A community-engaged approach to translate a Vaccine Hesitancy Scale into Haitian Creole

Greta Sirek, Sciaska Ulysse, Marie Jacques Toussaint, Chisa Nosamiefan, Ludwige Desrosiers, Mia Chandler, Rosalind Ramsey-Goldman, Dieufort J. Fleurissaint, Candace H. Feldman*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objective: Accurately translated health materials are needed to achieve equity in vaccine uptake among U.S. individuals with non-English language preferences. Verbatim translations may not capture the cultural and linguistic vernacular required to understand vaccine hesitancy. We leveraged a community-engaged approach to translate the Vaccine Hesitancy Scale (VHS) into Haitian Creole. Methods: Following the “WHO Guidelines on Translation and Adaptation of Instruments” and a community-engaged framework, a validated 10-question Vaccine Hesitancy Scale (VHS) underwent forward translation, expert panel review, back translation, and focus group pilot testing. Results: Haitian Creole-speaking translators included two community leaders, one community partner, one study team member, and 13 Haitian, greater Boston-based community members who participated in a focus group to pretest the survey. After four iterations, a linguistic and cultural translation of the VHS was created. Conclusion: A community-engaged framework strengthened community partnerships and resulted in a culturally relevant Haitian Creole vaccine hesitancy scale.

Original languageEnglish (US)
Pages (from-to)2127-2134
Number of pages8
Issue number9
StatePublished - Apr 2 2024


  • Community-engaged research
  • Haitian Creole translation
  • Vaccine Hesitancy Scale Survey

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • General Immunology and Microbiology
  • Infectious Diseases
  • Molecular Medicine
  • General Veterinary


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