COVID-19 communication to English- and Spanish-speaking cancer patients: A website analysis of seven healthcare systems in north Texas.

• DOI: 10.1200/jco.2021.39.15_suppl.e18515
• Publication Date: 2021-06-02T14:28:38Z
• Authors: Robin T. Higashi; John W. Sweetenham; Aimee D. Israel; Jasmin A. Tiro
• Keywords: Pandemic

e18515 Background: The COVID-19 pandemic created an urgent need for timely and accurate public health information. This is especially true those with cancer because they face higher morbidity mortality from COVID-19. At the same time, disproportionate impact of on Latinx populations underscores information to reach Spanish-speakers. Given large proportion Spanish-speakers in U.S., healthcare institutions have a professional moral obligation meet this critical need. Methods: We conducted multi-modal, mixed method document review study evaluate equity online about COVID available English- seven north Texas institutions. sampled 50 websites (33 English, 17 Spanish) over one-week period May 2020. Websites included 27 23 external organizations (e.g. CDC). Thematic content was analyzed using coding conversion process; literacy level measured Readability software; accessibility Patient Education Materials Assessment Tool (PEMAT); video diversity were defined counted. Results: Content Spanish sub-optimal compared English. observed significant differences thematic content, poor linkage errors translation. Whether intentional unclear. Across all sites, specifically more prevalent English than (58% vs. 43%). Three institutions’ contained no patients, three only banner link updates or their main oncology page. Only one institution’s website comprehensive COVID-related such as postponing treatment, oral treatments, extra assurances taken protection during in-person care; however, only. scored average at lower (11 th 13 grade). Using PEMAT, pages (n = 7) slightly that 19) (77% 81%, respectively), due mostly discrepancies English-only videos visual aids; conversely, among organizations’ websites, score 10) 13) (86% 83%, respectively). Conclusions: In region, lack equitable access English-speakers, leaving already vulnerable patient population greater risk outcomes. offer recommendations enhancing