Public Health

Abstract

Background: Socio-cultural and language-appropriate study materials and instruments are critical for accurate assessment of cognitive function in people from diverse backgrounds. Most research uses cognitive tests based on Western, industrialized, English-speaking cultures and may not reflect global experiences. The purpose of this study was to describe the translations of study materials and cultural adaptations that were developed for the Asian Cohort for Alzheimer's Disease (ACAD).

Methods: Multi-lingual researchers, clinicians, and community leaders with extensive practical translation experience created materials and instruments in accordance with World Health Organization (WHO) guidelines, using a translation process that consisted of preparing materials, translating materials, conducting a committee review, conducting a pretest (as appropriate), and conducting necessary revisions. The ACAD study population speaks Chinese (Simplified and Traditional), Korean, or Vietnamese. The majority of instruments in the protocol harmonize with the National Alzheimer's Coordinating Center purposefully, warranting both literal and conceptually cultural-appropriate translations for our older Asian American and Asian Canadian participants.

Results: We have developed Asian language versions of the ACAD informed consent, data collection packet, and community outreach materials for all our target groups. Many cognitive tools had been previously translated into Asian languages and made minor modifications. Some items required cultural adaptations to reflect the socio-cultural background of the targeted Asian languages, e.g., the types of physical activities or dietary choices surveyed.

Conclusion: This multi-stage translation process accounts for the distinctive socio-cultural and language backgrounds of each Asian population. Alzheimer's disease and related dementias researchers interested in engaging with these populations may apply this translation process to reduce health disparities in these underrepresented populations. To ensure fidelity across different languages, ACAD will continue to engage in this comprehensive translation process with our diverse community stakeholders.