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A Mode of Data Collection for Non-English Speaking Older Adults from Collectivist Cultures

集体主义文化中非英语老年人的数据收集模式

基本信息

批准号：
9185224
负责人：
Maichou Lor
金额：
$ 1.48万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-01-01 至 2017-05-12
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9185224
关键词：
Address Adult Affect Asia Behavior Behavior Therapy Characteristics Child Cities Clinical Computer Assisted Confusion Cultural Diversity Data Data Collection Data Set Development Disease Elderly Event Familiarity Family Family Study Family member Foundations Generations Goals Health Health Personnel Health Promotion Health behavior Healthy People 2020 Household Immigrant Individual Intervention Interview Interviewer Knowledge Language Latin American Lead Linguistics Low Literacy Population Methodology Methods National Institute of Nursing Research Nurses Older Population Oral Outcome Paper Participant Patients Pattern Persons Population Population Heterogeneity Process Questionnaires Recruitment Activity Research Research Design Research Personnel Risk Sampling Social Desirability Societies Standardization Strategic Planning Surveys Technology Telephone Testing Translations United States Variant behavior test behavioral health cancer prevention community center cultural values disorder prevention effective intervention follow-up health data health disparity healthy lifestyle improved inclusion criteria innovative technologies literacy literate member new technology novel prevent programs public health relevance racial and ethnic disparities response stem unhealthy lifestyle

项目摘要

DESCRIPTION (provided by applicant): Effective health promotion and disease prevention rely on high quality health data. Currently, there is limited health data on culturally and linguistically diverse populations, particularly foreign-born non-English speaking (NES) older adults from collectivist cultures. Data collection challenges have been attributed to culture and language barriers. Congruent with the National Institute of Nursing Research's strategic plan to conduct research using innovative technology to identify effective methodologies and strategies to promote health and prevent diseases of patients and families, this study aims to fill a knowledge gap-culturally appropriate data collection methods for NES older adults. Older Hmong adults will be the focus of this study as they embody the characteristics of collectivist, foreign-born older adult populations and are non-literate. The objectives of this proposed study are to 1) test the feasibility and acceptability of a novel mode of data collection, using a specifc technology, audio-computer assisted self-interviewing mode (ACASI); and 2) explore the impact of collectivist culture, family member helper, on item response by including a family helper. This novel mode of questionnaire is culturally and linguistically appropriate for a dyad 1) whose members may differ in familiarity with Hmong language, and comfort with technology, and 2) who lives in a collectivist culture. A 36 item questionnaire will be presented (using ACASI), in oral Hmong and written English simultaneously. This approach acknowledges common language differences between older and younger Hmong, as well as the common, strong bonds across the generations in collectivist cultures and is culturally and linguistically congruent with both generations. A sample of 30 Hmong participant dyads will be recruited from two community centers in a Midwestern city. Older Hmong adults will take the online questionnaire with the assistance of their younger family member. Immediately following completion of the online questionnaire, a follow-up face-to-face interview will be conducted with the dyads to explore the feasibility of the ACASI questionnaire and the influence of including a family member helper. I will audio record the dyads during the online questionnaire completion process and follow-up interview. The audio recordings will be transcribed verbatim and then analyzed, using thematic analysis. The interaction process between the younger and older family members while deciding how to respond to each question will be analyzed quantitatively using event sequencing analysis, to explore the influence of collectivist culture on questionnaire responses. Results of this study can be used to increase our understanding of how data can be collected with foreign born, NES older adults from collectivist cultures and how they respond to questions about their health. This could ultimately lead to the development of a more robust dataset on health behaviors and health risks and improved health promotion interventions. This study will lay a foundation for the applicant's program of research to eventually develop and test behavioral interventions to promote health and prevent disease among marginalized immigrant populations.

有效的健康促进和疾病预防依赖于高质量的健康数据。目前，关于文化和语言多样性人口的健康数据有限，特别是来自集体主义文化的外国出生的非英语（内斯）老年人。数据收集方面的挑战归因于文化和语言障碍。符合国家护理研究所的战略计划，利用创新技术进行研究，以确定有效的方法和战略，以促进健康和预防疾病的患者和家庭，本研究的目的是填补知识空白文化适当的数据收集方法为内斯老年人。年长的苗族成年人将是本研究的重点，因为他们体现了集体主义，外国出生的老年人口的特点，是文盲。本研究的目的是：1）测试一种新的数据收集模式的可行性和可接受性，使用一种特定的技术，音频-计算机辅助的自我访谈模式（ACASI）; 2）探索集体主义文化，家庭成员的帮助，包括家庭助手的项目反应的影响。这种新颖的问卷调查模式在文化和语言上适合于二人组：1）其成员可能在对苗族语言的熟悉程度和对技术的舒适度方面有所不同; 2）生活在集体主义文化中的人。一个36项问卷将提出（使用ACASI），在苗族口头和书面英语同时。这种方法承认年长和年轻苗族人之间的共同语言差异，以及集体主义文化中跨代人的共同，强大的纽带，并在文化和语言上与两代人。一个样本的30苗族参与者的二对将从两个社区中心在中西部城市招募。年长的苗族成年人将在年轻家庭成员的帮助下参加在线问卷调查。在完成网上问卷后，将立即与这对夫妇进行后续面对面访谈，以探讨ACASI问卷的可行性以及包括家庭成员助手的影响。我将在在线问卷完成过程和后续采访中对二元组进行录音。录音将逐字转录，然后使用主题分析进行分析。本研究采用事件排序分析法，定量分析家庭中年轻成员和年长成员在决定如何回答每个问题时的互动过程，探讨集体主义文化对问卷回答的影响。这项研究的结果可以用来增加我们的理解如何收集数据与外国出生的，内斯老年人从集体主义文化，以及他们如何回应有关他们的健康问题。这可能最终导致开发一个更强大的健康行为和健康风险数据集，并改善健康促进干预措施。这项研究将为申请人的研究计划奠定基础，最终开发和测试行为干预措施，以促进边缘化移民人群的健康和预防疾病。