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

 描述(申请人提供)：有效的健康促进和疾病预防有赖于高质量的健康数据。目前，关于文化和语言多样化人群的健康数据有限，特别是来自集体主义文化的外国出生的非英语(NES)老年人。数据收集方面的挑战被归因于文化和语言障碍。这项研究与国家护理研究所的战略计划一致，即利用创新技术进行研究，以确定有效的方法和战略，以促进患者和家庭的健康和预防疾病，旨在填补知识空白--为NES老年人提供文化上合适的数据收集方法。苗族老年人将是这项研究的重点，因为他们体现了集体主义的特征，外国出生的老年人人口，是不识字的。这项研究的目的是：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，即音频计算机辅助自访模式(ACASI)；2)通过包括家庭帮助者来探索集体主义文化对项目反应的影响。这种新颖的问卷调查模式在文化和语言上都适合于1)其成员对苗语的熟悉程度和对技术的适应程度不同的二人组，以及2)生活在集体主义文化中的人。一份36个项目的问卷将同时以苗语口语和书面英语提交(使用ACASI)。这种方法承认年长的苗族和年轻的苗族之间的共同语言差异，以及集体主义文化中几代人之间共同的、牢固的联系，并在文化和语言上与 两代人都是。30名苗族参与者的样本将从中西部城市的两个社区中心招募。年龄较大的苗族成年人将在其年轻家庭成员的帮助下进行在线问卷调查。在线问卷完成后，将立即与两人进行面对面的后续访谈，以探讨ACASI问卷的可行性以及包括一名家庭成员帮助者的影响。我将在在线问卷填写过程和后续采访过程中对二人组进行录音。录音将逐字转录，然后使用主题分析进行分析。本研究将运用事件顺序分析的方法，量化分析年轻家庭成员与年长家庭成员在决定如何回答每个问题时的互动过程，以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对如何收集来自集体主义文化的外国出生的NES老年人的数据以及他们如何回应有关他们健康的问题的理解。这最终可能导致开发一个关于健康行为和健康风险的更强大的数据集，并改进健康促进干预措施。这项研究将为申请者的研究计划奠定基础，最终开发和测试行为干预措施，以促进边缘移民人口的健康和预防疾病。

 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.