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.

描述（由适用提供）：有效的健康促进和预防疾病依赖于高质量的健康数据。目前，关于文化和语言多样性人群的健康数据有限，尤其是来自集体主义文化的外国出生的非英语（NES）老年人。数据收集挑战归因于文化和语言障碍。与国家护理研究所的战略计划一致，该计划使用创新技术进行研究，以确定有效的方法和策略来促进健康并预防患者和家庭的疾病，该研究旨在填补NES老年人的知识缺口文化上适当的数据收集方法。年龄较大的苗族成年人将成为这项研究的重点，因为他们体现了集体主义，外国出生的老年人人群的特征，并且是非素养的。这项拟议的研究的目标是1）使用特定技术，音频计算机协助自我访问模式（ACASI）测试新型数据收集模式的可行性和可接受性； 2）探索集体文化，家庭成员助手的影响，包括包括家庭助手的项目响应。这种新颖的问卷模式在文化和语言上适用于二元组1）其成员可能在熟悉苗族语言和对技术的舒适性方面可能有所不同，以及2）生活在集体主义文化中的人。将在口头苗族中（使用ACASI）介绍36项问卷，简单地用英语介绍。这种方法承认年龄较大和年轻的苗族之间的共同语言差异，以及集体主义文化中各代的共同纽带，并且在文化和语言上是一致的两代人。将从中西部城市的两个社区中心招募30名苗族参与者的样本。年长的苗族成年人将在年轻家庭成员的协助下接受在线问卷。在完成在线问卷之后，将立即与Dyads进行后续面对面采访，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记录二元组。音频记录将逐字记录，然后使用主题分析进行分析。在决定如何对每个问题回答的同时，将使用事件测序分析对年轻家庭成员之间的相互作用过程进行定量分析，以探讨集体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与来自集体主义文化的外国出生，NES老年人一起收集数据的理解，以及他们如何应对有关其健康的问题。这最终可能导致开发有关健康行为和健康风险的更强大数据集，并改善了健康促进干预措施。这项研究将为申请人的研究计划奠定基础，以最终制定和测试行为干预措施，以促进和预防边缘化移民人群中的疾病。