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Beyond translation ... cultural fit.

Sherry Garrett Hendrickson1

  • 1University of Texas, Austin School of Nursing, USA.

Western Journal of Nursing Research
|September 6, 2003
PubMed
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This study culturally adapted an English questionnaire on maternal childhood injury beliefs for low-income, monolingual Mexican and Mexican American mothers. The Spanish version demonstrated good internal consistency, proving effective for this population.

Area of Science:

  • Public Health
  • Cross-cultural Adaptation
  • Health Disparities

Background:

  • Reaching diverse, underserved populations with health information is challenging.
  • Existing health questionnaires may not be culturally or linguistically appropriate for all groups.
  • Low-income, monolingual mothers are often underrepresented in injury statistics.

Purpose of the Study:

  • To describe the process of culturally adapting an English-language questionnaire on maternal childhood injury beliefs.
  • To assess the internal consistency of the adapted Spanish-language questionnaire among monolingual Latina mothers.

Main Methods:

  • The Health Belief Model guided the adaptation of an existing questionnaire.
  • A bilingual investigator and research assistants from the target population collaborated on redesigning language and presentation.

Related Experiment Videos

  • Sixty monolingual Latina mothers completed the Spanish Maternal Childhood Injury Health Belief Questionnaire (MCIHB).

    • Main Results:

    • The adapted 42-item Spanish MCIHB questionnaire was developed.
    • Internal consistency was evaluated using Cronbach's alpha coefficients.
    • Coefficients ranged from .76 (Benefits subscale) to .90 (Consequences subscale), indicating good reliability.

    Conclusions:

    • The culturally adapted Spanish MCIHB questionnaire is a reliable tool for assessing childhood injury health beliefs in low-income, monolingual Mexican and Mexican American mothers.
    • This adaptation facilitates better reach and understanding within this specific demographic.
    • The study highlights the importance of culturally sensitive instrument development in public health research.