Feasibility of Audio-Computer-Assisted Self-Interviewing With Color-Coding and Helper Assistance (ACASI-H) for Hmong Older Adults.
Maichou Lor, Barbara J Bowers
PMID 28431187WHAT IT FOUND
All Hmong older adults and helpers found the color-coded audio survey easy and positive, and all older adults would take it again, but every older adult needed the helper to operate the laptop, and some initially answered based on color meanings.
Key findings
01All participants reported a positive experience with the survey, and all Hmong older adults said they would take it again.
02Every Hmong older adult reported inability to operate the laptop or mouse, and only the helper operated them.
03Twenty-nine of 30 dyads used the prerecorded Hmong translation, and 25 older adults understood the color-response correspondence while 5 initially responded to color meaning.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used a convenience sample of 30 Hmong older adult and helper pairs, so it cannot show the method works for other groups or settings. There was no comparison with paper surveys, standard interviews, or other data collection methods, so ACASI-H cannot be called the best method. Helpers were not standardized, and their explanations or decisions could have influenced the older adults' responses. Four dyads had technical problems, such as audio not loading or questions not advancing. Some older adults initially responded based on the cultural meaning of colors rather than the answer choices. The survey was not checked for accuracy against another measure, so feasibility does not prove valid data collection.
Declared interests
The paper is listed as supported by extramural NIH funding. No conflicts of interest or author declarations appear in the supplied text.
The easy way to misread this
Do not conclude that ACASI-H is the best or most accurate way to collect health data from older adults. The study did not compare it with other methods, the helper role was not standardized, and some older adults initially responded based on color meaning rather than the question.