Communication barriers faced by limited English proficient (LEP) patients have led to worse outcomes. Such disparities are entrenched in digital health and call into question the impact of tools such as patient portals, primary touchpoint for patients. Over last decade, portals been implemented broadly but done little address needs LEP communities, who make up almost 10% U.S. population. The su...

The aim of this study was to examine the moderators of (a) general or cross-cultural advisory working alliances and (b) perceived English proficiency on the association between acculturative stress and psychological distress. A total of 143 East Asian international students completed an online survey. Results from a hierarchical regression indicated significant three-way interactions of (a) Gen...

In 2000 Census microdata, various outcomes of second-generation immigrants are related to their parents' age at arrival to the United States, and in particular whether that age fell within the "critical period" of language acquisition. We interpret this as an effect of the parent's English-language skills and construct an instrumental variable for parental English proficiency. Estimates of the ...

What are the processes underlying the judgments of translation? And what is the role of language proficiency? This study addresses these questions by examining how Chinese-English bilinguals evaluate poetry translations. Participants were shown haikus in Chinese and the corresponding English translations and were asked to rate the translation quality. The English translations ranged from litera...

Although anecdotally there appear to be differences in the way native speakers use and comprehend their native language, most empirical investigations of language processing study university students and none have studied differences in language proficiency, which may be independent of resource limitations such as working memory span. We examined differences in language proficiency in adult mon...