Using implementation science frameworks to translate and adapt a pregnancy app for an emerging Latino community.

Background: Digital mobile health (mHealth) applications are a popular form of prenatal education and care delivery in the U.S.; yet there are few Spanish language options for native speakers. Furthermore, existing applications do not consider cultural differences and disparities in healthcare acces...

Descripción completa

Detalles Bibliográficos
Publicado en:BMC Women's Health Vol. 22; no. 1; pp. 1 - 13
Autores principales: Castillo, Anabel F., Davis, Alexander L., Krishnamurti, Tamar
Formato: Journal Article
Publicado: BioMed Central 9/21/2022
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159238832&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 159238832
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        14726874
        1CIP
      jtl: BMC Women's Health
      issn: 14726874
      maglogo: N
    pubinfo:
      dt: 9/21/2022
      vid: 22
      iid: 1
      pid: 24147
      pub: BioMed Central
    artinfo:
      ui:
        159238832
        159238832
        NLM36131336
        10.1186/s12905-022-01975-9
        NLM36131336
        159238832
      ppf: 1
      ppct: 12
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Using implementation science frameworks to translate and adapt a pregnancy app for an emerging Latino community.
      aug:
        au:
          Castillo, Anabel F.
          Davis, Alexander L.
          Krishnamurti, Tamar
        affil: Naima Health LLC, 4615 Forbes Avenue, Suite 400, 15213, Pittsburgh, PA, USA
      sug:
      ab: Background: Digital mobile health (mHealth) applications are a popular form of prenatal education and care delivery in the U.S.; yet there are few Spanish language options for native speakers. Furthermore, existing applications do not consider cultural differences and disparities in healthcare access, including those specific to emerging Latino communities.Objective: To adapt and translate an English-language pregnancy mobile health app to meet the language and cultural needs of Spanish-speaking Latino immigrants living in the United States.Methods: We use a multi-step process, grounded in implementation science frameworks, to adapt and translate the contents of an existing pregnancy app. Interviews with stakeholders (n = 12) who advocate for the needs of pregnant individuals in an emerging Latino community were used to identify domains of possible disparities in access to prenatal care. We then conducted semi-structured interviews with peripartum Spanish-speaking Latino users (n = 14) to understand their perspectives within those domains. We identified a list of topics to create educational material for the modified app and implemented a systematic translation approach to ensure that the new version was acceptable for immigrants from different countries in Latin America.Results: The interviews with stakeholders revealed seven critical domains that need to be addressed in an adapted prenatal app: language and communication, financial concerns, social support, immigration status, cultural differences, healthcare navigation, and connection to population-specific community resources that offer Spanish language services. The interviews with peripartum Spanish-speaking Latino women informed how the existing content in the app could be adjusted or built upon to address these issues, including providing information on accessing care offered in their native language and community support. Finally, we used a systematic approach to translate the existing application and create new content.Conclusion: This work illustrates a process to adapt an mHealth pregnancy app to the needs of an emerging Latino community, by incorporating culturally sensitive Spanish language content while focusing on addressing existing health disparities.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N