Overcoming Radiation Therapy Language Barriers with the use of an - PowerPoint PPT Presentation

Overcoming Radiation Therapy Language Barriers with the use of an Instant Translation Device for Culturally and Linguistically Diverse Patients Mr Darren Hunter Prof Michal Schneider Honorary Radiation Therapist Mr Nigel Anderson Deputy Head, Director of Research Principal Research Radiation Therapist Dept. of Radiation Oncology Dept. of Medical Imaging & Radiation Sciences Dept. of Radiation Oncology Monash University Peter MacCallum Cancer Centre Peter MacCallum Cancer Centre darren.hunter@petermac.org Dr Richard Oates A/Prof Caroline Wright Dr David Kok Senior Lecturer – Course Coordinator Radiation Therapist – Clinical Educator Radiation Oncologist Dept. of Medical Imaging & Radiation Sciences Dept. of Radiation Oncology Dept. of Radiation Oncology Peter MacCallum Cancer Centre Monash University Peter MacCallum Cancer Centre

Introduction : A Nation of Nations

Background : Literature Review

Background : ORBIT Study Development 1) How can we provide equitable provision of information, patient experience, optimal care and psychosocial support for non-English speaking patients presenting for radiotherapy treatment? 2) Is there a solution that adheres to patient and staff satisfaction, whilst cost-effective and easy to implement? An instant translation device (ITD) will provide a suitable, reliable and inexpensive platform for daily communication between radiation therapists (RTs) and non-English speaking patients.

Background : Travis the Translator

Methodology : ORBIT Study Overview Completed In Progress (1) Patient & staff satisfaction, comfort and limitations (2) Suitability for daily use – improved communication/engagement (3) Feasibility for a Stage 3 RCT – cost-benefit, compliance & ancillary care

Methodology: ORBIT Stage 1 Score Explanation Example 0 Complete mismatch, wrong meaning Cairns in leash 1 One or few correct words, wrong meaning Cans are English 2 Impartial match, ambiguous Will discuss English? 3 Impartial match, same meaning Can you talk in English? 4 Complete match Can you speak English?

Results: ORBIT Stage 1 – Demographics Participant Age Gender Ethnicity Birth Nation Qual 1 26 Female Chinese Australia RT 2 28 Female European Australia RT 3 36 Male Pakistani Australia RT 4 24 Male Vietnamese Australia RT 5 43 Female European Australia RT 6 35 Male Malaysian Australia RT Interpreter Age Gender Ethnicity Birth Nation Qual 1 30 Male Chinese China Level 3 - Adv Dip 2 34 Female Chinese China Level 3 - Adv Dip

Results: ORBIT Stage 1 – Pass Rate (Score >3)

Discussion: Current & Future States

Project Timeline PROGRESS TO DATE PROJECTED CONCEPT DESIGN PMCC LNR ETHICS STAGE 1 VALIDATION COMPLETE COMPLETE & LIT REVIEW APPROVAL COMPLETED STAGE 2 PILOT STAGE 3 RCT OCT DEC JULY AUG OCT DEC Q3 Q4 Q4 2017 2017 2018 2018 2018 2018 2019 2019 2020 AWARDED VMRPET MONASH HREC STAGE 2 PILOT COMMENCE GRANT FUNDING APPROVAL COMMENCED STAGE 3 RCT

Project Team & Partners A/Prof Caroline Wright (Supervisor – Academic) Dr. Richard Oates (Supervisor – Clinical) Mr. Darren Hunter (Principal Investigator) Prof Michal Schneider (Primary Supervisor) Senior Lecturer, Course Coordinator Radiation Therapist (Clinical Educator) Radiation Therapist Deputy Head, Director of Research Dept. of Medical Imaging & Radiation Sciences Dept. of Radiation Oncology Dept. of Radiation Oncology Dept. of Medical Imaging & Radiation Sciences Monash University, Clayton Peter MacCallum Cancer Centre, Bendigo Peter MacCallum Cancer Centre, Melbourne Monash University, Clayton Ms. Nicola Treffry (Study Coordinator) Ms. Tayah Ellis (Clinical Support) Dr. David Kok (Associate Investigator) Mr. Nigel Anderson (Associate Investigator) Radiation Therapist (Clinical Educator) Language Services Coordinator Radiation Oncologist Principal Research Radiation Therapist Dept. of Radiation Oncology Language Services Dept. of Radiation Oncology Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Melbourne Peter MacCallum Cancer Centre, Melbourne Peter MacCallum Cancer Centre, Melbourne Peter MacCallum Cancer Centre, Melb/Sunshine Ms. Roxanne Hendricks (Research Assistant) Mr. Shoaib Afzali (Research Assistant) Ms. Melinda Brenker (Research Assistant) Ms. Olivia Mayberry (Research Assistant) Radiation Therapist Radiation Therapist Radiation Therapist Radiation Therapist Dept. of Radiation Oncology Dept. of Radiation Oncology Dept. of Radiation Oncology Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Box Hill Peter MacCallum Cancer Centre, Moorabbin Peter MacCallum Cancer Centre, Box Hill Peter MacCallum Cancer Centre, Box Hill Ms. Danielle Fong (Research Assistant) Mr. Christopher Marinakis (Research Assistant) Ms. Jacinta Krstic (Research Assistant) Radiation Therapist Radiation Therapist Radiation Therapist Dept. of Radiation Oncology Dept. of Radiation Oncology Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Sunshine Peter MacCallum Cancer Centre, Sunshine Peter MacCallum Cancer Centre, Bendigo