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    Use of cognitive interviewing to adapt measurement instruments for low-literate Hispanics

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    Authors
    Rosal, Milagros C.
    Carbone, Elena T.
    Goins, Karin V.
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2003-12-25
    Keywords
    Aged
    Aged, 80 and over
    Caribbean Region
    *Cognition
    Depression
    Diabetes Mellitus, Type 2
    Educational Status
    Female
    Hispanic Americans
    Humans
    Interviews as Topic
    Male
    Massachusetts
    Middle Aged
    Needs Assessment
    Patient Education as Topic
    Psychometrics
    Qualitative Research
    Quality of Life
    Questionnaires
    Self Care
    Semantics
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Preventive Medicine
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    Link to Full Text
    http://dx.doi.org/10.1177/014572170302900611
    Abstract
    PURPOSE: Cognitive interviewing techniques were used to adapt existing measures for use with a population of low-literate Spanish-speaking people with diabetes. METHODS: Five individuals of Caribbean origin with diabetes participated in cognitive interviews for 4 instruments (measuring diabetes knowledge, quality of life, self-management, and depression) adapted for oral administration to low-literate individuals. Audiotaped interviews and handwritten notes were subjected to content analysis to identify problems across the 4 instruments as well as specific to a given instrument. RESULTS: The following key problems were identified: general instructions were not helpful, items that were not specific enough generated a variety of interpretations, some wording was confusing, abstract concepts were difficult to understand, some terminology was unfamiliar, and interpretation of certain words was incorrect. CONCLUSIONS: The data illustrate the usefulness of cognitive interviewing as a first step in the process of adapting measurement instruments.
    Source
    Diabetes Educ. 2003 Nov-Dec;29(6):1006-17.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44967
    PubMed ID
    14692374
    Related Resources
    Link to Article in PubMed
    Collections
    Population and Quantitative Health Sciences Publications

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