Cluster 48: write read english able speak understand unable spanish languages ability Cluster 176: speaking english non spanish patients participants caregiver assessments person emr Cluster 532: spanish english speaks speaking reads consent able informed read french Cluster 931: spanish speak english read able patients inability understand caregiver phase Cluster 1209: english read understand able speakers ability questions respond unable written Cluster 1317: speak read english able understand ability unable fluently patients inability Cluster 1341: language english read speak able primary understand unable proficient patient Cluster 1861: communicate english able read spanish sensations exablate ability staff inability Cluster 1928: speak english able understand comprehend ability patients unable informed consent Cluster 2379: fluent english spanish aim phase language speakers inclusion caregiver pcs