TY - JOUR A1 - Müller, Frank A1 - Chandra, Shivani A1 - Furaijat, Ghefar A1 - Kruse, Stefan A1 - Waligorski, Alexandra A1 - Simmenroth, Anne A1 - Kleinert, Evelyn T1 - A digital communication assistance tool (DCAT) to obtain medical history from foreign-language patients: development and pilot testing in a primary health care center for refugees JF - International Journal of Environmental Research and Public Health N2 - Background: Language barriers play a critical role in the treatment of migrant and refugee patients. In Germany, primary care interpreters are often not available especially in rural areas or if patients demand spontaneous or urgent consultations. Methods: In order to enable patients and their physicians to communicate effectively about the current illness history, we developed a digital communication assistance tool (DCAT) for 19 different languages and dialects. This paper reports the multidisciplinary process of the conceptual design and the iterative development of this cross-cultural user-centered application in an action-oriented approach. Results: We piloted our app with 36 refugee patients prior to a clinical study and used the results for further development. The acceptance and usability of the app by patients was high. Conclusion: Using digital tools for overcoming language barriers can be a feasible approach when providing health care to foreign-language patients. KW - language barriers KW - app KW - interpreter KW - primary care KW - medical history taking KW - refugee KW - culturally and linguistically diverse patients Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-200640 SN - 1660-4601 VL - 17 IS - 4 ER -