通过医疗保健翻译培训,改善癌症试验中的种族多样性
Suzanne J Grant1, Mayra Ouriques2, Abhijit Pal3,4,5
1NICM Health Research Institute, Western Sydney University, Penrith South, DC New South Wales, Australia.
Cancer medicine
|August 1, 2025
概括
医疗保健口译员培训显著提高了对癌症临床试验的知识和信心,解决了文化和语言多样性 (CALD) 患者的关键障碍. 这有助于公平地获得重要的癌症研究机会.
科学领域:
- 临床试验和瘤学研究
- 卫生平等与获得健康机会
- 医疗口译和医学沟通
背景情况:
- 由于语言和文化差异,来自文化和语言多样性 (CALD) 背景的癌症患者在获得临床试验方面面临重大障碍.
- 对临床试验的不公平访问加剧了CALD人群的癌症结果差异,并降低了研究的有效性.
- 在癌症临床试验术语方面,医疗保健口译员 (HCI) 缺乏专业培训,这是一个被公认的患者获取障碍.
研究的目的:
- 解决有关癌症临床试验的医疗保健机构之间的知识和技能差距.
- 建立口译员的劳动力能力,以便在临床试验环境中更好地服务于CALD患者.
- 提高癌症临床试验翻译服务的质量.
主要方法:
- 一个两阶段的质量改进项目,包括基线知识调查和随后的培训模块.
- 第一个阶段:主题专家和管理人员共同开发了一项调查,以确定大约700个新州高中的知识差距.
- 第二阶段:培训模块涵盖临床试验概念,治理,伦理,阶段,知情同意和口译角色;培训前后的调查评估了学习.
主要成果:
- 133名口译员参加了最初的调查,显示临床试验口译经验有限 (34%从未在试验中做过口译),平均知识准确率为68%.
- 在随机化,试验阶段,治理,道德和赞助商中发现了关键的知识差距.
- 在接受培训后,92名受过培训的口译员的平均知识准确度从74%增加到91%,对理解术语的信心从20%增加到62%.
结论:
- 培训显著提高了HCI对癌症临床试验原则和术语的知识和信心.
- 开发的培训模块提高了口译员的能力,促进了在临床试验中为CALD个体提供更好的服务.
- 培训模块的在线可用性旨在实现全州范围的访问;未来的评估应评估对CALD试验参与的影响.
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