207842 Cultural translation: Acceptability and efficacy of a US-based injury prevention in China

Wednesday, November 11, 2009: 9:00 AM

Danielle C. Erkoboni, BA , The Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA
Flaura K. Winston, MD, PhD , The Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA
Joan Ozanne-Smith, MD, MPH , Victorian Institute of Forensic Medicine, Monash University, Melbourne, Australia
Cao Rouxiang, MD , Department of School Health, Chinese Centers for Disease Control and Prevention, Beijing, China
Background/Purpose: Belt-positioning booster seat (BPB) use is rising in the United States, due in part to increased access and education. Though rapidly motorizing, Beijing's population has little awareness of or access to BPBs. This study explored the efficacy and acceptability of utilizing a US-developed BPB promotion intervention in Beijing.

Methods: Methods replicated a previously executed US study. Mixed qualitative and qualitative methods elicited behavioral antecedents related to BPB use from parents of children aged 3-8 years, as well as reactions to interventions promoting BPB use. Focus group discussions included provision of a free BPB and education on its use. Participants were contacted six weeks later via telephone regarding use, knowledge and attitudes.

Results/Outcomes: Results revealed marked similarities between both countries in behavioral antecedents to BPB use. As in the US, Chinese participants (n=71) saw child safety as the most important BPB benefit; lack of accurate knowledge about and access to BPBs were parent's most prevalent barriers. A US-designed intervention that provided concrete messages about BPBs' safety benefits was cited as effective in both countries. Compared to an 18% use baseline, 98% of parents in Beijing cited using BPB at six-weeks.

Conclusions: These results demonstrate the possibility of exporting US-designed interventions into a Chinese context when the intervention addresses commonly held behavioral antecedents. An essential step in intervention translation is comparison of the target population to the original population regarding perceived benefits from and barriers to the behavior. Though this method was successful, large scale implementation will require further study.

Learning Objectives:
Discuss using the Integrative Model of Behavior Change to design a study that explores injury intervention acceptability and efficacy. Describe interventions that address commonly held behavioral antecedents that cross cultural boundaries. Discuss how future investigations can further explore the ability of interventions to cross cultural boundaries.

Keywords: International Health, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a research coordinator, I was heavily involved and committed to the planning and execution of the project, both in the United States and abroad in China.
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.