Cultural and Linguistic Adaptation of a Multimedia Colorectal Cancer Screening Decision Aid for Spanish-Speaking Latinos

As the United States becomes more linguistically and culturally diverse, there is a need for effective health communication interventions that target diverse, vulnerable populations, including Latinos. To address such disparities, health communication interventionists often face the challenge to ada...

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Bibliographic Details
Published in:	Journal of health communication 2014-02, Vol.19 (2), p.192-209
Main Authors:	Ko, Linda K., Reuland, Daniel, Jolles, Monica, Clay, Rebecca, Pignone, Michael
Format:	Article
Language:	eng
Subjects:	Biological and medical sciences Colorectal cancer Colorectal Neoplasms - ethnology Colorectal Neoplasms - prevention & control Communication Cultural diversity Culture Decision Support Techniques Early Detection of Cancer English language Female Focus Groups Gastroenterology. Liver. Pancreas. Abdomen Health Communication - methods Hispanic Americans Hispanic or Latino - psychology Hispanic or Latino - statistics & numerical data Humans Intervention Language Linguistics Male Medical sciences Medical screening Middle Aged Miscellaneous Multiculturalism & pluralism Multimedia Population Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Spanish language Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors U.S.A United States
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Summary:	As the United States becomes more linguistically and culturally diverse, there is a need for effective health communication interventions that target diverse, vulnerable populations, including Latinos. To address such disparities, health communication interventionists often face the challenge to adapt existing interventions from English into Spanish in a way that retains essential elements of the original intervention while also addressing the linguistic needs and cultural perspectives of the target population. The authors describe the conceptual framework, context, rationale, methods, and findings of a formative research process used in creating a Spanish-language version of an evidence-based (English language) multimedia colorectal cancer screening decision aid. The multistep process included identification of essential elements of the existing intervention, literature review, assessment of the regional context and engagement of key stakeholders, and solicitation of direct input from target population. The authors integrated these findings in the creation of the new adapted intervention. They describe how they used this process to identify and integrate sociocultural themes such as personalism (personalismo), familism (familismo), fear (miedo), embarrassment (verguenza), power distance (respeto), machismo, and trust (confianza) into the Spanish-language decision aid.
ISSN:	1081-0730 1087-0415