Effective approaches to user-interface design with ACASI in the developing world

Mierzwa, Stan; Souidi, Samir; Friedland, Irene; Katzen, Lauren; Littlefield, Sarah

doi:10.1145/2451856.2451870

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…In this study, the artist had a cultural background similar to that of the target population. An ACASI study in India in 2010 required making pictures developed in the United States more discreet and culturally appropriate for study participants in India, and this warranted the reproduction of pictures by a local artist [ 74 , 75 ]. For the Myanmar-language questionnaire in this study, audio narration was recorded in a recording studio after pretesting and revision of the questionnaire.…”

Section: Discussionmentioning

confidence: 99%

A Web-Based Audio Computer-Assisted Self-interview Application With Illustrated Pictures to Administer a Hepatitis B Survey Among a Myanmar-Born Community in Perth, Australia: Development and User Acceptance Study

Phoo¹,

Reid²,

Lobo³

et al. 2023

JMIR Form Res

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Background Self-administered paper or electronic surveys can create accessibility issues for people with language barriers and limited literacy, whereas face-to-face interviews can create privacy issues and give rise to reporting biases, particularly in the context of sensitive subject matters. An audio computer-assisted self-interview (ACASI) offers an alternative mode of survey administration, and its use has been tested against other survey modes to determine whether the presence of a background narration helps overcome literacy and privacy issues. There are still gaps with the ACASI survey administration because audio narration alone does not assist respondents with limited literacy in choosing response options. To overcome literacy issues, a few studies have used illustrated pictures for a limited number of response options. Objective This study aimed to illustrate all the questions and response options in an ACASI application. This research is part of a larger study comparing different modes of survey administration (ACASI, face-to-face interviews, and self-administered paper surveys) to collect data on hepatitis B knowledge, attitudes, and practices among the Myanmar-born community in Perth, Australia. This study describes the 2-phase process of developing a web-based ACASI application using illustrated pictures. Methods The first phase was the preparation of the ACASI elements, such as questionnaire, pictures, brief descriptions of response options, and audio files. Each element was pretested on 20 participants from the target population. The second phase involved synchronizing all the elements into the web-based ACASI application and adapting the application features, in particular, autoplay audio and illustrated pictures. The preprototype survey application was tested for user acceptance on 5 participants from the target population, resulting in minor adjustments to the display and arrangement of response options. Results After a 12-month development process, the prototype ACASI application with illustrated pictures was fully functional for electronic survey administration and secure data storage and export. Conclusions Pretesting each element separately was a useful approach because it saved time to reprogram the application at a later stage. Future studies should also consider the participatory development of pictures and visual design of user interfaces. This picture-assisted ACASI survey administration mode can be further developed and used to collect sensitive information from populations that are usually marginalized because of literacy and language barriers.

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Section: Discussionmentioning

confidence: 99%

A Web-Based Audio Computer-Assisted Self-interview Application With Illustrated Pictures to Administer a Hepatitis B Survey Among a Myanmar-Born Community in Perth, Australia: Development and User Acceptance Study

Phoo¹,

Reid²,

Lobo³

et al. 2023

JMIR Form Res

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“…Collaboration was utilized in another similar study exploring the use of graphics and pictorial aids. 33 In that study, picture interview assisted self-interviewing, or PIASI, was considered easy to use and participants expressed more accepting attitudes in their responses than participants who used standard face-to-face interviews. 34 Another study in India used a color-coded ACASI response for a non-English speaking sample of rural truck drivers and their wives.…”

Section: Application To Nursing Informaticsmentioning

confidence: 93%

Prototype Development, Usability, and Preference of a Culturally-relevant Pictorial Aid to Facilitate Comprehension of Likert-type Levels of Agreement in Caregivers of Children Living With HIV in Ghana

Ramos¹,

Paintsil

Ofori-Atta

et al. 2019

CIN: Computers, Informatics, Nursing

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Pictorial illustrations of Likert-type scales are culturally useful and may reduce error associated with usage of Westernized self-report measures in low-and middle-income countries. Pictorial illustrations can be encounter-specific decision aids in populations with low literacy or English proficiency. In an unanticipated finding from the SANKOFA study, caregivers of children living with HIV experienced challenges comprehending Likert-type scales. A cross-sectional, qualitative study was conducted with a SANKOFA participant subset (n=30) in Ghana. Using an informatics-

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“…To date, the number of migration studies that use CASI with audio files is rather limited (e.g., Mierzwa et al, 2013;Falb et al, 2016;Turner et al, 1996;Wong et al, 2007). Nevertheless, some fieldwork experiences are available, which we review in the following subsections.…”

Section: General Experience From the Field: Implementation And Usage ...mentioning

confidence: 99%

“…Since using ACASI is a relatively new technical solution, many studies had to develop their own software for conducting ACASI (e.g., Beier et al, 2014;Mierzwa et al, 2013;Morina et al, 2017). Each of these studies implemented their ACASI, depending on whether the questions were to be answered via audio files only or via audio files supported by written text.…”

Section: Implementation Of Audio Filesmentioning

confidence: 99%

“…Each of these studies implemented their ACASI, depending on whether the questions were to be answered via audio files only or via audio files supported by written text. In its simplest form, ACASI using only audio files should be kept very simple, with colored buttons or symbols as labels to indicate the available options (see Falb et al, 2016;Mierzwa et al, 2013).…”

Section: Implementation Of Audio Filesmentioning

confidence: 99%

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Surveying Illiterate Individuals: Are Audio Files in Computer-Assisted Self-Interviews a Useful Supportive Tool?

Heinritz

Will

Gentile

2022

IMISCOE Research Series

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This chapter focuses on specific challenges to surveying newly arrived immigrants with a focus on refugees. In addition to the need to provide interviews for immigrants in their native language, it must be taken into account that a considerable proportion of this group has poor or no reading skills in their native language. Two strategies can be used to avoid systematically excluding this population: offering interviews with native-speaking interviewers or using computer-assisted self-interviewing (CASI) with additional audio files that enable respondents to listen to a questionnaire. We discuss the pros and cons of both strategies. Subsequently, using the data from the first wave of the German refugee study ReGES, in which both strategies were offered as a combined approach, we consider their effectiveness and practicability in more detail. Although native-speaking interviewers can increase cooperation and help to not exclude illiterate individuals, they also can encourage a higher social desirability bias. However, illiterate interviewees are more likely to take advantage of the interviewer’s support to read the questions aloud than to use the audio files. Nevertheless, we also found that a small but substantial subgroup of interviewees with little or no reading skills used the audio files often.

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Effective approaches to user-interface design with ACASI in the developing world

Cited by 4 publications

References 4 publications

A Web-Based Audio Computer-Assisted Self-interview Application With Illustrated Pictures to Administer a Hepatitis B Survey Among a Myanmar-Born Community in Perth, Australia: Development and User Acceptance Study

A Web-Based Audio Computer-Assisted Self-interview Application With Illustrated Pictures to Administer a Hepatitis B Survey Among a Myanmar-Born Community in Perth, Australia: Development and User Acceptance Study

Prototype Development, Usability, and Preference of a Culturally-relevant Pictorial Aid to Facilitate Comprehension of Likert-type Levels of Agreement in Caregivers of Children Living With HIV in Ghana

Surveying Illiterate Individuals: Are Audio Files in Computer-Assisted Self-Interviews a Useful Supportive Tool?

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