Adapting a Cancer Literacy Measure for Use Among Navajo Women

Adapting a Cancer Literacy Measure for Use Among Navajo Women
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DOI:
10.1177/1043659616628964
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发表时间:
2017-05-01
影响因子:
2.1
通讯作者:
Patten, Christi A.
Patten, Christi A.
中科院分区:
医学4区
文献类型:
--
作者:
Yost, Kathleen J.;Bauer, Mark C.;Patten, Christi A.

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目的:作者设计了一项基于社区的参与性研究,以开发和测试基于家庭的行为干预,以提高纳瓦霍妇女的癌症知识和促进乳房x光检查。方法:利用焦点小组的数据和与社区咨询委员会的讨论,他们修改了现有的调查问卷,以评估纳瓦霍妇女的癌症知识、乳房x光检查的障碍和癌症信念。测量健康素养、计算能力、自我效能、癌症沟通和家庭支持的问题也进行了调整。结果:所得问卷具有良好的内容效度,在文化和语言上适合纳瓦霍妇女使用。结论:在适应AI/AN(美洲印第安人/阿拉斯加原住民)人群使用的现有措施时,考虑文化而不仅仅是语言是很重要的。现有识字标准的英语版本在文化上可能不适合人工智能/人工智能人群,这可能导致语义、技术、习惯和概念上的对等性缺乏,从而导致对研究结果的误解。
Purpose: The authors designed a community-based participatory research study to develop and test a family-based behavioral intervention to improve cancer literacy and promote mammography among Navajo women. Method: Using data from focus groups and discussions with a community advisory committee, they adapted an existing questionnaire to assess cancer knowledge, barriers to mammography, and cancer beliefs for use among Navajo women. Questions measuring health literacy, numeracy, self-efficacy, cancer communication, and family support were also adapted. Results: The resulting questionnaire was found to have good content validity, and to be culturally and linguistically appropriate for use among Navajo women. Conclusions: It is important to consider culture and not just language when adapting existing measures for use with AI/AN (American Indian/Alaskan Native) populations. English-language versions of existing literacy measures may not be culturally appropriate for AI/AN populations, which could lead to a lack of semantic, technical, idiomatic, and conceptual equivalence, resulting in misinterpretation of study outcomes.