Cultural translation: acceptability and efficacy of a US-based injury prevention intervention in China.

TitleCultural translation: acceptability and efficacy of a US-based injury prevention intervention in China.
Publication TypeJournal Article
Year of Publication2010
AuthorsErkoboni D, Ozanne-Smith J, Rouxiang C, Winston FK
JournalInj Prev
Volume16
Issue5
Pagination296-301
Date Published2010 Oct
ISSN1475-5785
KeywordsAccidents, Traffic, Adult, Automobile Driving, Child, Child, Preschool, China, Cross-Cultural Comparison, Female, Humans, Male, Middle Aged, Parents, Patient Education as Topic, Preventive Health Services, Seat Belts, United States, Wounds and Injuries
Abstract

BACKGROUND: Increased belt-positioning booster seat (BPB) awareness and access have led to increased use in the USA. Although transportation in Beijing is rapidly becoming 'motorised', Beijing's population has limited awareness of or access to BPBs.

OBJECTIVE: To explore the efficacy and acceptability of using a US-developed BPB use promotion intervention in Beijing.

DESIGN: Methods were adapted from a previously executed US-based study involving parents of 3-8-year old children. Focus groups (five groups, 71 participants) elicited behavioural antecedents to BPB use and reactions to video interventions promoting BPB use: a Chinese-produced instructional video and an English-language (dubbed into Mandarin) video that delivered concrete, theoretically driven messages through a personal story. Immediately after the focus groups, participants were provided with education and a free BPB. Participants were contacted 6 weeks later via telephone about use, knowledge and attitudes.

RESULTS: Chinese parents saw safety as the most important benefit of BPB use; lack of accurate knowledge about and access to BPBs were parents' most prevalent barriers. Chinese participants described the videos as persuasive and instructional. At 6 weeks, participants remembered the messages of the English-language video, and reported BPB use increased from a baseline of 15.5% to 85.5%.

CONCLUSIONS: This study shows the possibility of exporting US-designed prevention interventions dubbed into Mandarin without the need to alter their original context (in this case, an African American family in a US setting) into a Chinese context. Successful cultural translation involved ensuring that the behavioural antecedents targeted in the intervention (eg, barriers and benefits) were of relevance to the Chinese population.

DOI10.1136/ip.2009.023341
Alternate JournalInj. Prev.
PubMed ID20921561