Designing technology for assessments Culturally and Linguistically Diverse (CALD) patients
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1 Photo source: Designing technology for assessments Culturally and Linguistically Diverse (CALD) patients Dana Kai Bradford Research Scientist 4 August 2015 AUSTRALIAN E-HEALTH RESEARCH CENTRE Freyne, Jill; Pocock, Courtney; Bradford, Dana; Harrap, Karen; Brinkmann, Sally Designing technology for assessments of CALD patients. Health Informatics Conference, Brisbane.
2 The City of Brimbank A model of cultural diversity Rich Indigenous history Continues to acknowledge Kulin nation of peoples as traditional owners Embraced 156 nationalities from around the globe >150 languages are spoken 61% of households speak a language other than English an increase of over 12,000 residents between 2006 and More than one in five residents (22.3%) either do not speak English, or do not speak it well. 2 Technology for CALD Assessments Dana Kai Bradford
3 Western Health Servicing communities in west Melbourne Eight sites, including four hospitals Highest levels of socio-economic and cultural diversity Highly competent interpreter services 11 languages based at WH; all others booked 100 patients per day require services non-english speaking patients are sometimes unable to access timely assessment 3 Technology for CALD Assessments Dana Kai Bradford
4 WH Speech Pathology Cultural Key Phrases Flip Chart Booklet (2010) Key phrases, instructions and photographs Translated written words Prompt patient actions Facilitate assessment 10 most common languages Arabic, Cantonese, Croatian, Dinka, Greek, Italian, Mandarin, Serbian, Spanish and Vietnamese. Improved assessment completion rates from 30% to 80% Sold to a number of hospitals in Victoria and interstate 4 Technology for CALD Assessments Dana Kai Bradford
5 Development of the digital app Speech Pathology Cultural Key Phrases Tool (CKPT) (2012) CSIRO developed a protoype app for the CKPT Translated audio prompt Short video demonstrations Same 10 languages used Arabic, Cantonese, Croatian, Dinka, Greek, Italian, Mandarin, Serbian, Spanish and Vietnamese. Further increase in assessment completion rates to 94% Standard practice for Speech Pathology 5 Technology for CALD Assessments Dana Kai Bradford
6 Development of the digital app Allied Health Cultural Key Phrases Tool (CKPT) (2014) User needs assessment five allied health groups Speech Pathology, Occupational Therapy, Physiotherapy, Dietetics, Podiatry (N=19) Identified 97 key phrases Introduction, Education Review of interpreter demand Identify appropriate languages Macedonian > Dinka Design user experience and interface Functionality and design parameters 6 Technology for CALD Assessments Dana Kai Bradford
7 Features and functions of CALD Assist Language selection 7 Technology for CALD Assessments Dana Kai Bradford
8 Features and functions of CALD Assist Disciplines and phrase library 8 Technology for CALD Assessments Dana Kai Bradford
9 Features and functions of CALD Assist Phrases, images and answer options 9 Technology for CALD Assessments Dana Kai Bradford
10 Trialling CALD Assist at Western Health Five allied health groups Trial ran for 23 weeks, across 8 wards Sunshine, Footscray Outcomes Impact Acceptance Efficacy of app Measures baseline data post assessment feedback clinician, patient 10 Technology for CALD Assessments Dana Kai Bradford
11 sessions App usage and clinician feedback Use and usability Total number of sessions: Speech Pathology Physiotherapy Dietetics Occupational Therapy Podiatry Total number of phrases selected: 128 Clinicians from three allied health groups (n=6) provided feedback 83.33% agreed with the statement I found the app easy to use 100% agreed with the statement Learning to operate the app was easy 11 Technology for CALD Assessments Dana Kai Bradford
12 Efficacy of CALD Assist Minutes to complete assessment Prior to app With CALD Assist Max Min 10 2 Average % 40.00% 35.00% 30.00% 25.00% 20.00% complete confidence 15.00% 10.00% 5.00% 0.00% Prior to app With CALD Assist 12 Technology for CALD Assessments Dana Kai Bradford
13 CALD Assist is a unique, purpose built app designed to improve service delivery to CALD patients Preliminary results suggest: Potential to improve performance metrics Easy to learn and use 13 Technology for CALD Assessments Dana Kai Bradford
14 Thank you AEHRC/Engagement and Effectiveness Team DanaKai Bradford Research Scientist t e Dana.Bradford@csiro.au w Funding: Victorian Department of State Development, Business and Innovation HEALTH AND BIOSECURITY
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