A Study of Language Interpretation Solutions for People With Breast Cancer

Inclusion Criteria:

Phase I Patients

• Age >=18 years (per EMR)

• Preferred language for healthcare is Spanish or Mandarin (per self-report)

• Limited English Proficient; cannot speak English "very well" (per self-report)

• Diagnosis of breast cancer or gastrointestinal (per EMR)

• Will be visiting MSK oncologist for the first or second appointment (per EMR)

• Will be continuing medical oncology visits at MSK (per EMR, patient's care team,and/or self-report)

• Agrees to be audio-recorded (per self-report)

Phase 1 Providers

• Breast or gastrointestinal cancer provider who sees patients (e.g., breast orgastrointestinal oncologists, advanced practice providers, and/or nurses)

• Does not speak Spanish and/or Mandarin; providers who speak one language and not theother may participate (e.g., speaks Spanish but not Mandarin) (per self-report)

• Agrees to be audio-record (per self-report) Phase 2 (clinic staff only; patientparticipants will be drawn from Phase 1)

• Is a staff member who works/worked in one of the study clinic sites during theperiod of Phase 1 RCT study activities

• Agrees to be audio-recorded (per self-report)

Exclusion Criteria:

Phase 1 Patients

• Diagnosis of benign tumor or Stage 0 breast or gastrointestinal cancer (per EMR)

• Has significant psychiatric disturbance (i.e., acute psychiatric symptoms)sufficient to preclude completion of the assessments, interviews, or informedconsent (per EMR, patient's care team, or study team)

• Presence of cognitive impairment disorder (i.e., delirium or dementia) sufficient topreclude meaningful informed consent and/or data collection (per EMR, patients, careteam, or study team)

Phase I Providers

• None

Phase 2 (clinic staff only; Phase 1 patient participants follow above criteria)

• None