207668 Pilot-testing of multilingual health-education voice messages for limited English proficiency (LEP) populations

Monday, November 9, 2009

Amie Parikh, MA , LanguageMate, New York, NY

LEP status contributes to a range of adverse health outcomes, including greater likelihood of hospital admission, misdiagnosis, and inappropriate treatment. Despite documented evidence that automated telephone messages contribute to positive health outcomes and may particularly benefit LEP populations, the overwhelming majority of telephone-based interventions exclusively target English-speaking patients.


The objective of this pilot study was to develop multilingual voice messages and evaluate their efficacy for cancer-related education for LEP individuals.


Messages were scripted and audio-recorded in Spanish, Cantonese, Mandarin and English. Representative LEP individuals (N=50) and healthcare providers (N=26) were recruited to evaluate the messages via knowledge acquisition instruments, Likert-scale questionnaires and group discussions. Assessments were made at baseline, immediately post-listening, and 7-10 days later.


LEP Participants demonstrated significant knowledge gains as compared to baseline: Pre-test - 54%, Post-test - 88%, Retention test - 81%. LEP participants (90%) and healthcare providers (91%) believed the messages were an effective means to communicate important health information; 100% of LEP participants would encourage friends and family to receive these health messages; 96% of providers would use this messaging system to relay health information to their patients.


This study successfully demonstrated the use of language-concordant voice messages to impart health information to LEP individuals. A Phase II randomized-controlled trial is currently underway to determine the efficacy of health-related voice messages as an adjunct to a community outreach program for LEP patients. Funding for this study is provided by NIH/NCI.

Learning Objectives:
By the end of the session, participants will be able to: Describe the innovative role automated telephone messages can play as a health promotion tool for LEP populations. Discuss the potential of language-concordant, culturally-sensitive telephone-based campaigns to reduce health disparities. Identify Best Practices for developing culturally tailored content for multilingual health messaging.

Keywords: Telehealth, Immigrants

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Manager for the research study and have considerable experience with CBPR
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Transcendent International Public Health Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.