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Rheumatology Advance Access originally published online on January 27, 2009
Rheumatology 2009 48(3):299-303; doi:10.1093/rheumatology/ken464
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Snails in bottles and language cuckoos: an evaluation of patient information resources for South Asians with osteomalacia

A. Samanta1, M. R. D. Johnson2, F. Guo2 and A. Adebajo3

1University Hospitals of Leicester NHS Trust, 2Mary Seacole Research Centre, De Montfort University, Leicester and 3Barnsley District Hospital, Barnsley, UK.

Correspondence to: A. Samanta, Department of Rheumatology, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK. E-mail: ash.samanta{at}uhl-tr.nhs.uk


   Abstract

Objective. To assess the acceptability for use of information on osteomalacia for South Asian patients.

Methods. Ten focus groups of South Asian persons speaking Bengali, Gujarati, Hindi, Punjabi and Urdu (one male and one female group for each language) were used to evaluate the written (leaflets) and spoken information (CD) on osteomalacia for South Asian patients produced by the Arthritis Research Campaign (ARC). Focus group discussion was facilitated by community-based workers using the Social Action Research Method. A subsidiary evaluation of the information was conducted by a questionnaire-based survey sent to British Society of Rheumatology/British Health Professionals in Rheumatology (BSR/BHPR) members and others who had requested such materials from ARC in the past.

Results. Evaluation by focus groups revealed that there were potential difficulties relating to the understanding of the information leaflets and CDs and problematic issues regarding the quality of translation and pronunciation. Evaluation by BSR/BHPR members and others who had requested such material was that although the information was culturally appropriate, there were some weak areas such as mispronunciation, the quality of translation and specific customs.

Conclusion. Healthcare information resources for minority ethnic groups has traditionally been developed depending upon the needs of the community, the language spoken and cultural norms. Such information is regarded as ‘culturally sensitive’. However, an additional dimension is required. Information should be evaluated by the community and also specific users in order to determine its acceptability. This test of ‘cultural competence’ can ensure that such information has real practical value. An iterative evaluation process with feedback and refinement of information resources for minority ethnic groups is essential.

KEY WORDS: Minority ethnic groups, Patient information, Cultural sensitivity, Cultural competence

Submitted 1 July 2008; revised version accepted 19 November 2008.
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