title: Cognitive Interviews of Vietnamese Americans on Healthy Eating and Physical Activity Health Educational Materials.
abstract: The purpose of this study was to better understand if a health educational presentation using culturally adapted materials was understandable and culturally appropriate, and that the content was retained, in an older Vietnamese American population. This study used cognitive interviewing. A convenient sampling was used to recruit eight participants by staff of a community-based organization from its client base. This is the first study to document that family eating style poses a challenge for estimating food intake among Vietnamese Americans. Participants who ate in a family eating style were not able to recall or estimate the number of servings of protein and vegetables. Some older Vietnamese Americans used food for healing and self-adjusted portion sizes from dietary recommendations. Cognitive interviewing is a useful method to improve comprehension, retention, and cultural appropriateness of health educational materials. Further nutrition research concerning intake measurement in ethnic groups that practice a family eating style is warranted.
authors.affiliation: a Cancer Prevention Institute of California , Fremont , California , USA.
authors.forename: Bang H
authors.initials: BH
authors.lastname: Nguyen
authors.forename: Chi P
authors.initials: CP
authors.lastname: Nguyen
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: McPhee
authors.forename: Susan L
authors.initials: SL
authors.lastname: Stewart
authors.forename: Ngoc
authors.initials: N
authors.lastname: Bui-Tong
authors.forename: Tung T
authors.initials: TT
authors.lastname: Nguyen
mesh_terms: D003071:Cognition; D032882:Comprehension; D054521:Cultural Competency; D004032:Diet / Q000592:standards*; D002149:Energy Intake; D005006:Ethnicity; D015444:Exercise; D005190:Family; D005247:Feeding Behavior; D005260:Female; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D014481:United States; D014744:Vietnam / Q000208:ethnology
keywords: Asian; Vietnamese American; cognitive interview; diet; family eating style; physical activity