Adapting Instruments for Diabetes Hispanic Outcomes

描述（由申请人提供）：本提案的目的是获得三种有效和可靠的西班牙语工具，用于多个西班牙裔亚群。该项目是一项研究计划的关键第一步，该研究计划将重点评估高风险多元化西班牙裔人群的糖尿病教育成果。本研究的具体目标是：1）从英语版本中推导出三种西班牙语文化和语言适当的工具; 2）确定英语和西班牙语工具的年级可读性; 3）通过试点研究评估西班牙语版本工具的心理测量特性。该研究将使用跨文化语言适应方法（CCLAM）将现有的英语语言工具适应西班牙语，以获得术语的可比理解和准确性，以衡量语言适当性和心理测量等效性，从而在具有不同方言的不同西班牙裔美国人亚群中获得基于证据的糖尿病教育结果。该方法将包括五个步骤：1）语言专家将分析西班牙语文书; 2）对九个不同种族和民族的西班牙裔受试者进行认知访谈; 3）专业跨学科委员会审查英语和西班牙语文书以得出西班牙语文书的最终版本; 4）两种语言版本的年级可读性分析;和5）使用患有和不患有糖尿病的西班牙亚群受试者的样本进行试点测试，以确定西班牙工具的有效性和可靠性。

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.