Barrier-free Communication in Maternity Care of Allophone Migrants

NCT ID: NCT02695316

Last Updated: 2017-02-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 82 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-09-30
• Study Completion Date: 2016-12-31

Brief Summary

The aim of this study is to describe access and communication barriers of migrant women who do not speak the local language in the Swiss maternity care service provision from the perspective of users, health care professionals and interpreters.

Detailed Description

In Switzerland pregnant migrant women and their families are burdened in multiple ways: pregnancy requires an adjustment process and women have to deal with foreign living conditions, limited communication or the uncertainty of their residence status. An increased maternal and child health morbidity and mortality in migrants is well documented. A poor health outcome seems also to be correlated with a limited access to obstetric and maternity care services for migrants. Nearly 10% of foreigners living in Switzerland for more than one year do not speak any of the official languages. In women native of non-EU27 and -EFTA countries and asylum seekers, these rate is considerably higher.

To improve maternity care services for migrants in Switzerland several measures have been taken in the past, e.g. Hospitals for Equity, promotion of transcultural skills, written multilingual health information and interpreter services in hospitals. The availability of comparable measures in outpatient or home care services is rather an exception. One example is the midwives network "FamilyStart", an outpatient institution that offers a helpline and home visiting services for mothers and thier newborns. It collaborates with the National Telephone Interpreter Service.

It is currently unclear how successfully midwives and other health care professionals communicate with allophone migrants, if they use and benefit from any of the currently available support measures and thus may improve the access of migrant women to maternity care in Switzerland.

The study aims

• to describe the access and communication barriers of allophone women with different migration backgrounds in maternity and obstetric health services from the perspective of users, health care professionals and Interpreters
• to make prioritized recommendations on behalf of the Swiss Midwives Association and other professional associations for improving the quality and access of maternity care Services; the transcultural understanding between professionals and users; and the coordination between the different involved services.

It is an exploratory study in three parts:

1. User perspective: Qualitative assessment of the women's experiences. The participants have different migration backgrounds: representatives of the resident foreign population of Switzerland (from Kosovo or Albania with native language Albanian) and asylum seekers (from Eritrea with native language Tigrinya) will be interviewed.

2. Perspective of professionals: Qualitative assessment of the health care professionals experiences and quantitative analysis of protocols of counseling sessions from midwives who have used the telephone interpreting service during a home visit on behalf of FamilyStart.

3. Perspective of interpreters: Qualitative assessment of experiences of professional Interpreters.

Conditions

Expectant and Nursing Mother; Communication; Experiences

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Migrant Women

Focus Group Discussion in native Language with n=20

Group Type: OTHER

Focus Group Discussion in native Language

Intervention Type: OTHER

Group Interview with semi-structured key question, moderated in the native language of the participants. Interpreters translate the discussion for the Researcher analogically and adapt it culturally. The discussions are audio-recorded, summarized, translated and transcribed into German.

Health Care Professionals

Focus Group Discussion with n=20 Health Care Professionals

Group Type: OTHER

Focus Group Discussion

Intervention Type: OTHER

Group Interview with semi-structured key question, audio-recorded and ad verbatim transcription

Interpreters

One-to-one Interviews with n=4 intercultural Interpreters

Group Type: OTHER

One-to-one Interview

Intervention Type: OTHER

One-to-one Interview with semi-structured key question, audio-recorded and ad verbatim transcription.

Telephone Interpreting Protocols

Retrospective quantitative analysis of n=50 Telephone Interpreting Protocols (questionnairs)

Group Type: OTHER

Retrospective Quantitative Analysis

Intervention Type: OTHER

Retrospective Quantitative Analysis of questionnaires (Telephone Interpreting Protocols)

Interventions

Focus Group Discussion in native Language

Group Interview with semi-structured key question, moderated in the native language of the participants. Interpreters translate the discussion for the Researcher analogically and adapt it culturally. The discussions are audio-recorded, summarized, translated and transcribed into German.

Intervention Type: OTHER

Focus Group Discussion

Group Interview with semi-structured key question, audio-recorded and ad verbatim transcription

Intervention Type: OTHER

One-to-one Interview

One-to-one Interview with semi-structured key question, audio-recorded and ad verbatim transcription.

Intervention Type: OTHER

Retrospective Quantitative Analysis

Retrospective Quantitative Analysis of questionnaires (Telephone Interpreting Protocols)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• healthy women speaking Albanian or Tigrinja
• mothers of a healthy infant up to one year after birth

• Minimum one year working experience
• Experience with allophone Tigrinya or Albanian speaking women

• Female
• Minimum one year working experience
• having either telephone or face-to-face interpreting Expertise

Group 4: No limitation

Exclusion Criteria

• women speaking fluent German
• women with a serious illness during pregnancy, childbirth and/or postpartum or who's infant was seriously ill or died

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Zurich University of Applied Sciences

OTHER

Sponsor Role: collaborator

Swiss Tropical & Public Health Institute

OTHER

Sponsor Role: collaborator

FamilyStart of both Basel

UNKNOWN

Sponsor Role: collaborator

Swiss Midwifery Association

UNKNOWN

Sponsor Role: collaborator

Federal Office of Public Health, Switzerland

OTHER_GOV

Sponsor Role: collaborator

Swiss Agency for Combating Racism

UNKNOWN

Sponsor Role: collaborator

Bern University of Applied Sciences

OTHER

Sponsor Role: lead

Responsible Party

Paola Origlia Ikhilor

Prof.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Paola Origlia Ikhilor, MSc

Role: PRINCIPAL_INVESTIGATOR

Bern University of Applied Sciences

Locations

Zurich Universtiy of Applied Sciences

Winterthur, Zurcih, Switzerland

FamilyStart

Basel, , Switzerland

University Hospital Basel

Basel, , Switzerland

Swiss Midwifery Association SHV

Bern, , Switzerland

University Hospital Insel Bern

Bern, , Switzerland

Swiss Service for Telephone Interpreter (Schweizerischer Telefondolmetschdienst )

Zurich, , Switzerland

Countries

Switzerland

References

Merten, S., & Gari, S. (2013). Die reproduktive Gesundheit der Migrationsbevölkerung in der Schweiz und anderen ausgewählten Aufnahmeländern. Eine Zusammenfassung der Literatur 2006-2012. Basel: Swiss Tropical and Public Health Institute.

Reference Type: BACKGROUND

Kurth, E. (2013). FamilyStart beider Basel - ein koordinierter Betreuungsservice für Familien nach der Geburt. hebamme.ch(7/8), 35-37.

Reference Type: BACKGROUND

Saladin, P. (Ed.). (2009). Diversität und Chancengleichheit. Grundlagen für erfolgreiches Handeln im Mikrokosmos der Gesundheitsinstitutionen (3. ed.). Bern: Bundesamtes für Gesundheit BAG in Zusammenarbeit mit H+ Die Spitäler der Schweiz.

Reference Type: BACKGROUND

Hermann, M. (2013). Migrationsgerechte Angebote im Bereich reproduktive Gesundheit und frühe Kindheit in der Schweiz. In E. D. d. I. Schweizerische Eidgenossenschaft (Ed.), Eine Bestandesaufnahme von Projekten, Massnahmen und Arbeitsmethoden: Bundesamt für Gesundheit, Sektion Migration und Gesundheit.

Reference Type: BACKGROUND

Bundesamt für Statistik. (2015). Integration - Indikatoren: Sprache - Personen, die 3,2,1 oder keine Landessprache beherrschen. Retrieved 23.03.2015, from Schweizerische Eidgenossenschaft www.bfs.admin.ch/bfs/portal/de/index/themen/

Reference Type: BACKGROUND

Origlia Ikhilor P., van Goch S., Kurth E., Cignacco E. Stocker Kalberer B., Pehlke-Milde J. 2015 Lancierte Studie soll Kommunikation mit allophonen Migrantinnen erleichtern Hebamme.ch 10:4-8

Reference Type: BACKGROUND

Origlia Ikhilor P, Hasenberg G, Kurth E, Stocker Kalberer B, Cignacco E, Pehlke-Milde J. Barrier-free communication in maternity care of allophone migrants: BRIDGE study protocol. J Adv Nurs. 2018 Feb;74(2):472-481. doi: 10.1111/jan.13441. Epub 2017 Oct 5.

Reference Type: DERIVED

PMID: 28833465 (View on PubMed)

Other Identifiers

BernUAS

Identifier Type: -

Identifier Source: org_study_id