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Developing a Spanish-language consumer report for CAHPS health plan surveys
Kathryn Pitkin Derose1, David E Kanouse, Beverly Weidmer
1RAND Corporation, Santa Monica, CA, USA. derose@rand.org
Joint Commission Journal on Quality and Patient Safety
|December 14, 2007
Summary
Developing a Spanish health plan quality report for Latinos improved usability. Simplifying graphics and using summary charts aided comprehension, though some details were lost.
Area of Science:
- Health Services Research
- Health Communication
- Health Literacy
Background:
- Development of a Spanish-language consumer report on health plan quality for the Consumer Assessments of Healthcare Providers and Systems (CAHPS) project.
- Addressing the need for culturally and linguistically appropriate health information for diverse populations.
Purpose of the Study:
- To adapt and validate a Spanish-language health plan quality report for Latino consumers.
- To assess the comprehensibility and usability of the translated report through cognitive interviews.
Main Methods:
- Multiple translation and committee review processes to create a draft Spanish report.
- Readability assessment and cognitive interviews with 24 Latino individuals to refine the report.
- Evaluation of different graphical representations (bar graphs, summary charts with icons/stars) for clarity.
Main Results:
- Latino participants generally understood the report and indicated its utility for health plan selection.
- Lower educational attainment correlated with difficulties in understanding segmented bar graphs.
- Summary charts with word icons were more easily understood than those using stars for comparing health plans.
Conclusions:
- Health care quality concepts translate effectively between English and Spanish.
- Simplifying graphical elements enhances information usability for consumers, albeit with some loss of detail.
- Summary charts aid cross-plan comparisons, but understanding differences relative to a mean remains challenging for all consumers.
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