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Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India.
Ashok, Sattvika; Kim, Sunny S; Heidkamp, Rebecca A; Munos, Melinda K; Menon, Purnima; Avula, Rasmi.
Afiliação
  • Ashok S; Poverty, Health, and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
  • Kim SS; Poverty, Health, and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
  • Heidkamp RA; International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Munos MK; International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Menon P; Poverty, Health, and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
  • Avula R; Poverty, Health, and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
Matern Child Nutr ; 18(1): e13248, 2022 01.
Article em En | MEDLINE | ID: mdl-34431603
ABSTRACT
Designing survey questions that clearly and precisely communicate the question's intent and elicit responses based on the intended interpretation is critical but often undervalued. We used cognitive interviewing to qualitatively assess respondents' interpretation of and responses to questions pertaining to maternal and child nutrition intervention coverage. We conducted interviews to cognitively test 25 survey questions with mothers (N = 21) with children less than 1 year in Madhya Pradesh, India. Each question was followed by probes to capture information on four cognitive stages-comprehension, retrieval, judgement, and response. Data were analysed for common and unique patterns across the survey questions. We identified four types of cognitive challenges (1) retention of multiple concepts in long questions difficulty in comprehending and retaining questions with three or more key concepts; (2) temporal confusion difficulty in conceptualizing recall periods such as "in the last 6 months" as compared to life stages such as pregnancy; (3) interpretation of concepts mismatch of information being asked, meaning of certain terms and intervention scope; and (4) understanding of technical terms difficulty in understanding commonly used technical words such as "breastfeeding" and "antenatal care" and requiring use of simple alternative language. Findings from this study will be useful for stakeholders involved in survey design and implementation, especially those conducting large-scale household surveys to measure coverage of essential nutrition interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Mães Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Child / Female / Humans / Pregnancy País/Região como assunto: Asia Idioma: En Revista: Matern Child Nutr Assunto da revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Índia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Mães Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Child / Female / Humans / Pregnancy País/Região como assunto: Asia Idioma: En Revista: Matern Child Nutr Assunto da revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Índia