossRefPubMedCentralGoogle Scholar
  51. 51.
    Eckstein D, Mullener B. A couples advance directives interview using the five wishes questionnaire. Fam J. 2010;18(1):66–9.CrossRefGoogle Scholar
  52. 52.
    Nedjat-Haiem FR, et al. Efficacy of motivational interviewing to enhance advance directive completion in Latinos with chronic illness: a randomized controlled trial. Am J Hosp Palliat Med. 2019;36:980–92.CrossRefGoogle Scholar
  53. 53.
    Barwise A, Sharp R, Hirsch J. Ethical tensions resulting from interpreter involvement in the consent process. Ethics Hum Res. 2019;41(4):31–5.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Amelia Barwise
    • 1
    Email author
  • Joyce Balls-Berry
    • 2
  • Jalal Soleimani
    • 3
  • Bibek Karki
    • 1
  • Brandon Barrett
    • 4
  • Katerina Castillo
    • 4
  • Samantha Kreps
    • 5
  • Hilary Kunkel
    • 4
  • Beatriz Vega
    • 4
  • Patricia Erwin
    • 6
  • Nataly Espinoza Suarez
    • 7
  • Michael E. Wilson
    • 1
    • 7
  1. 1.Division of Pulmonary and Critical Care MedicineMayo ClinicRochesterUSA
  2. 2.Office for Community Engagement in Research, Center for Clinical and Translational Science, Division of EpidemiologyMayo ClinicRochesterUSA
  3. 3.Department of AnesthesiologyMayo ClinicRochesterUSA
  4. 4.Mayo Clinic Alix School of MedicineRochesterUSA
  5. 5.Health SciencesUniversity of MinnesotaRochesterUSA
  6. 6.Department of Education AdministrationRochesterUSA
  7. 7.Knowledge Evaluation Research UnitMayo ClinicRochesterUSA

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