title: Coping and resiliency enhancement program (CARE): a pilot study for interpreters in cancer care.
abstract: There is a growing demand for interpreters in the cancer setting. Interpreters, the link to quality care for limited English proficiency patients, face many psychosocial stressors in their work. This project assessed interpreters' experiences of stress and piloted a resiliency program to help interpreters cope with stressors.
  
  
  
  From 2013 to 2014, we pilot tested a targeted resiliency program with interpreters from three Boston-based hospitals. In Phase 1, we conducted five focus groups (n = 31) to identify interpreters' psychosocial needs. In Phase 2, we developed and tested a 4-h group program with 29 interpreters (response rate = 90%; 69% female, 54% Hispanic, 85% born outside of the U.S.).
  
  
  
  Phase 1. Stressors were patient-based (seeing young patients decline), interactions with medical team (unsure of role), and systems-based (appointment unpredictability). Phase 2. At baseline interpreters reported low abilities to cope with stress (measured by the Measure of Current Status (MOCS-A)). At 4-week follow-up we found improvements in job satisfaction (p = .02; Cohen's d = .41) and declines in sick days (p = .08; Cohen's d = .38). Stress reactivity (MOCS-A) improved; specifically participants reported feeling more assertive about their needs (p = .10; Cohen's d = .30) and more able to relax at will (p = .10; Cohen's d = .35)-important mechanisms to lower distress.
  
  
  
  We piloted a resiliency program for medical interpreters in cancer care. We found that interpreters experience distress and have low coping skills. This program resulted in improved work factors and stress reactivity. Future research should include further implementation and testing in a larger, randomized trial.Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, MA, USA.|MGH Mongan Institute for Health Policy, Massachusetts General Hospital/Harvard Medical School, USA.
authors.forename: Elyse R
authors.initials: ER
authors.lastname: Park
authors.affiliation: University of Massachusetts Boston, USA.
authors.forename: Jan E
authors.initials: JE
authors.lastname: Mutchler
authors.affiliation: Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, MA, USA.|MGH Mongan Institute for Health Policy, Massachusetts General Hospital/Harvard Medical School, USA.
authors.forename: Giselle
authors.initials: G
authors.lastname: Perez
authors.affiliation: Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Roberta E
authors.initials: RE
authors.lastname: Goldman
authors.affiliation: Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Halsey
authors.initials: H
authors.lastname: Niles
authors.affiliation: Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Vivian
authors.initials: V
authors.lastname: Haime
authors.affiliation: University of Massachusetts Boston, USA.
authors.forename: Cheyenne Fox
authors.initials: CF
authors.lastname: Tree-McGrath
authors.affiliation: University of Massachusetts Boston, USA.
authors.forename: Mai See
authors.initials: MS
authors.lastname: Yang
authors.affiliation: University of California San Diego, San Diego, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Woolridge
authors.affiliation: University of Massachusetts Boston, USA.
authors.forename: July
authors.initials: J
authors.lastname: Suarez
authors.affiliation: MGH Mongan Institute for Health Policy, Massachusetts General Hospital/Harvard Medical School, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Donelan
authors.affiliation: MGH Mongan Institute for Health Policy, Massachusetts General Hospital/Harvard Medical School, USA.
authors.forename: William F
authors.initials: WF
authors.lastname: Pirl
mesh_terms: D003144:Communication Barriers; D005260:Female; D017144:Focus Groups; D058015:Health Communication; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007802:Language; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy; D000073397:Occupational Stress / Q000517:prevention & control* / Q000523:psychology*; D010865:Pilot Projects; D011787:Quality of Health Care; D014175:Translating