» Articles » PMID: 31749066

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

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.

Citing Articles

Perspectives and insights of critical care clinicians, patients and families from culturally and linguistically diverse backgrounds around end-of-life care in an ICU: a scoping review protocol.

Sundararajan K, Raith E, Hu R, Damarell R, Subramaniam A, Anderson N BMJ Open. 2024; 14(11):e090168.

PMID: 39488414 PMC: 11535696. DOI: 10.1136/bmjopen-2024-090168.


Through the eyes of Spanish-speaking patients, caregivers, and community leaders: a qualitative study on the in-patient hospital experience.

Nguyen N, Guillen Lozoya A, Caruso M, Capetillo Porraz M, Pacheco-Spann L, Allyse M Int J Equity Health. 2024; 23(1):164.

PMID: 39164755 PMC: 11337574. DOI: 10.1186/s12939-024-02246-9.


Advance care planning as perceived by marginalized populations: Willing to engage and facing obstacles.

Izumi S, Garcia E, Kualaau A, Sloan D, DeSanto-Madeya S, Candrian C PLoS One. 2024; 19(4):e0301426.

PMID: 38557983 PMC: 10984538. DOI: 10.1371/journal.pone.0301426.


Comparative costs for critically ill patients with limited English proficiency versus English proficiency.

Barwise A, Moriarty J, Rosedahl J, Soleimani J, Marquez A, Weister T PLoS One. 2023; 18(4):e0279126.

PMID: 37186248 PMC: 10132690. DOI: 10.1371/journal.pone.0279126.


Strategies Used by Healthcare Systems to Communicate with Hospitalized Patients and Families with Limited English Proficiency During the COVID-19 Pandemic: A Narrative Review.

Yang C, Prokop L, Barwise A J Immigr Minor Health. 2023; 25(6):1393-1401.

PMID: 36821068 PMC: 9948796. DOI: 10.1007/s10903-023-01453-w.

References
1.
Volandes A, Ariza M, Abbo E, Paasche-Orlow M . Overcoming educational barriers for advance care planning in Latinos with video images. J Palliat Med. 2008; 11(5):700-6. DOI: 10.1089/jpm.2007.0172. View

2.
Flores G, Abreu M, Olivar M, Kastner B . Access barriers to health care for Latino children. Arch Pediatr Adolesc Med. 1998; 152(11):1119-25. DOI: 10.1001/archpedi.152.11.1119. View

3.
Cheng E, 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. PMC: 2078546. DOI: 10.1007/s11606-007-0346-6. View

4.
Ngo-Metzger Q, Sorkin D, Phillips R, Greenfield S, Massagli M, Clarridge B . 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. PMC: 2078537. DOI: 10.1007/s11606-007-0340-z. View

5.
Meghani S, Hinds P . 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. DOI: 10.1016/j.outlook.2014.11.007. View