{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T08:26:48Z","timestamp":1786782408909,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>For families navigating juvenile idiopathic arthritis (JIA) or systemic lupus erythematosus (SLE), effective communication with health care teams is vital. We examined how language preference other than English (LPOE) associates with patient\u2010provider interactions and standardized outcome assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort of patients with JIA or SLE at a tertiary care center (2016\u20132024), patients with LPOE were matched one\u2010to\u2010two to English language preference (ELP) counterparts by age, diagnosis, polyarticular course, and disease duration. We used multivariable negative binomial or logistic regression to compare rates of patient\u2010 and provider\u2010initiated communications and adjusted for disease severity indicators and the COVID\u201019 pandemic period. Insurance and census tract\u2010level Child Opportunity Index were evaluated in separate models. We secondarily compared rates of physician visual analog scale (PhVAS) completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We matched 60 patients with JIA\/SLE in families with LPOE to 107 counterparts with ELP. Families with LPOE initiated fewer communications in both unadjusted (incidence rate ratio [IRR] 0.45 [95% confidence interval [CI] 0.29\u20130.72]) and adjusted analyses (adjusted IRR [aIRR] 0.51 [95% CI 0.31\u20130.84]). Moreover, families with LPOE initiated 0.18\u2010fold fewer communications during the COVID\u201019 pandemic (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001 for interaction). There was no significant difference in provider\u2010initiated communication frequency by language preference. PhVAS were less often completed for families with LPOE (adjusted OR 0.58 [0.32\u20131.03]), but this difference was not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reduced communication frequency between families with LPOE with care teams may drive language\u2010related disparities, particularly during periods of system stress. Enhanced outreach to families with barriers to health care engagement may facilitate more equitable care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.80133","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T09:47:37Z","timestamp":1786009657000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preferred Language, Patient\u2010Provider Interactions and Standardized Outcome Assessment in Patients With Pediatric Rheumatologic Conditions"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1145-5323","authenticated-orcid":false,"given":"Ahmad","family":"Bakhsh","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine University of Jeddah  Jeddah Saudi Arabia"},{"name":"Boston Children's Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditi","family":"Deokar","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Alonzi","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Hlobik","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2223-0061","authenticated-orcid":false,"given":"Mia T.","family":"Chandler","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine  Winston\u2010Salem North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edie","family":"Weller","sequence":"additional","affiliation":[{"name":"Biostatistics and Research Design Center, Boston Children's Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1691-4814","authenticated-orcid":false,"given":"Joyce C.","family":"Chang","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,15]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"US Census Bureau.Selected Social Characteristics in the United States. 2019\u20102023 American Community Survey 5\u2010year estimates. 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