University of Wisconsin–Madison Medical College of Wisconsin

Hmong Cross-Cultural Adaptation of Stroke Educational Material

Haitham M. Hussein, MD, MSc; Carol Droegemueller, MS, APRN, CNS, OCNS, CNRN; Pakou Xiong, BA; Sidney VanDyke, MA; Jeanne Mettner, MA, ELS; Zong Xiong, BAN, RN, PHN; Gloria Catha, BS

WMJ. 2020;119(2):115-118.

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Background: The presence of significant cultural and language barriers can affect timely, effective dissemination of stroke education for Hmong patients. Our aim was to design stroke education material suitable for the Hmong community, using culturally sensitive strategies and patient education best practices.

Methods: We collaborated with the American Heart Association/American Stroke Association to adapt existing English educational material for use among Hmong patients. A team of experts in stroke care, patient education, and interpreter services—along with Hmong community members and health care providers—modified the original documents for health literacy and cultural relevance. The revised materials were translated into Hmong. Final edits were made using feedback from the Hmong community.

Results: Eight patient education documents on stroke-related topics were disseminated throughout our health care system and shared with various regional community partners for Hmong patients.

Discussion: Incorporating cultural humility principles is key to providing effective patient education tools for reducing disparities and engaging at-risk populations in disease prevention.

Author Affiliations: Regions Hospital Comprehensive Stroke Center, St Paul, Minn (Hussein, Droegemueller, VanDyke); HealthPartners, Bloomington, Minn, (Xiong); Park Nicollet Health Services, St Louis Park, Minn (Mettner); Ramsey County Public Health, Department of Family Health, Maplewood, Minn (Xiong); American Heart Association, Dallas, Tex (Catha).
Corresponding Author: Haitham M. Hussein, MD, MSc, Medical Director, Regions Hospital Comprehensive Stroke Center, HealthPartners Neuroscience Center, Mail Stop: 41203A, 295 Phalen Blvd, St Paul, MN 55130; phone 651.495.6300; email
Acknowledgements: The authors wish to thank Blia Elderly Care Center, LLC, and its residents, for hosting the study team and volunteering to be included in the new images; Lor (Anthony) Lee for final proofreading of the translated text; and Maryann Esh for overseeing design and production of the patient education materials.
Funding/Support: The translation of this educational material from English to Hmong with permission from the American Heart Association, Inc. This work was funded by Regions Hospital ONE Patient Care allocation grant.
Financial Disclosures: None declared.
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