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Diabetes Educ. 2003 Nov-Dec;29(6):1006-17.

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

Author information

  • 1Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, S7-755, Worcester, MA 01655, USA. milagros.rosal@umassmed.edu

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.

PMID:
14692374
[PubMed - indexed for MEDLINE]
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