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All Ireland Traveller Health Study Our Geels - Department of Health ...

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<strong>Health</strong> Survey Findings<br />

• cultural factors (breastfeeding rates, early marriages, large family size, concepts <strong>of</strong> health and health<br />

beliefs)<br />

• access to and use <strong>of</strong> health services (including GP consultation rates/hospital attendance rates)<br />

• use <strong>of</strong> prescribed medicines<br />

• use <strong>of</strong> cures<br />

• use <strong>of</strong> dental services/aural services<br />

• use <strong>of</strong> speech therapy services<br />

• use <strong>of</strong> gynaecology/maternity services (including family planning)<br />

• standard/type <strong>of</strong> accommodation and social environment<br />

• community involvement<br />

• sports and leisure activities.<br />

Outline <strong>of</strong> Process Used to Design and Pilot the <strong>Study</strong> Instrument<br />

• <strong>All</strong> potential questionnaire items were extracted from <strong>Traveller</strong> studies and national study<br />

instruments (such as the CSO, the SLAN studies, the Lifeways study, and INSIGHT ’07). Potential items<br />

were collated into a draft questionnaire, which was circulated to the study stakeholders, HSE and<br />

<strong>Traveller</strong>s via the <strong>Traveller</strong> organisations, to assess their suitability for inclusion in the survey<br />

• A copy <strong>of</strong> the draft consultation questionnaire was also posted on the study website to facilitate<br />

wide dissemination<br />

• Feedback was documented on potentially suitable or unsuitable questionnaire items and items<br />

were deleted or new items were added, as appropriate<br />

• Questionnaire wording was changed to more culturally appropriate versions, as required<br />

• By the third round <strong>of</strong> consultation and feedback, the team had a draft paper instrument with a<br />

maximum 45-minute respondent time<br />

• The paper instrument was piloted with <strong>Traveller</strong>s at local level, and changes were incorporated as<br />

required<br />

• Following consultation, the study questions underwent a final adaptation to <strong>Traveller</strong> terminology<br />

and relevant images and pictures were developed and selected by <strong>Traveller</strong>s in regional workshops,<br />

to ensure that the instrument reflected the rich oral-visual culture <strong>of</strong> <strong>Traveller</strong>s<br />

• The questionnaire was then translated into an audiovisual electronic format on laptop computers,<br />

with a <strong>Traveller</strong> voice-over capturing the <strong>Traveller</strong> wording <strong>of</strong> questions<br />

• The computer designed instrument was piloted with <strong>Traveller</strong>s<br />

• The questionnaire was finalised following this consultation process and the audio-visual instrument/<br />

laptop computers was disseminated among study co-ordinators to complete the final training<br />

sessions with their <strong>Traveller</strong> Peer Researcher teams<br />

• Final dress rehearsal successfully completed for quality assurance <strong>of</strong> data collection and data upload<br />

process using modems<br />

53

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