Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India

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 pertai...

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Autores principales: Ashok, Sattvika, Kim, Sunny S., Heidkamp, Rebecca A., Munos, Melinda K., Menon, Purnima, Avula, Rasmi
Formato: Journal Article
Lenguaje:Inglés
Publicado: Wiley 2022
Materias:
Acceso en línea:https://hdl.handle.net/10568/141132
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author Ashok, Sattvika
Kim, Sunny S.
Heidkamp, Rebecca A.
Munos, Melinda K.
Menon, Purnima
Avula, Rasmi
author_browse Ashok, Sattvika
Avula, Rasmi
Heidkamp, Rebecca A.
Kim, Sunny S.
Menon, Purnima
Munos, Melinda K.
author_facet Ashok, Sattvika
Kim, Sunny S.
Heidkamp, Rebecca A.
Munos, Melinda K.
Menon, Purnima
Avula, Rasmi
author_sort Ashok, Sattvika
collection Repository of Agricultural Research Outputs (CGSpace)
description 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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spelling CGSpace1411322025-10-26T13:02:00Z 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 maternal and child health intervention coverage surveys interviews nutrition children 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. 2022-01 2024-04-12T13:37:20Z 2024-04-12T13:37:20Z Journal Article https://hdl.handle.net/10568/141132 en https://doi.org/10.1093/cdn/nzab048_004 Open Access Wiley Ashok, Sattvika; Kim, Sunny S.; Heidkamp, Rebecca A.; Munos, Melinda K.; Menon, Purnima; and Avula, Rasmi. 2022. Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India. Maternal and Child Nutrition 18(1): e13248. https://doi.org/10.1111/mcn.13248
spellingShingle maternal and child health
intervention coverage
surveys
interviews
nutrition
children
Ashok, Sattvika
Kim, Sunny S.
Heidkamp, Rebecca A.
Munos, Melinda K.
Menon, Purnima
Avula, Rasmi
Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India
title Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India
title_full Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India
title_fullStr Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India
title_full_unstemmed Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India
title_short Using cognitive interviewing to bridge the intent-interpretation gap for nutrition coverage survey questions in India
title_sort using cognitive interviewing to bridge the intent interpretation gap for nutrition coverage survey questions in india
topic maternal and child health
intervention coverage
surveys
interviews
nutrition
children
url https://hdl.handle.net/10568/141132
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