Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing
Objective: Patient demand often drives inappropriate antibiotic prescribing for acute respiratory tract infections (ARTI). This study aimed to develop novel culturally- and linguistically-tailored patient education material regarding appropriate ARTI care. Methods: This qualitative study used a four...
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Elsevier
2025-12-01
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| Series: | PEC Innovation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628225000445 |
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| author | Rebecca K. Rudel Emma Powers Kirsten Austad Shana A.B. Burrowes Zaire Couloute Anais E.C. Smith Christine Prifti J. Morgan Freiman Robin Wigmore Allan Walkey Jacqueline M. Hicks Tamar F. Barlam Mari-Lynn Drainoni |
| author_facet | Rebecca K. Rudel Emma Powers Kirsten Austad Shana A.B. Burrowes Zaire Couloute Anais E.C. Smith Christine Prifti J. Morgan Freiman Robin Wigmore Allan Walkey Jacqueline M. Hicks Tamar F. Barlam Mari-Lynn Drainoni |
| author_sort | Rebecca K. Rudel |
| collection | DOAJ |
| description | Objective: Patient demand often drives inappropriate antibiotic prescribing for acute respiratory tract infections (ARTI). This study aimed to develop novel culturally- and linguistically-tailored patient education material regarding appropriate ARTI care. Methods: This qualitative study used a four-phase approach to develop single-page English, Spanish, and Haitian Creole patient education materials for appropriate ARTI treatment designed for clinical use: 1) material development informed by pre-existing materials, 2) learner verification, 3) revision, and 4) transcreation. Patient and provider focus groups and interviews were conducted at three Massachusetts health systems. Transcripts were coded and analyzed using a framework informed by the Patient Education Materials Assessment Tool. Results: Twenty-six providers and 48 patients (27 English, 10 Spanish, 11 Haitian Creole speaking) participated. Participants suggested improving readability by replacing text blocks with bulleted lists and usability by providing self-care solutions. The transcreation process resulted in literal translations that were unclear to Spanish and Haitian Creole speakers, who provided culturally-appropriate suggestions. Innovation: Patient education materials are co-created with diverse patient and provider populations to create culturally-tailored materials, available in multiple languages, for ARTI treatment. Conclusion: Learner verification, revision, and transcreation can result in understandable and actionable materials for patients in multiple languages. Materials may help decrease demand for and rates of inappropriate antibiotic prescribing for ARTI. |
| format | Article |
| id | doaj-art-ba609795e45140ec9ac7054491e16490 |
| institution | Kabale University |
| issn | 2772-6282 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj-art-ba609795e45140ec9ac7054491e164902025-08-20T03:29:09ZengElsevierPEC Innovation2772-62822025-12-01710041510.1016/j.pecinn.2025.100415Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribingRebecca K. Rudel0Emma Powers1Kirsten Austad2Shana A.B. Burrowes3Zaire Couloute4Anais E.C. Smith5Christine Prifti6J. Morgan Freiman7Robin Wigmore8Allan Walkey9Jacqueline M. Hicks10Tamar F. Barlam11Mari-Lynn Drainoni12Section of Infectious Diseases, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USA; Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, USA; Corresponding author at: 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA.Section of Infectious Diseases, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USAEvans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, USA; Department of Family Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USASection of Infectious Diseases, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USA; Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, USABoston University School of Public Health, Boston, USAResearch Administration Department, Lahey Hospital and Medical Center, Burlington, USASection of General Internal Medicine, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USADivision of Infectious Diseases, Lahey Hospital and Medical Center, Burlington, USA; Division of Infectious Diseases, UMass Chan School of Medicine, Worcester, USA; Division of Infectious Diseases, Tufts University School of Medicine, Boston, USADivision of Infectious Diseases and Primary Care, Beth Israel Deaconess Medical Center, Boston, USADivision of Health Systems Science, Department of Medicine, UMass Chan School of Medicine, Worcester, USADepartment of Biostatistics, Boston University School of Public Health, Boston, USASection of Infectious Diseases, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USASection of Infectious Diseases, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USA; Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, USA; Department of Health, Law, Policy and Management, Boston University School of Public Health, Boston, USAObjective: Patient demand often drives inappropriate antibiotic prescribing for acute respiratory tract infections (ARTI). This study aimed to develop novel culturally- and linguistically-tailored patient education material regarding appropriate ARTI care. Methods: This qualitative study used a four-phase approach to develop single-page English, Spanish, and Haitian Creole patient education materials for appropriate ARTI treatment designed for clinical use: 1) material development informed by pre-existing materials, 2) learner verification, 3) revision, and 4) transcreation. Patient and provider focus groups and interviews were conducted at three Massachusetts health systems. Transcripts were coded and analyzed using a framework informed by the Patient Education Materials Assessment Tool. Results: Twenty-six providers and 48 patients (27 English, 10 Spanish, 11 Haitian Creole speaking) participated. Participants suggested improving readability by replacing text blocks with bulleted lists and usability by providing self-care solutions. The transcreation process resulted in literal translations that were unclear to Spanish and Haitian Creole speakers, who provided culturally-appropriate suggestions. Innovation: Patient education materials are co-created with diverse patient and provider populations to create culturally-tailored materials, available in multiple languages, for ARTI treatment. Conclusion: Learner verification, revision, and transcreation can result in understandable and actionable materials for patients in multiple languages. Materials may help decrease demand for and rates of inappropriate antibiotic prescribing for ARTI.http://www.sciencedirect.com/science/article/pii/S2772628225000445Education materialTranscreationNon-English language proficiencyLearner verification & revisionAntibiotic prescribing |
| spellingShingle | Rebecca K. Rudel Emma Powers Kirsten Austad Shana A.B. Burrowes Zaire Couloute Anais E.C. Smith Christine Prifti J. Morgan Freiman Robin Wigmore Allan Walkey Jacqueline M. Hicks Tamar F. Barlam Mari-Lynn Drainoni Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing PEC Innovation Education material Transcreation Non-English language proficiency Learner verification & revision Antibiotic prescribing |
| title | Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing |
| title_full | Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing |
| title_fullStr | Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing |
| title_full_unstemmed | Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing |
| title_short | Using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing |
| title_sort | using learner verification and transcreation to develop multicultural patient education materials for acute respiratory tract infections to decrease inappropriate antibiotic prescribing |
| topic | Education material Transcreation Non-English language proficiency Learner verification & revision Antibiotic prescribing |
| url | http://www.sciencedirect.com/science/article/pii/S2772628225000445 |
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