Evidence map›Paper›PMID 30950803›Full record

ArticleJMIR mHealth and uHealth2019

Translating/Creating a Culturally Responsive Spanish-Language Mobile App for Visit Preparation: Case Study of "Trans-Creation".

Denise Ruvalcaba, Hidemi Nagao Peck, Courtney Lyles, Connie S Uratsu, Patricia R Escobar, Richard W Grant

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02707146 (Aligning the Visit Priorities of Complex Patients and Their Primary Care Providers), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02707146 nacompletednot on this map

Aligning the Visit Priorities of Complex Patients and Their Primary Care Providers

TypeinterventionalSponsorKaiser PermanenteRan2016 to 2018Enrolled750ConditionsPrimary Health Care, Quality of Health Care, Comorbidity, CommunicationArmsVisit Planner, Attention Control Pamphlet, iPad
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Denise RuvalcabaDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.ORCID 0000-0001-6602-170X
Hidemi Nagao PeckRegional Health Education, The Permanente Medical Group, Oakland, CA, United States.ORCID 0000-0003-3951-8360
Courtney LylesDivision of General Internal Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, CA, United States.ORCID 0000-0002-1111-8595
Connie S UratsuDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.ORCID 0000-0001-9870-138X
Patricia R EscobarRegional Health Education, The Permanente Medical Group, Oakland, CA, United States.ORCID 0000-0002-7527-2364
Richard W GrantDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.ORCID 0000-0002-6164-8025
Kaiser Permanente · USRegional Health · USSan Francisco General Hospital · US

Funding

Mentored Research to Improve Care for Complex Patients with DiabetesK24DK109114 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2016 to 2020
$914k
NIDDK NIH HHS K24 DK109114
6 · The paper itself

Abstract

backgroundHealth information technology (IT) tools are increasingly used to improve patient care. However, implementation of English-only health IT tools could potentially worsen health disparities for non-English speakers.

objectiveWe aim to describe the "trans-creation" process of developing linguistically and culturally appropriate health IT tools through a detailed case analysis of a waiting room health mobile app designed to help Spanish-speaking Latino people prepare for primary care visits.

methodsWe adapted the English-language Visit Planner mobile app for Spanish-speaking Latino patients. We applied culturally defined themes derived from prior published research and input by both skilled linguists and potential end users. Initial changes were iteratively reviewed and edited by a team of writers, health care educators, subject matter experts, patients, and providers.

resultsThe trans-creation process resulted in the following key culturally mediated changes to the tool: replacing the "provider" actors with "patient" actors; changing the choice of "Stress at Home or Work" (represented by an icon of a house) to "Mi Familia" (translation: my family; icon is an outline of family members holding hands); replacing the English terms "anxiety" and "depression" with "Me siento desanimado"(translation: I am feeling down) to avoid mental health stigma; and using more concise text translation to ensure the wording fit the available on-screen space.

conclusionsThe trans-creation process of cultural and linguistic adaptation led to several design changes that would not have been implemented if we had simply translated the words from English to Spanish.

Indexed as

Appointments and SchedulesCaliforniaCommunication BarriersCulturally Competent CareHumansMobile ApplicationsPractice Guidelines as TopicTranslatingdoctor-patient communicationIT tool developmentprimary caretranscreation

Identifiers

PMID30950803
PMCPMC6482869
OpenAlexW2908120180

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.