Prototype Development, Usability, and Preference of a Culturally-relevant Pictorial Aid to Facilitate Comprehension of Likert-type Levels of Agreement in Caregivers of Children Living With HIV in Ghana
| Autor: | Irene Pokuaa Ofori, Kofi Amissah, Elijah Paintsil, S. Raquel Ramos, Jonas Tettey Kusah, Angela Ofori-Atta, Nancy R. Reynolds, Amina Alhassan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Organizational Behavior and Human Resource Management 020205 medical informatics Strategy and Management media_common.quotation_subject education Pharmaceutical Science HIV Infections 02 engineering and technology Ghana Literacy Article Likert scale Formative assessment 03 medical and health sciences Patient Education as Topic Surveys and Questionnaires Drug Discovery 0202 electrical engineering electronic engineering information engineering Humans Cultural Competency Child Developing Countries Qualitative Research media_common Marketing Pharmacology Medical education 030504 nursing Audiovisual Aids business.industry Usability Middle Aged Preference Comprehension Cross-Sectional Studies Caregivers Female Self Report 0305 other medical science Psychology business Cultural competence Qualitative research |
| Zdroj: | Comput Inform Nurs |
| ISSN: | 1538-9774 |
| Popis: | Pictorial illustrations of Likert-type scales are culturally useful and may reduce error associated with usage of Westernized self-report measures in low- and middle-income countries. Pictorial illustrations can be encounter-specific decision aids in populations with low literacy or English proficiency. In an unanticipated finding from the SANKOFA study, caregivers of children living with human immunodeficiency virus experienced challenges comprehending Likert-type scales. A cross-sectional, qualitative study was conducted with a SANKOFA participant subset (n = 30) in Ghana. Using an informatics-based formative design approach, we developed a culturally-relevant pictorial aid to assess usability and preference when compared to a Likert-type self-report measure. Ninety percent (n = 27) of substudy participants preferred the pictorial of a traditional Bolga basket over a shallow basket. Forty-three percent (n = 13) preferred the pictorial aid over the Likert-type measure. Fifty percent reported the pictorial aid was easy to use. Fifty-seven percent preferred the Likert-type measure, potentially because English proficiency is regarded in Ghana as a means of upward social and financial mobility. Such cultural norms may have contributed to the lack of consensus and must be considered for pictorial aids to be meaningful. Pictorial aids have been designed for use in clinical and research settings. They reduce barriers associated with lower textual literacy while facilitating comprehension and decision-making. |
| Databáze: | OpenAIRE |
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