Spanish Translation of StartSmartTM using the Beaton Process to Ensure Tech Equity

Objective. Perinatal outcomes in the United States are poor among Hispanics, the country's fastest-growing population. Hispanics experience higher rates of obesity, diabetes, gestational diabetes, preterm birth, and pregnancy-related hypertension, as well as 20% of infant deaths. StartSmarttm,...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2021-05, Vol.32 (2), p.85-105
Main Authors: Gance-Cleveland, Bonnie, Leiferman, Jenn, Yates, Susan, Williams, Ana T, Amura, Claudia R, Roberts, Mia, Hyer, Jennifer, Anderson, Jessica, Nodine, Priscilla
Format: Article
Language:English
Subjects:
Adaptation
Ambulatory care
Bilingualism
Blood pressure
Childbirth & labor
Counseling
COVID-19
Diabetes
Diabetes mellitus
Domestic violence
Drug use
Education
Gestational diabetes
Hispanic people
Hypertension
Immunization
Infant mortality
Infants
Interactive computer systems
Interpreters
Interviews
Laboratories
Language
Latin American cultural groups
Mental disorders
Mental health
Obesity
Pandemics
Patients
Perinatal
Population
Pregnancy
Premature birth
Prenatal care
Protective factors
Questionnaires
Risk factors
Sleep
Translation
Translations
Women
Womens health
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Summary:Objective. Perinatal outcomes in the United States are poor among Hispanics, the country's fastest-growing population. Hispanics experience higher rates of obesity, diabetes, gestational diabetes, preterm birth, and pregnancy-related hypertension, as well as 20% of infant deaths. StartSmarttm, an mHealth app, screens for risk and protective factors. This project translated and culturally adapted StartSmarttm for Spanish-speaking pregnant women. Methods. Using the Beaton process for translation and cultural adaptation, we completed a six-stage process. Stage I: Translation into Spanish, Stage II: Synthesis of the translations, Stage III: Back-translation, Stage IV: Expert committee review, Stage V: Pretesting with Spanish-speaking pregnant women, Stage VI: Appraisal of process. Results. StartSmarttm was acceptable and feasible for use during prenatal visits. Participants reported ease of use and understanding the material. No issues regarding literacy were identified, and participants provided helpful feedback for refining StartSmarttm for Spanish-speaking women. Conclusions. The Beaton process ensures culturally appropriate translation.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2021.0052