An interventional study of Active comparator: Human interpreter and Intervention: Asynchronous Telepsychiatry in Mood Disorder, Anxiety Disorder and Substance Use Disorder, sponsored by University of California, Davis. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-14.
Sponsored by University of California, Davis · Not applicable, Interventional, and Health services research
There is a pressing national need to provide higher-quality, more effectively accessible language interpretation services to improve the health outcomes of Americans who have limited English proficiency (LEP). This project addresses a critical component of this problem: The need to improve access to high quality, mental health services for diverse populations by improving the flow of clinical work across care settings (primary care and specialty care) through the use of innovative online asynchronous methods of language interpretation and clinical communication. The investigators are conducting a two phase study. The first phase is completed and involved developing and testing the interpreting tool. The second phase of the research is a clinical trial to compare two methods of cross-language psychiatric assessment.
The investigators propose to develop and test a novel automated asynchronous interpretation tool. The proposed project builds on previous research, piloting the automated asynchronous interpretation tool. This 5-year project will be conducted in two phases. In Phase 1 the investigators iteratively evaluate and refine the automated asynchronous interpretation tool already developed in prior studies. In Phase 2, the investigators evaluate this tool using a two-group randomized cross-over trial. Investigators compare:
All patients will undergo evaluation by both methods. Half of the patients will be randomized to be assessed by Method A first, followed by Method B and half to be assessed by Method B first, followed by Method A. The specific aims of the study are :
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Inclusion Criteria: Inclusion Criteria: Hispanic patients with significant Limited English proficiency (LEP)
Exclusion Criteria: Criteria:
Conventional in-person interview with a psychiatrist with a live human interpreter with crossover to asynchronous telepsychiatry
Behavioral: Active comparator: Human interpreter · Behavioral: Intervention: Asynchronous Telepsychiatry
Asynchronous telepsychiatry - that is, video-recorded interviews that are subsequently processed with automated speech recognition and machine translation technologies, with crossover to conventional in-person interview with a psychiatrist with a live human interpreter
Behavioral: Active comparator: Human interpreter · Behavioral: Intervention: Asynchronous Telepsychiatry
A Spanish-speaking patient is diagnostically assessed in-person by an English-speaking psychiatrist through a Spanish-speaking interpreter.
A Spanish-speaking patient is interviewed in Spanish by a trained mental health interviewer. The interview is video-recorded in real-time, automatically translated into English with sub-titles added to the video file, and sent to a psychiatrist and to 3 English-speaking psychiatrists to asynchronously review the video and make a diagnosis.
Diagnostic accuracy
Diagnosis accuracy with respect to gold standard SCID for Method B will be evaluated against Method A.
Time frame: Measured at one time point by each psychiatrist, once both methods of interviews are completed in one day
Diagnostic Inter-rater reliability
Using independent assessments from four psychiatrists for each of the 100 method B interviews the investigators will also examine inter-rater reliability of Method B diagnosis.
Time frame: Measured at one time point by each psychiatrist, once both methods of interviews are completed in one day
Satisfaction ratings
Satisfaction ratings from patients' questionnaires
Time frame: Measured at one time point by each psychiatrist, once both methods of interviews are completed in one day
Interview and language interpretation quality
All 200 interviews in both methods will be video recorded and the audio transcribed. The investigators will measure and compare the two interview methods interpretation quality through perception of interpretation quality
Time frame: Measured at one time point by each psychiatrist, once both methods of interviews are completed in one day
Interview and language interpretation accuracy
All 200 interviews in both methods will be video recorded and the audio transcribed. The investigators will measure and compare the two interview methods accuracy through the presence of medical errors, and the presence of language errors
Time frame: Measured at one time point by each psychiatrist, once both methods of interviews are completed in one day
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Plan to share: No
This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.
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University of California, Davis