Expectant and Nursing MotherBRIDGENCT02695316
Barrier-free Communication in Maternity Care of Allophone Migrants
A study testing Focus Group Discussion in native Language, Focus Group Discussion and One-to-one Interview in people with Expectant and Nursing Mother and Communication, run by Bern University of Applied Sciences at 6 sites in Switzerland.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Expectant and Nursing Mother, Communication, Experiences
- What is being tested?
- Focus Group Discussion in native Language, Focus Group Discussion and One-to-one Interview
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 82 participants
- Where
- 6 sitesSwitzerland
- Study dates
- Sep 2015to Dec 2016
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- women speaking fluent German
- women with a serious illness during pregnancy, childbirth and/or postpartum or who's infant was seriously ill or died
- Group 2: Inclusion criteria:
- Minimum one year working experience
- Experience with allophone Tigrinya or Albanian speaking women
- Group 3: Inclusion criteria:
Show all 10Show fewer
- Female
- Minimum one year working experience
- having either telephone or face-to-face interpreting Expertise
- Group 4: No limitation
Trial locations and contacts
6 sites in 1 country.
6 sites in 1 country
Switzerland6 sites
FamilyStart
Basel
University Hospital Basel
Basel
Swiss Midwifery Association SHV
Bern
University Hospital Insel Bern
Bern
Zurich Universtiy of Applied Sciences
Winterthur, Zurcih
Swiss Service for Telephone Interpreter (Schweizerischer Telefondolmetschdienst )
Zurich
About this study
Official title: Barrier-free Communication in Maternity Care of Allophone Migrants (Barrierefreie Kommunikation in Der Geburtshilflichen Versorgung Allophoner Migrantinnen)
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.
Read the 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:
- 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.
- 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.
- Perspective of interpreters: Qualitative assessment of experiences of professional Interpreters.
- Conditions
- Expectant and Nursing Mother, Communication, Experiences
- Being tested
- Focus Group Discussion in native Language, Focus Group Discussion, One-to-one Interview, Retrospective Quantitative Analysis
- Keywords
- Migrants, Communication Barriers, Maternal Health Services, Health Services Needs and Demand, Access to Health Care, Professional-Patient Relations, Eritrea, Kosovo, Switzerland
- Medical subject headings
- Communication
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Focus Group Discussion in native LanguageOther
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.
Focus Group DiscussionOther
Group Interview with semi-structured key question, audio-recorded and ad verbatim transcription
One-to-one InterviewOther
One-to-one Interview with semi-structured key question, audio-recorded and ad verbatim transcription.
Retrospective Quantitative AnalysisOther
Retrospective Quantitative Analysis of questionnaires (Telephone Interpreting Protocols)
| Study group | Role | What they receive |
|---|---|---|
| Migrant Women | Other | Focus Group Discussion in native Language with n=20 Receives: Other: Focus Group Discussion in native Language |
| Health Care Professionals | Other | Focus Group Discussion with n=20 Health Care Professionals Receives: Other: Focus Group Discussion |
| Interpreters | Other | One-to-one Interviews with n=4 intercultural Interpreters Receives: Other: One-to-one Interview |
| Telephone Interpreting Protocols | Other | Retrospective quantitative analysis of n=50 Telephone Interpreting Protocols (questionnairs) Receives: Other: Retrospective Quantitative Analysis |
What is being measured
The primary outcome is the main question the study is designed to answer.
Experiences of migrant women by focus group discussions
Qualitative description of experiences made with maternity care services during pregnancy, birth, post partum up to one year after birth
Measured: after 6 weeks, up to 12 months
Secondary outcomes (3)
Experiences of health care professionals by focus group discussions
Qualitative description of working experiences in maternity care with allohone migrants
Measured: within last five years of their professional experience
Experiences of Interpreters by one-to-one interview
Qualitative description of working experiences when interpreting for pregnant women or mothers in maternity care services
Measured: within last five years of their professional experience
Quality of telephone interpreting consultations with questionnairs
Descriptive analysis of protocols of telephone interpreted consultations with information on aim, content, perceived benefits and difficulties
Measured: within 24 hours after the consultation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Mar 2016 (estimated)
- Study startSep 2015
- Primary completionJun 2016
- Study completionDec 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Expectant and Nursing MotherStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 82 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bern University of Applied Sciences
- Sponsor type
- University, hospital or other
- Collaborators
- Zurich University of Applied Sciences, Swiss Tropical & Public Health Institute, FamilyStart of both Basel, Swiss Midwifery Association, Federal Office of Public Health, Switzerland, Swiss Agency for Combating Racism
- Responsible party
- Principal investigator, Paola Origlia Ikhilor, Bern University of Applied Sciences
- Investigators
- Paola Origlia Ikhilor, MSc, Principal investigator, Bern University of Applied Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02695316
- Sponsor's protocol ID
- BernUAS
- Acronym
- BRIDGE
- Status last verified
- Jan 2017
- First submitted
- 9 Feb 2016
- Last updated
- 1 Feb 2017
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
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.
Kurth, E. (2013). FamilyStart beider Basel - ein koordinierter Betreuungsservice für Familien nach der Geburt. hebamme.ch(7/8), 35-37.
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.
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.
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/
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
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.
PubMed 28833465
Study at a glance
From the registry record, last updated by the sponsor on 1 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Barrier-free Communication in Maternity Care of Allophone Migrants (Barrierefreie Kommunikation in Der Geburtshilflichen Versorgung Allophoner Migrantinnen)
- ClinicalTrials.gov ID
- NCT02695316
- Acronym / sponsor ID
- BRIDGE / BernUAS
- Conditions
- Expectant and Nursing Mother, Communication, Experiences
- Keywords
- Migrants, Communication Barriers, Maternal Health Services, Health Services Needs and Demand, Access to Health Care, Professional-Patient Relations, Eritrea, Kosovo
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 82 participants (actual)
- Lead sponsor
- Bern University of Applied SciencesUniversity, hospital or other
- Collaborators
- Zurich University of Applied Sciences, Swiss Tropical & Public Health Institute, FamilyStart of both Basel, Swiss Midwifery Association, Federal Office of Public Health, Switzerland, Swiss Agency for Combating Racism
- Study start
- Sep 2015
- Primary completion
- Jun 2016 (actual)
- Study completion
- Dec 2016 (actual)
- First posted
- 1 Mar 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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:
- 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.
- 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.
- Perspective of interpreters: Qualitative assessment of experiences of professional Interpreters.
Study design
- Primary purpose
- Health services research
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Migrant Women | Other | Other: Focus Group Discussion in native LanguageFocus Group Discussion in native Language with n=20 |
| Health Care Professionals | Other | Other: Focus Group DiscussionFocus Group Discussion with n=20 Health Care Professionals |
| Interpreters | Other | Other: One-to-one InterviewOne-to-one Interviews with n=4 intercultural Interpreters |
| Telephone Interpreting Protocols | Other | Other: Retrospective Quantitative AnalysisRetrospective quantitative analysis of n=50 Telephone Interpreting Protocols (questionnairs) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (10 listed)
- 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 one year working experience
- Experience with allophone Tigrinya or Albanian speaking women
- Female
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Focus Group Discussion in native LanguageGroup 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. | Other | Migrant Women |
| Focus Group DiscussionGroup Interview with semi-structured key question, audio-recorded and ad verbatim transcription | Other | Health Care Professionals |
| One-to-one InterviewOne-to-one Interview with semi-structured key question, audio-recorded and ad verbatim transcription. | Other | Interpreters |
| Retrospective Quantitative AnalysisRetrospective Quantitative Analysis of questionnaires (Telephone Interpreting Protocols) | Other | Telephone Interpreting Protocols |
Primary outcome
Experiences of migrant women by focus group discussions
Time frame: after 6 weeks, up to 12 months
Qualitative description of experiences made with maternity care services during pregnancy, birth, post partum up to one year after birth
3 secondary outcomes
Experiences of health care professionals by focus group discussions
Time frame: within last five years of their professional experience
Experiences of Interpreters by one-to-one interview
Time frame: within last five years of their professional experience
Quality of telephone interpreting consultations with questionnairs
Time frame: within 24 hours after the consultation
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Feb 2017.
- BackgroundMerten, 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.
- BackgroundKurth, E. (2013). FamilyStart beider Basel - ein koordinierter Betreuungsservice für Familien nach der Geburt. hebamme.ch(7/8), 35-37.
- BackgroundSaladin, 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.
- BackgroundHermann, 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.
- BackgroundBundesamt 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/
- BackgroundOriglia 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
- Derived from this study: PubMed 28833465Origlia 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.
- Individual participant dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paola Origlia Ikhilor, MSc principal investigator
Bern University of Applied Sciences
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Focus Group Discussion in native Language, Focus Group Discussion and One-to-one Interview in people with Expectant and Nursing Mother and Communication, run by Bern University of Applied Sciences at 6 sites in Switzerland.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 0 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Experiences of migrant women by focus group discussions (time frame: after 6 weeks, up to 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02695316, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Feb 2017.