Feasibility of Audio-Computer-Assisted Self-Interviewing With Color-Coding and Helper Assistance (ACASI-H) for Hmong Older Adults
Feasibility of Audio-Computer-Assisted Self-Interviewing With Color-Coding and Helper Assistance (ACASI-H) for Hmong Older Adults
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DOI：
10.1002/nur.21796
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发表时间：
2017-08-01
影响因子：
2
通讯作者：
Bowers, Barbara J.
中科院分区：
文献类型：
--
作者：
Lor, Maichou;Bowers, Barbara J.
美国的许多老年移民，包括苗族老年人，英语水平有限（LEP），甚至不能阅读或阅读有困难，即使在他们的第一语言（不识字[NL]）。在确定可行的数据收集方法以将LEP或NL人群纳入研究方面做得很少，限制了对他们健康的了解。本研究的目的是测试的可行性，文化和语言适应音频计算机辅助自我采访（ACASI）与颜色标记的响应类别和帮助（ACASI-H）收集苗族老年人的健康数据。30对夫妇（老年人和一个帮手）完成了一项ACASI-H调查，其中包括13个健康问题和一次面对面的汇报访谈。对ACASI-H调查的完成情况进行了录像，并与参与者一起审查。对视频审查和情况汇报访谈进行了录音和转录。直接和传统的内容分析被用来分析访谈。所有受访者都报告说，ACASI-H调查的问题与他们的健康经验是一致的。他们缺乏计算机经验，发现ACASI-H的界面用户友好。所有人都使用预先录制的苗族口头翻译，除了一个人，他的助手提供翻译。一些苗族老年人挣扎与颜色标签在第一，但助手引导他们正确使用颜色。所有的二人组都喜欢用颜色标记的回答类别，并确认在调查过程中需要一个助手。调查结果支持使用口头调查问题管理与技术能力的助手和颜色标记的响应类别时，从事LEP老年人在健康相关的数据收集。(C)2017 Wiley Periodicals，Inc.
Many older adult immigrants in the US, including Hmong older adults, have limited English proficiency (LEP), and cannot read or have difficulty reading even in their first language (non-literate [NL]). Little has been done to identify feasible data collection approaches to enable inclusion of LEP or NL populations in research, limiting knowledge about their health. This study's purpose was to test the feasibility of culturally and linguistically adapted audio computer-assisted self-interviewing (ACASI) with color-labeled response categories and helper assistance (ACASI-H) for collection of health data with Hmong older adults. Thirty dyads (older adult and a helper) completed an ACASI-H survey with 13 health questions and a face-to-face debriefing interview. ACASI-H survey completion was video-recorded and reviewed with participants. Video review and debriefing interviews were audio-recorded and transcribed. Directed and conventional content analyses were used to analyze the interviews. All respondents reported that ACASI-H survey questions were consistent with their health experience. They lacked computer experience and found ACASI-H's interface user-friendly. All used the pre-recorded Hmong oral translation except for one, whose helper provided translation. Some Hmong older adults struggled with the color labeling at first, but helpers guided them to use the colors correctly. All dyads liked the color-labeled response categories and confirmed that a helper was necessary during the survey process. Findings support use of oral survey question administration with a technologically competent helper and color-labeled response categories when engaging LEP older adults in health-related data collection. (C) 2017 Wiley Periodicals, Inc.