Cultural adaptation of the savvy caregiver program for Korean Americans with limited English proficiency: a feasibility and acceptability study.
Cultural adaptation of the savvy caregiver program for Korean Americans with limited English proficiency: a feasibility and acceptability study.
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DOI：
10.1186/s12877-022-03611-5
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发表时间：
2022-11-18
期刊：
影响因子：
4.1
通讯作者：
Kim, Miyong T.
中科院分区：
文献类型：
--
作者：
Jang, Yuri;Hepburn, Kenneth;Park, Juyoung;Haley, William E.;Kim, Miyong T.
关键词：
有限的英语能力（LEP）的痴呆症照顾者构成了一个关键的障碍，这些照顾者获得循证干预措施。为了使这些干预措施对患有LEP的痴呆症照顾者可用，在本研究中，我们使用Barrera及其同事（2011）的文化适应三步模型：（1）信息收集，（2）初步适应，（3）完全适应。选择韩裔美国人作为目标群体和精明的照顾者计划（SCP）作为目标干预，我们展示了文化适应的顺序过程和报告的可行性和可接受性的结果。通过将SCP手册翻译成韩语并认证两名精通英语和韩语的非专业人员为Savvy培训师，进行了语言协调的初步适应。为期6周的在线SCP计划由两位培训师用韩语提供，每位培训师有6至7名护理参与者（N = 13）。可行性和可接受性的SCP的照顾者参与者和培训师进行了评估，使用混合的方法，他们的数据，然后通知充分适应。研究结果不仅显示了语言协调SCP的初步疗效，但也提出了进一步修改的领域。数据驱动的评估产生了一份全面适应的建议变更清单，SCP开发人员对该清单进行了审查，以确保忠实性，社区和研究伙伴也对该清单进行了审查，以确认背景和文化相关性。所采用的变更被概括为代表后勤、技术和文化问题。鉴于我们完善的教育材料和实施指南，我们讨论了未来的研究和开发方向。
Limited English proficiency (LEP) of dementia caregivers poses a critical barrier to these caregivers’ access to evidence-based interventions. In an effort to make such interventions available and accessible to dementia caregivers with LEP, in the present study we use Barrera and colleagues’ (2011) three-step model of cultural adaptation: (1) information gathering, (2) preliminary adaptation, and (3) full adaptation. Selecting Korean Americans as a target group and the Savvy Caregiver Program (SCP) as a target intervention, we demonstrate the sequential process of cultural adaption and report the outcomes on feasibility and acceptability. Preliminary adaptation with linguistic attunement was conducted by translating the SCP manual into Korean and certifying two lay individuals who were bilingual in English and Korean as Savvy trainers. The 6-week online SCP program was delivered by the two trainers in Korean with six to seven caregiver participants per trainer (N = 13). Feasibility and acceptability of the SCP for both caregiver participants and trainers were assessed using mixed methods, and their data then informed full adaptation. Findings not only showed the initial efficacy of the linguistically attuned SCP but also suggested areas for further modification. Data-driven assessment yielded a list of recommended changes for full adaptation, which was reviewed by the SCP developer to ensure fidelity and by community and research partners to confirm contextual and cultural relevance. The adopted changes are broadly summarized as representing logistical, technical, and cultural issues. Given our refined set of educational materials and implementation guidelines, we discuss future directions for research and development.
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