Disparities During Family-Centered Rounds for Families Using Languages Other Than English.

Area of Science:

• Pediatric healthcare communication
• Health equity research
• Linguistic diversity in clinical settings

Background:

• Patient- and family-centered rounds (PFCR) are a pediatric standard of care.
• Limited research focuses on the experiences of families using languages other than English (LOE), particularly non-English/Spanish languages (LOES).

Purpose of the Study:

• To identify differences in communication and engagement during PFCR for families using LOE compared to English.
• To specifically examine disparities for families using Spanish and LOES.

Main Methods:

• Analysis of postintervention data from a 21-center structured PFCR study.
• Logistic regression adjusted by site compared PFCR experiences between English-speaking families and those using LOE, Spanish, or LOES.

Main Results:

• Families using LOE, Spanish, and LOES had significantly lower adjusted odds for key communication domains, including explaining diagnoses and family engagement.
• Disparities were particularly pronounced for families using LOES, with lower odds for sharing concerns and engagement.
• Interpretation services were not utilized in a notable percentage of encounters involving LOE, Spanish, and LOES.

Conclusions:

• Significant communication and engagement disparities persist for families using LOE, especially LOES, even after PFCR intervention.
• Future PFCR improvement strategies must prioritize language access and enhance engagement for LOE-speaking families.
• Addressing linguistic barriers is crucial for achieving equitable care in pediatric settings.