Taxi Drivers at Risk: Tailoring Nutrition and Exercise Materials
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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.
KeywordsImmigrants Minority health Health education Cognitive interviewing Nutrition
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.
- 2.McElmurry, B. J., McCreary, L. L., Park, C. G., et al. (2009). Implementation, outcomes, and lessons learned from a collaborative primary health care program to improve diabetes care among urban Latino populations. Health Promotion Practice, 10(2), 293–302. https://doi.org/10.1177/1524839907306406.CrossRefGoogle Scholar
- 3.Majumdar, B., Browne, G., Roberts, J., & Carpio, B. (2004). Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. Journal of Nursing, 36(2), 161–166.Google Scholar
- 4.Ernst, F. A. (2005). Speaking of health: Assessing health communication, strategies for diverse populations. Journal of the National Medical Association, 97(6), 846-.Google Scholar
- 6.Kalichman, S. C., Kelly, J. A., Hunter, T. L., Murphy, D. A., & Tyler, R. (1993). Culturally tailored HIV-AIDS risk-reduction messages targeted to African-American urban women: Impact on risk sensitization and risk reduction. Journal of Consulting and Clinical Psychology, 61(2), 291–295.CrossRefGoogle Scholar
- 9.Willis, G. B. Cognitive interviewing. A ‘how to’guide. 2005.Google Scholar
- 11.Campanelli, P. Testing survey questions: New directions in cognitive interviewing. BMS Bulletin of Sociological Methodology. 1997; (55):5–17.Google Scholar
- 16.New York City Taxi and Limousine Commission. Taxicab factbook. 2016.Google Scholar
- 17.US Department of Health and Human Services and US Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. Washington, DC US Dept of Health and Human Services. December 2015; 8th ed.Google Scholar
- 18.US Department of Health and Human Services. 2008 physical activity guidelines for Americans. 2008.Google Scholar
- 19.American Heart Association. Answers by Heart Fact Sheets. (n.d.).Google Scholar
- 20.USDA Center for Nutrition Policy and Promotion. MyPlate. In: M. Graphic (Ed.) choosemyplate.gove: USDA; 2013.Google Scholar
- 21.Guard Your Health. Infographic: Hand Guide to Portion Control. Guard Your Health2013.Google Scholar
- 22.Weight Watchers. Portion Estimator. In: P. Estimator (Ed.) weightwatchers.com: Weight Watchers.Google Scholar
- 23.Immigrant Health and Cancer Disparities at Memorial Sloan Kettering Cancer Center. Color-coded Blood Pressure Levels Displayed in Traffic Light. 2018.Google Scholar
- 24.FLIPcancerNow. Nutrition labels: Unriddled!. (2013). Retrieved August 28, 2018 from https://flipcancernow.org/2013/08/nutrition-labels-unriddled/.
- 25.U.S. Food & Drug Administration. How to Understand and Use the Nutrition Facts Label. (2018). Retrieved August 24, 2018 from https://www.fda.gov/food/labelingnutrition/ucm274593.htm#see4.