Overcoming Radiation Therapy Language Barriers with the use of an Instant Translation Device for

Culturally and Linguistically Diverse Patients Mr Darren Hunter

Honorary Radiation Therapist Dept. of Radiation Oncology

Peter MacCallum Cancer Centre darren.hunter@petermac.org

Prof Michal Schneider Deputy Head, Director of Research

Dept. of Medical Imaging & Radiation Sciences Monash University

A/Prof Caroline Wright Senior Lecturer – Course Coordinator

Dept. of Medical Imaging & Radiation Sciences Monash University

Dr Richard Oates Radiation Therapist – Clinical Educator

Dept. of Radiation Oncology Peter MacCallum Cancer Centre

Dr David Kok Radiation Oncologist

Dept. of Radiation Oncology Peter MacCallum Cancer Centre

Mr Nigel Anderson Principal Research Radiation Therapist

Dept. of Radiation Oncology 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

OCT 2017

DEC 2017

JULY 2018

AUG 2018

OCT 2018

DEC 2018

Q3 2019

Q4 2019

Q4 2020

PROGRESS TO DATE PROJECTED

CONCEPT DESIGN & LIT REVIEW

PMCC LNR ETHICS APPROVAL

MONASH HREC APPROVAL

AWARDED VMRPET GRANT FUNDING

STAGE 1 VALIDATION COMPLETED

STAGE 2 PILOT COMMENCED

COMPLETE STAGE 2 PILOT

COMMENCE STAGE 3 RCT

COMPLETE STAGE 3 RCT

Project Team & Partners Mr. Darren Hunter (Principal Investigator) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Melbourne Dr. David Kok (Associate Investigator) Radiation Oncologist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Melb/Sunshine Ms. Olivia Mayberry (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Box Hill Mr. Christopher Marinakis (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Sunshine

Prof Michal Schneider (Primary Supervisor) Deputy Head, Director of Research Dept. of Medical Imaging & Radiation Sciences Monash University, Clayton Mr. Nigel Anderson (Associate Investigator) Principal Research Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Melbourne Ms. Melinda Brenker (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Box Hill Ms. Jacinta Krstic (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Bendigo

A/Prof Caroline Wright (Supervisor – Academic) Senior Lecturer, Course Coordinator Dept. of Medical Imaging & Radiation Sciences Monash University, Clayton Ms. Nicola Treffry (Study Coordinator) Radiation Therapist (Clinical Educator) Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Melbourne Ms. Roxanne Hendricks (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Box Hill Ms. Danielle Fong (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Sunshine

Dr. Richard Oates (Supervisor – Clinical) Radiation Therapist (Clinical Educator) Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Bendigo Ms. Tayah Ellis (Clinical Support) Language Services Coordinator Language Services Peter MacCallum Cancer Centre, Melbourne Mr. Shoaib Afzali (Research Assistant) Radiation Therapist Dept. of Radiation Oncology Peter MacCallum Cancer Centre, Moorabbin

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