Taxi Drivers at Risk: Tailoring Nutrition and Exercise Materials
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Abstract
Cognitive interviewing was used to refine nutrition and exercise health education materials for use in the New York City taxi driver community. Cognitive interviews were conducted with taxi drivers at garages and community centers across New York City. Interviews were conducted in five rounds with approximately 10 interviews conducted in each round. Modifications were made to the education materials between rounds based on driver feedback. Interviews were transcribed, coded to identify areas needing improvement, and then used to modify materials. Areas that needed adaptation included colloquialisms, literacy level, complex jargon/terminology, vague/confusing phrasing, driver-specific and ethnic-specific preferences, visual aids, and mathematical calculations. These were organized into four key themes: linguistic responsiveness, occupational and cultural adaptation, visuals, and calculations. Cognitive interviewing is a useful method for refining health education materials in the diverse driver population. Cognitive interviewing revealed a need to reduce literacy level, avoid complex terminology, make further occupational and cultural adaptations, use clear visual aids, and avoid the use of complex calculations. Cognitive interviewing is an effective method for refining health education materials for immigrant and low literacy populations.
Keywords
Immigrants Minority health Health education Cognitive interviewing NutritionNotes
Acknowledgements
This work was supported by National Cancer Institute P30 CA008748 Core Cancer Center Support Grant; National Institute on Minority Health and Health Disparities, U01 MD010648 Taxi STEP (Social networks, Technology, and Exercise through Pedometers), and National Institute of Nursing Research, R01 NR015265 Taxi HAILL (Taxi Health Access Interventions for Linkages and Lifestyle).
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
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