Adapting Instruments for Diabetes Hispanic Outcomes

说明(申请人提供)：这项提案的目标是得出三种有效和可靠的西班牙语工具，供多个西班牙裔人口群体使用。该项目是一项研究计划的关键的第一步，该计划将侧重于评估高危多样化拉美裔人口的糖尿病教育结果。这项研究的具体目的是：1)从英语版本衍生出三种适合西班牙语文化和语言的工具；2)确定英语和西班牙语工具的年级水平可读性；3)通过初步研究评估西班牙语版本工具的心理测量学特性。这项研究将使用跨文化语言适应方法(CCLAM)将现有的英语工具改编成西班牙语，以获得术语的类似理解和准确性，以衡量语言适当性和心理测量学等价性，从而在不同方言的不同拉美裔美国亚群中得出基于证据的糖尿病教育结果。该方法将涉及五个步骤：1)一名语言专家将分析西班牙语文书；2)对九名种族和族裔多样的西班牙裔受试者进行认知访谈；3)成立专业跨学科委员会，审查英语和西班牙语文书的最终版本；4)对两种语言版本进行年级水平的可读性分析；以及5)对患有和不患有糖尿病的西班牙亚群受试者进行试点测试，以确定西班牙语文书的有效性和可靠性。

DESCRIPTION (provided by applicant): The objective of this proposal is to derive three valid and reliable Spanish-language instruments for use across multiple Hispanic subpopulation groups. This project is a critical first step in a program of research that will focus on the evaluation of diabetes education outcomes for high-risk diverse Hispanic populations. The specific aims of this study are: 1) to derive three Spanish language cultural and linguistic appropriate instruments from their English language versions; 2) determine the grade level readability of the English and Spanish language instruments; and 3) evaluate the psychometric properties of the Spanish language version of the instruments through pilot study. The study will adapt existing English language instruments to Spanish using Cross-Cultural Language Adaptation Methodology (CCLAM) to obtain comparable comprehension and accuracy of terminology to measure linguistic appropriateness and psychometric equivalency to derive evidence based diabetes education outcomes across diverse Hispanic-American subpopulation groups with varying dialects. This method will involved five steps: 1) a linguistic specialist will analyze the Spanish instruments; 2) cognitive interviewing of nine race and ethnically diverse Hispanic subjects; 3) professional interdisciplinary committee to review the English and Spanish language instruments to derive the final version of the Spanish instruments; 4) grade level readability analysis of both language versions; and 5) pilot testing using a sample of Spanish subpopulation subjects with and without diabetes to determine validity and reliability of the Spanish instruments.