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Related Experiment Video

Updated: Sep 5, 2025

Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish

Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish

Published on: July 18, 2020

How responding in Spanish affects CAHPS results.

Floyd J Fowler¹, Philip S Brenner^1,2, Carol Cosenza¹

¹Center for Survey Research, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA, 02125, USA.

BMC Health Services Research

|July 8, 2022

Summary

Patients responding to healthcare surveys in Spanish reported more positive experiences than English speakers. Further research is needed to determine if these differences in Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey results require adjustment.

Keywords:

CAHPS Patient experience Quality of health care Spanish answers in surveys

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Area of Science:

Health Services Research
Health Disparities
Patient Experience Measurement

Background:

Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are standard for assessing patient experiences in the U.S.
Previous studies on language and ethnicity effects on CAHPS responses are inconsistent.
Limited research exists on the impact of Spanish-language CAHPS surveys.

Purpose of the Study:

To investigate differences in CAHPS survey responses based on language and ethnicity.
To test hypotheses regarding response options, translation equivalence, and healthcare expectations.
To compare responses between non-Hispanics (English), Hispanics (English), and Hispanics (Spanish).

Main Methods:

Survey administered to patients receiving care at a community health center.
Dual-language (English/Spanish) mailings with telephone follow-up by bilingual interviewers.
Analysis compared three groups: non-Hispanics (English), Hispanics (English), and Hispanics (Spanish).

Main Results:

Overall response rate was 45%.
Adjusting for demographics and self-rated health, Spanish responders reported significantly more positive experiences on three of five measures.
Spanish responders reported higher ratings than non-Hispanic respondents on a fourth measure.

Conclusions:

Spanish-speaking respondents reported more positive healthcare experiences than English-speaking respondents.
Key issue: determine if differences are due to response tendencies, care standards, or actual experiences.
Findings highlight the need to assess comparability of Spanish CAHPS responses with English versions.