Op-239 Improving Communication Between Health Visitors And Clients With Non-English Speaking Backgrounds: The "respond" Project

Nigel Mathers1, Gina Higginbottom 1, Susan Nancarrow1, Kate Gerrish1, Mike Campbell1, Cheryl Adams2, Fiona Moorhouse3, Sue Gellhorn3
1 University of Sheffield
2 Community Practitioners Health Visitors Association
3 Camden Primary Care Trust
The RESPoND project aimed to evaluate the use of the 'How are you feeling' booklets designed to be used to facilitate communication about health issues between health visitors (HV s) and mothers from minority ethnic groups whose first language is not English, during the perinatal period.
Eight Health Visitors were randomised into the following 4 groups.
• Control: Routine treatment (no use of the booklets)
• Use of booklets with no training
• Use of booklets with a training pack
• Use of booklets with a training pack and workshop training.
All mothers with English as a second language (Non-English speaking background [NESB]) who had a baby up to one year of age during the recruitment period, were invited to participate in the study.
The recruitment period ran for 3 months. Baseline data collection involved completion of the two quality of life tools (SF12 and the Dartmouth COOP charts) in each of the 6 languages of the booklets.
Qualitative data were collected from .a focus group of Health Visitors who participated in the study, and analysed by a constant comparative method.
Results: Sixty-one women from 6 different first language groups participated, with the majority being of Bengali origin.
Key issues identified from thematic analysis of qualitative data were: Use of the booklets Involvement of family members
Training: Postnatal health needs
The COOP chart was more responsive than the SF 12 in detecting changes in quality of life within the clients over time.
The sample size calculation to demonstrate a difference of 5% ('effect size') between the use and non-use of the booklets in HV /NESB clients interactions shows a trial size of 480 Mother/HY dyads is required.
Conclusion: The use of the booklets is valued by both HV s and their clients in improving communication and helping in the identification of their health needs.