Transcultural psychiatry made simple--asynchronous telepsychiatry as an approach to providing culturally relevant care.

Peter Mackinlay Yellowlees, Alberto M Odor, Ana-Maria Iosif, Michelle Burke Parish, Najia Nafiz, Kesha Patrice, Glen Xiong, Robert McCaron, Richard Sanchez, Enrique Ochoa, Donald Hilty

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28 Scopus citations

Abstract

To examine the feasibility and diagnostic reliability of asynchronous telepsychiatry (ATP) consultations in Spanish and ATP consultation with Spanish-to-English translation. Twenty-four interviews of Spanish-speaking patients were videorecorded by a bilingual clinician who also collected patient history data and gave the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to each patient. The ATP data (video of the interview and patient history) were forwarded for psychiatric consultation and a diagnostic assessment by the investigators. The ATP data were then examined separately by two Spanish-speaking psychiatrists, before being translated into English and then re-examined by two English-speaking psychiatrists. Agreement between the expert diagnoses of the investigators and the diagnoses from the Spanish consultations, the Spanish-to-English translated consultations, and the SCID-I results was assessed using kappa statistics. We found acceptable levels of agreement for major diagnostic groupings among the Spanish- and English-speaking psychiatrists. Kappa values for diagnostic agreement between the expert and the translated consultations, the original language consultations, and the SCID-I were at least 0.52 (percentage agreement, 79%) and higher. ATP consultations in Spanish, and those translated from Spanish to English, are feasible, and broad diagnostic reliability was achieved. The ATP process allows for rapid language translation. This approach could be useful across national boundaries and in numerous ethnic groups. Cross-language ATP may also offer significant benefits over the use of real-time interpreting services and has the potential to improve the quality of care by allowing for the addition of culturally relevant information.

Original languageEnglish (US)
Pages (from-to)259-264
Number of pages6
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Volume19
Issue number4
StatePublished - Apr 2013

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ASJC Scopus subject areas

  • Medicine(all)

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