203205 La historia de Roberto: The use of vignettes in Hispanic health research

Wednesday, November 11, 2009: 11:10 AM

Elizabeth Reifsnider, PhD, APRN, BC , School of Nursing, University of Texas Medical Branch, Galveston, TX
Yolanda Davila, PhD, RN , School of Nursing, University of Texas Medical Branch, Galveston, TX
Irma Pecina, AA , School of Nursing, University of Texas Medical Branch, Galveston, TX
Purpose: This purpose of this study was to explore the use of a vignette, La Historia de Roberto, as a data collection method among Hispanics.

Research Question: Is a vignette an appropriate data collection method in exploring the beliefs systems of Hispanics?

Significance: A vignette is a short story that describes hypothetical characters and situations to which participants are invited to respond. While vignettes have been used by researchers in a variety of disciplines, their use in health, especially minority health, research has been limited.

Methods: This study, using focus group methodology, was conducted among a convenience sample of 50 adult Hispanic men and women. Data were collected through a demographic form and audiotaped responses to the vignette, La Historia de Roberto. The vignette was based upon the authors' prior research and clinical practice among Hispanics. Descriptive statistics were used to describe the sample. Thematic analysis was used in the analysis of the qualitative data. Trustworthiness of the data collection, analysis, and interpretation were established through the use of an audit trail.

Results: The vignette, La Historia de Roberto, provided insight into how respondents made health and healthcare related decisions. It also allowed discovery of a major factor that influenced and determined participants' health related decisions. Thematic analysis of the vignette data revealed the importance of the Hispanic cultural value of familismo, the importance and centrality of family, as the major factor influencing Hispanic health, health promotion, and treatment behaviors.

Discussion: Vignettes elicit data that may not be collected by other methods. They allow participants to define, interpret, and respond to fictional characters and situations from within their own contextual worldview. The use of vignettes in minority health research has the potential to inform effective and culturally appropriate healthcare interventions for Hispanic and other ethnic minority populations.

Learning Objectives:
1. Compare the method of gathering qualitative data through asking grand tour questions to the method of asking participants to respond to a vignette. 2. Identify at least two components of a successful vignette useful for data collection.

Keywords: Hepatitis C, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI of the research that resulted in this data-based presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.