Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis
Background: Culturally appropriate educational materials are necessary to improve health literacy among Indigenous populations. However, practically no such materials have been cross-culturally adapted and validated for Indigenous peoples based on compliance with efficacy components. Objective: To p...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628224001110 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846107555855597568 |
|---|---|
| author | Joana Aguilar-Castillo Ingris Peláez-Ballestas José-Luis Montiel-Hernández Cairo Toledano-Jaimes Mario-Alberto Garza-Elizondo David Zepeda-González Diana-Lizbeth Gómez-Galicia |
| author_facet | Joana Aguilar-Castillo Ingris Peláez-Ballestas José-Luis Montiel-Hernández Cairo Toledano-Jaimes Mario-Alberto Garza-Elizondo David Zepeda-González Diana-Lizbeth Gómez-Galicia |
| author_sort | Joana Aguilar-Castillo |
| collection | DOAJ |
| description | Background: Culturally appropriate educational materials are necessary to improve health literacy among Indigenous populations. However, practically no such materials have been cross-culturally adapted and validated for Indigenous peoples based on compliance with efficacy components. Objective: To perform a cross-cultural adaptation and validation of audiovisual educational materials for adult patients with rheumatoid arthritis belonging to Indigenous communities in Chiapas, Mexico. Methods: Mixed-methods study consisting of three phases: 1) Spanish–Tzotzil translation and cross-cultural adaptation of seven previously designed and validated audiovisual educational materials; 2) qualitative validation; and 3) quantitative validation based on the efficacy components (attraction, understanding, induction to action, involvement, and acceptance). The information collected during the validation phases was recorded and transcribed for content analysis. Results: A total of 31 patients with rheumatoid arthritis participated in the study. Patients had a mean age of 49 years, ≥5 years since disease onset, low adherence to pharmacological treatment (<20%), and a high level of illiteracy (>80%). After three versions of the educational material, where elements of cultural identification were added, the efficacy components increased significantly to reach scores higher than 90%. This suggests that culturally-adapted materials could promote greater patient participation in treatment. Conclusion: This study shows the importance of cross-cultural adaptation in the design and validation of audiovisual educational materials for Indigenous populations; this aspect should be considered when implementing educational strategies for patients with chronic diseases. Innovation: First educational audiovisual material translated and adapted from Spanish to Tzotzil, with a cultural sensitivity approach to achieve educational goals and improve therapeutic adherence. |
| format | Article |
| id | doaj-art-47b8d91f6fe84f36908bc65b9648db30 |
| institution | Kabale University |
| issn | 2772-6282 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj-art-47b8d91f6fe84f36908bc65b9648db302024-12-26T08:58:13ZengElsevierPEC Innovation2772-62822025-06-016100363Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritisJoana Aguilar-Castillo0Ingris Peláez-Ballestas1José-Luis Montiel-Hernández2Cairo Toledano-Jaimes3Mario-Alberto Garza-Elizondo4David Zepeda-González5Diana-Lizbeth Gómez-Galicia6Laboratory of Pharmaceutical Epidemiology, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, Morelos, MéxicoRheumatology Unit, Hospital General de México ''Dr. Eduardo Liceaga'', México city, MéxicoLaboratory of Cytokines and Autoimmunity, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, Morelos, MéxicoLaboratory of Pharmaceutical Epidemiology, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, Morelos, MéxicoRheumatology Service, Hospital Universitario ''Dr. José Eleuterio González'', Universidad Autónoma de Nuevo León, Monterrey, MéxicoClínica Esquipulas, San Cristóbal de las Casas, Chiapas, MéxicoLaboratory of Pharmaceutical Epidemiology, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, Morelos, México; Corresponding author at: Facultad de Farmacia, Universidad Autónoma del Estado de Morelos (UAEM), Av. Universidad 1001 col. Chamilpa, 62209 Cuernavaca, Morelos.Background: Culturally appropriate educational materials are necessary to improve health literacy among Indigenous populations. However, practically no such materials have been cross-culturally adapted and validated for Indigenous peoples based on compliance with efficacy components. Objective: To perform a cross-cultural adaptation and validation of audiovisual educational materials for adult patients with rheumatoid arthritis belonging to Indigenous communities in Chiapas, Mexico. Methods: Mixed-methods study consisting of three phases: 1) Spanish–Tzotzil translation and cross-cultural adaptation of seven previously designed and validated audiovisual educational materials; 2) qualitative validation; and 3) quantitative validation based on the efficacy components (attraction, understanding, induction to action, involvement, and acceptance). The information collected during the validation phases was recorded and transcribed for content analysis. Results: A total of 31 patients with rheumatoid arthritis participated in the study. Patients had a mean age of 49 years, ≥5 years since disease onset, low adherence to pharmacological treatment (<20%), and a high level of illiteracy (>80%). After three versions of the educational material, where elements of cultural identification were added, the efficacy components increased significantly to reach scores higher than 90%. This suggests that culturally-adapted materials could promote greater patient participation in treatment. Conclusion: This study shows the importance of cross-cultural adaptation in the design and validation of audiovisual educational materials for Indigenous populations; this aspect should be considered when implementing educational strategies for patients with chronic diseases. Innovation: First educational audiovisual material translated and adapted from Spanish to Tzotzil, with a cultural sensitivity approach to achieve educational goals and improve therapeutic adherence.http://www.sciencedirect.com/science/article/pii/S2772628224001110Patient health educationAudiovisual educational materialRheumatologyPharmaceutical interventionIndigenous patients |
| spellingShingle | Joana Aguilar-Castillo Ingris Peláez-Ballestas José-Luis Montiel-Hernández Cairo Toledano-Jaimes Mario-Alberto Garza-Elizondo David Zepeda-González Diana-Lizbeth Gómez-Galicia Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis PEC Innovation Patient health education Audiovisual educational material Rheumatology Pharmaceutical intervention Indigenous patients |
| title | Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis |
| title_full | Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis |
| title_fullStr | Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis |
| title_full_unstemmed | Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis |
| title_short | Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis |
| title_sort | cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis |
| topic | Patient health education Audiovisual educational material Rheumatology Pharmaceutical intervention Indigenous patients |
| url | http://www.sciencedirect.com/science/article/pii/S2772628224001110 |
| work_keys_str_mv | AT joanaaguilarcastillo crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis AT ingrispelaezballestas crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis AT joseluismontielhernandez crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis AT cairotoledanojaimes crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis AT marioalbertogarzaelizondo crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis AT davidzepedagonzalez crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis AT dianalizbethgomezgalicia crossculturaladaptationandvalidationofaudiovisualeducationalmaterialforuseinindigenouspatientswithrheumatoidarthritis |