Abstract
In order to connect with families and influence treatment trajectories, outreach materials should address cultural perceptions of the condition, its causes, and post-diagnostic care. This paper describes the cultural adaptation and translation of the Autism Speaks First 100 Days Kit into Korean for the purpose of improving autism spectrum disorder (ASD) diagnosis, assessment, and interventions. The goal of this study is to describe a methodology for future cross-cultural adaptations and translations of outreach materials on ASD, using the Autism Speaks First 100 Days Kit as an exemplar. The research involved two stages of qualitative interviews: unstructured individual and group interviews with 19 Korean child health and education professionals in Queens, NY, followed by structured cultural consensus modeling interviews with 23 Korean mothers, with and without children with ASD, in Queens, NY and the greater Washington, DC area. We conclude that a systematic approach to cultural translation of outreach materials is feasible. Cultural consensus modeling yielded information about numerous barriers to care, had a demonstrable effect on the translation of the kit, and was efficient when employed with coherent segments of a relatively homogeneous population and focused on a single condition.
Similar content being viewed by others
References
Borgatti, S. (1999). Elicitation techniques for cultural domain analysis. In J. J. Schensul & M. D. LeCompte (Eds.), Enhanced ethnographic methods: Audiovisual techniques, focused group interviews, and elicitation techniques (pp. 115–151). Lanham: AltaMira Press.
Canal-Bedia, R., García-Primo, P., Martín-Cilleros, M. V., Bantos-Borbujo, J., Guisuraga-Fernández, Z., Herráez-García, L., et al. (2011). Modified checklist for autism in toddlers: Cross-cultural adaptation and validation in Spain. Journal of Autism and Developmental Disorders, 41(10), 1342–1351.
Chavez, L. R., Hubbell, F. A., McMullin, J. M., Martinez, R. G., & Mishra, S. I. (1995). Structure and meaning in models of breast and cervical cancer risk factors: A comparison of perceptions among Latinas, Anglo women, and physicians. Medical Anthropology Quarterly, 9(1), 40–74.
Cho, S., Singer, G. H. S., & Brenner, M. (2000). Adaptation and accommodation to young children with disabilities: A comparison of Korean and Korean American parents. Topics in Early Childhood Special Education, 20(4), 236–249.
Danforth, S., & Navarro, V. (2001). Sampling the social construction of ADHD in everyday language. Anthropology and Education Quarterly, 32(2), 167–190.
Dressler, W. W., & Bindon, J. R. (2008). The health consequences of cultural consonance: Cultural dimensions of lifestyle, social support, and arterial blood pressure in an African American community. American Anthropologist, 102(2), 244–260.
Dressler, W. W., McBalieiro, M. C., & Dos Santos, J. E. (1997). The cultural construction of social support in Brazil: Associations with health outcomes. Culture, Medicine, and Psychology, 21(3), 303–335.
Ehlers, S., Gillberg, C., & Wing, L. (1999). “A screening questionnaire for asperger syndrome and other high-functioning autism spectrum disorders in school age children. Journal of Autism and Developmental Disorders, 29(2), 129–141.
Freeth, M., Milne, E., Sheppard, E., & Ramachandran, R. (2013). Autism across cultures: Perspectives from non-western cultures and implications for research. In F. Volkmar, R. Paul, S. Rogers, & K. Pelphrey (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 2, pp. 997–1013). New York: Wiley.
Garro, L. C. (2008). Remembering what one knows and the construction of the past: A comparison of cultural consensus and cultural schema theory. Ethos, 28(3), 275–319.
Grinker, R. R., Chambers, N., Njongwe, N., Lagman, A. E., Guthrie, W., Stronach, S., et al. (2012). Communities in community engagement: Lessons learned from autism research in South Korea and South Africa. Autism Research, 5(3), 201–210.
Grinker, R. R., & Cho, K. (2013). Border children: Interpreting autism spectrum disorder in Korea. Ethos, 41(1), 46–74.
Grinker, R. R., Yeargin-Allsopp, M., & Boyle, C. (2011). ASD and culture: International trends in prevalence and diagnosis. In D. Amaral, D. Geschwind, & G. Dawson (Eds.), Autism spectrum disorders. Oxford: Oxford University Press.
Guinchat, V., Chamak, B., Bonniau, B., Bodeau, N., Perisse, D., Cohen, D., & Danion, A. (2012). Very early signs of Autism reported by parents include many concerns not specific to Autism criteria. Research in Autism Spectrum Disorders, 6(2), 589–601.
Guo, Y. Q., Tang, Y., Rice, C., Lee, L. C., Wang, Y. F., & Cubells, J. F. (2011). Validation of the autism spectrum screening questionnaire, Mandarin Chinese version (CH-ASSQ) in Beijing, China. Autism, 15(6), 713–727.
Hahn, R. A., & Kleinman, A. (1983). Biomedical practice and anthropological theory: Frameworks and directions. Annual Review of Anthropology, 12, 305–333.
Kang-yi, C., Grinker, R. R., & Mandell, D. (2013). Korean culture and Autism. Journal of Autism and Developmental Disorders, 43(3), 503–520.
Kass, B., Weinick, M., & Monheit, A. (1999). Racial and ethnic differences in health, 1996. Chartbook No. 2. Agency for health care policy and research. http://meps.ahrq.gov/data_files/publications/cb2/cb2.shtml. Accessed 20 Jan 2015.
Kim, Y. S., Leventhal, B. L., Fombonne, E., Laska, E., Lim, E. C., Cheon, K. A., et al. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry, 168(9), 904–912.
Kleinman, A. (1981). Patients and healers in the context of culture: The borderland between anthropology, medicine, and psychiatry. Berkeley: University of California Press.
Krug, D. A., Arick, J., & Almond, P. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. Journal of Child Psychology and Psychiatry, 21(3), 221–229.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.
Maier, C. (1995). Towards a theoretical practice for cross-cultural translation. In A. Dingwaney & C. Meier (Eds.), Between languages and cultures: Translation and cross-cultural texts (pp. 21–38). Pittsburgh: University of Pittsburgh Press.
Mandell, D. S., Listerud, J., Levy, S. E., & Pinto-Martin, J. A. (2002). Race differences in the age at diagnosis among medicaid-eligible children with autism. Journal of the American Academy of Child Adolescent Psychiatry, 41(12), 1447–1453.
Ravindran, N., & Myers, B. J. (2012). Cultural influences on perceptions of health, illness, and disability: A review and focus on autism. Journal of Child and Family Studies, 21(2), 311–319.
Romney, A. K., Weller, S. C., & Batchelder, W. H. (1986). Culture as consensus: A theory of culture and informant accuracy. American Anthropologist, 88(2), 313–338.
Rutter, M., Le Couteur, A., & Lord, C. (2003). Manual for the ADIWPS version. Los Angeles: Western Psychological Services.
Schopler, E., Reichler, R. J., & Brenner, B. R. (1988). The childhood autism rating scale (CARS). Los Angeles: Western Psychological Services.
Shin, Y., Lee, K., Min, S., & Emde, R. N. (1999). A Korean syndrome of attachment disturbance mimicking symptoms of pervasive developmental disorder. Infant Mental Health Journal, 20(1), 60–76.
Smedley, B. D., Stith, A., & Nelson, A. (Eds.). (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press.
Spicer, P. (2010). Cultural influences on parenting. Zero to Three, 30(4), 28–32.
Stahmer, A. C., Brookman-Frazee, L., Lee, E., Searcy, K., & Reed, S. (2011). Parent and multidisciplinary provider perspectives on earliest intervention for children at risk for autism spectrum disorders. Infants and Young Children, 24(4), 344–363.
Sussman, L. K., Robins, L. N., & Earls, F. (1987). Treatment-seeking for depression by black and white Americans. Social Science and Medicine, 24(3), 187–196.
U.S. Census Bureau. (2010). State & County Quickfacts: NY. http://quickfacts.census.gov. Accessed 13 Nov 2013.
U.S. Department of Health and Human Services. (2001). Culture, race, and ethnicity—a supplement to mental health: A report of the surgeon general. Rockville: Center for Mental Health Services.
Weller, S. C. (2007). Cultural consensus theory: Applications and frequently asked questions. Field Methods, 19(4), 339–368.
Wells, K., Klap, R., Koike, A., & Sherbourne, C. (2005). Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry, 158(12), 2027–2032.
Wilce, J. M. (2009). Medical discourse. Annual Review of Anthropology, 38, 199–215.
Acknowledgments
The research was funded by the Autism Speaks Foundation. The authors thank Joyce Chung, Amy Daniels, and Andy Shih for their insights and contributions to the paper, and the overall project. We extend special gratitude to the many parents and professionals we interviewed in New York City and Washington, DC for their time and generosity. All errors and oversights are the responsibility of the authors. Dr. Beidas was supported by the following grants from NIMH while preparing this manuscript (K23 MH099179).
Author information
Authors and Affiliations
Corresponding author
Additional information
Previous communication with Dr. Volkmar about two reviewers unlikely to offer unbiased evaluations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Grinker, R.R., Kang-Yi, C.D., Ahmann, C. et al. Cultural Adaptation and Translation of Outreach Materials on Autism Spectrum Disorder. J Autism Dev Disord 45, 2329–2336 (2015). https://doi.org/10.1007/s10803-015-2397-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-015-2397-6