Project Abstract Components for Outcome Assessment Tonya L. Smith-Jackson, Ph.D., Virginia Tech Michael S. Wogalter, Ph.D., NC State University Use of Cultural Ergonomics Approaches to Prevent Pesticide Exposure Project description: The purpose of this project was to apply a human factors engineering and cultural ergonomics approach to determine cultural and contextual factors that account for disparities in pesticide poisoning among Latino migrant and seasonal farmworkers. The specific focus was to examine risk communication design, attitudinal factors, and behavioral factors. Factors were then used as translational requirements for the design of culturally valid pesticide product labels and risk communication materials for migrant and seasonal farm workers. Target Population: Latino farm workers (migrant and seasonal workers) and a comparison group of Anglo farm workers. # Participants/Subjects/Observations: Study 1: 23 Latino farm workers; 17 European-Am. farm workers Study 2: 54 Latino farm workers; 48 European-Am. farm workers (total = 102). Analysis conducted on a total of 96 due to missing data points for some of the observations. Specific Aims/Objectives: Specific Aim #1: To compare risk perception, self-efficacy, and locus of control of migrant and seasonal farm workers who are language and ethnic minorities to non-minority farm workers. Primary Hypothesis 1. Locus of control (LOC) and self-efficacy affect risk perception of pesticide hazards. 2. Migrant and seasonal farmworkers from ethnic and language minority groups will have lower risk perception of pesticide hazards, a more external locus of control, and lower self-efficacy than farmworkers who are not minority group members. Specific Aim #2: To identify the cultural and language factors that may account for unintentional exposure to pesticides and low awareness of pesticide hazards within the work environments of migrant and seasonal farm workers. Primary Research Goal 1. Identify culture and language characteristics of migrant and seasonal farmworkers that account for differences in precautionary behaviors, comprehension, and interpretation of safety information such as pesticide warning labels and safety protocols. Culture Work Context (Demands and Risk Factors) Worker Attitudes (Risk Perception, LOC, Selfefficacy, Risk Tolerance) Worker Behavior Pesticide Exposure (Injury) 1 Specific Aim #3: To identify user-centered design guidelines, develop primary prevention tools based upon user-centered guidelines, and evaluate the usability and effectiveness of prevention tools. Primary Research Goal (#1) and Hypotheses (#1 and 2) 1. Design guidelines in the form of heuristics and specific design features will be developed to reflect the needs and characteristics of culture and language minorities. 2. Hypothesis 1: Usability, as measured by comprehension, ease-of-use, knowledge transfer, and ratings of risk perception will be higher for information designed on the basis of culturallycentered safety guidelines compared to information that is not designed on the basis of these same guidelines. 3. Hypothesis 2: Primary prevention tools developed on the basis of culturally-centered design guidelines will be more effective in altering risk perception, locus of control, and self-efficacy as well as precautionary behaviors compared to prevention tools that are not designed based upon targeted user characteristics. Specific Aim #4: To disseminate design guidelines and develop outreach programs to employers, safety and training groups, minority-serving agencies, and community-based advocacy and education groups. NOTE: Due to shortage of funds and a drastic change in the political climate involving migrant workers, specific aim 4 is not yet met. Methods: Two empirical studies were conducted. Study 1 was designed to explore preliminary hypotheses, reduce the variable set, and ensure the protocols and instruments were valid and reliable. Study 2 was a larger scale study to explore the same hypotheses and an additional component of phase 2 was to test preliminary designs for culturally-valid pesticide labels. Study 1: Forty farmworkers were recruited in Virginia and North Carolina; 23 self-identified as Latino and 17 self-identified as Caucasian. Participants were recruited with the assistance of local community advocacy agencies, advertisements, and by word of mouth. A mixed methods approach was used. Quantitative self-report instruments were administered in the first language of the participants. Although paper-based, participants were given the option of having the instruments read aloud to them or administered via paper. Most chose to have the instruments read aloud. Several instruments were administered (Appendix A): The Safety Locus of Control questionnaire, the Self-Efficacy questionnaire, a demographic questionnaire, behavioral intent measures, a risk perception questionnaire, and a behavioral intent questionnaire. The qualitative portion of the questionnaires included open-ended questions related to issues associated with pesticide labels, risk, and hazards. Study 2: Study 2 was a replication of study 1, with the exception of a larger sample size and instruments were shortened and modified based upon Cronbach’s alpha reliability measures from the pilot study. A total of 102 participants were recruited; 54 Latino farm workers and 48 Caucasian farmworkers. Participants were recruited from the states of North Carolina, Virginia, and Florida. Once the selection instruments were redesigned, tested, and modified through pilot testing, the final instruments were administered in single or group sessions as needed. Informed consent, literacy assessment, and questionnaire instructions were provided in both Spanish and English, and assistance was available to complete the questionnaires. After informed consent, participants completed the series of questionnaires and a demographic sheet describing their employment environment and experience with pesticide-related farm work. Participants were then debriefed and paid a nominal fee for participation. Results: All hypotheses were confirmed fully or partially for Specific Aims 1, 2, and 3. Although no differences were found between ethnic groups on the frequency of reported exposures to pesticides, results indicated that significantly fewer Latinos reported receiving protective clothing and equipment and 2 proportionately more Latinos reported receiving no safety training. Significantly more neurological symptoms associated with pesticide toxicity were reported by Latinos, but significantly more digestive symptoms associated with toxicity were reported by Caucasian farm workers. Ratings on questionnaires to measure safety locus and control, risk perception, and safety self-efficacy also showed differences. Latino migrant workers reported significantly lower safety self-efficacy (confidence in ability to avoid hazards) and significantly higher risk perceptions related to pesticiderelated hazards than European-American workers. In addition, Latino migrant farm workers reported significantly more incidents of re-entering fields immediately after they were sprayed, even though they knew that they should not be entered. Latino migrant workers also reported significantly more symptoms related to pesticide toxicity. A component of study 2 was to test specific aim 3, that a culturally-relevant design would be more usable than a standard (EPA) pesticide label design and a brochure. A disyston pesticide label was used as the testbed. The control label was the current disyston label, which was based on EPA recommendations. The experimental label was developed by using culturally-centered design guidelines derived from the risk communications, inclusive design, and graphics communication literature as well as the results of studies 1 and 2 (e.g., phrasing to enhance self-efficacy was added to the label and brochure). Results partially confirmed the hypotheses. Significant main effects of ethnicity and condition were found for ratings of usability (ease of comprehension, etc.), but the interaction was not significant (although means were in the predicted direction). Latinos rated both formats (culturally-centered and EPA) significantly lower in terms of usability. Both Latinos and Caucasians rated the culturally-centered formats significantly higher than the EPA-based formats. The qualitative data revealed that the culturally centered designs were still difficult to read or understand, and workers suggested that even more graphics should be added (see Appendix B for test stimulus). A path analysis model is currently being developed to understand the links between specific attitudinal and behavioral intent factors. Conclusions: This research was an exploration to determine what factors contribute to disparities in pesticide exposures and preventive behaviors. So far, we have found differences in safety self-efficacy and safety locus of control between ethnic groups that may help to explain the differences. We are currently exploring whether the differences are linked to behavioral intent using path analysis. We have also identified a number of useful guidelines for the design of culturally relevant and usable pesticide risk communication materials based upon both the literature and our empirical results. Appendix C contains the guidelines, which were heuristically evaluated by subject matter experts. Products: 1.Publications: A. Peer Reviewed Journal: The 3-phases each have components that require comprehensive integration. Two separate manuscripts are in preparation for submission to the Human Factors journal and Ergonomics. B. Other: 2. Project Tools: Socially valid interview protocols and questionnaires to assess such variables as locus of control, pesticide-related symptoms, and use of personal protective equipment. These are in both Spanish and English. See Appendices. 3. Other Products: • Web-based guidelines tool to design pesticide-related risk communications for Latino farm workers and other groups (prototype 1 is completed). • A prototype (2nd iteration) pesticide brochure in both English and Spanish has been developed. See Appendices. 3 D. Meetings Presentations: • International Society for Occupational Safety and Health, Houston, TX, May 2004 • NC A & T State University, Greensboro, NC, November 2003 • Society for Risk Analysis, Washington, DC, December 2003 • American Society for Pesticide Safety Educators, June 2002 Future Directions: We are still validating a path analysis model to more sensitively demonstrate the links between attitudinal and behavioral factors based upon ethnicity. In addition, we are planning the next level of research to provide more emphasis on translation of other contextual factors such as negotiation scripts to be used by farmworkers, educational tools for farm owner and advocates, etc. We will seek additional funding for this research. Additional Grants: None submitted or awarded to this project. Center /P.I. Contact Information: Tonya L. Smith-Jackson, Ph.D. Associate Professor, Grado Dept. of Industrial and Systems Engineering Adjunct Associate Professor, Dept. of Psychology Founder & Director: Assessment and Cognitive Ergonomics Lab Co-Director: Human-Computer Interaction Lab; Safety Engineering Lab Associate Director: Center for Innovation in Construction Safety and Health (CICSH) Grado Department of Industrial and Systems Engineering Virginia Polytechnic Institute and State University 250 Durham Hall, MC 0118 Blacksburg, VA 24061 Phone: 540-231-4119; Fax: 540-231-3322 website: http://ace.ise.vt.edu; Office: 519H Whittemore Hall APPENDICES APPENDIX A: QUESTIONNAIRES Demographic Measure-Interview Format This information will help us to understand how to make farm work safer. Please answer all questions. If there is something you do not understand, please let us know. 1. ______ How old are you? 4 2. ______ How many years of formal education have you had? 3. No____ Yes____ Do you speak only in Spanish? 4. No____ Yes____ If so, can you read in Spanish? 5. No____ Yes____ Can you write in Spanish? 6. ____________________Where were you born? 7. _________ In what year did you arrive in the U.S? 8. Are you: 1. _____ married/living with someone 2. _____ single 3. _____ divorced/widowed 9. No____ Yes____ Do you have any children? 10. __________If yes, how many children do you have? 11. Who do you live with? (i.e. wife and children, alone, other farm workers) 12. _______ How many months/years have you worked in agriculture? 13. No____ Yes____ Are you a temporary worker? 14. _______How many months out of the year do you work? 15. _______ About how much do you receive for your farm work each week? Perception of Employer 16. No____ Yes_____ Has someone told you about the dangers of pesticides? 17. Who? 5 18. No____ Yes_____ Do you think you can get all of the appropriate protective clothing and other protective equipment that is specified on a pesticide label, if you asked for it? Level of Exposure 19. How many times have you done these activities in the past? 19a. _____ stored pesticides 19b. _____ mixed pesticides 19c. _____ applied pesticides 19d. _____ worked in sprayed fields 20. If 19c is selected above, then how often do you apply pesticides? 1. _____ twice a week 2. _____ once a week 3. _____ once every two weeks 4. _____ once every month 5. _____ once every three months 6. _____ twice a year 21. When a field is sprayed, how long is it before you go back to work in that field? 1. 2. 3. 4. _____ after a few hours _____ after 1 day _____ after 2-3 days _____ after 1 week or more 22. No____ Yes ____Have you received any training to handle pesticides? 23. ________________ What type of crop have you worked in most where you are exposed to pesticides? (e.g. tobacco, cucumber, grapes, Christmas trees, etc.) Protective Behavior 24. What do you wear or what do you do to protect yourself from being exposed to pesticides? (check all that apply) 1. 2. 3. 4. 5. 6. 7. 8. ____ overalls ____ trousers flowing over boots ____ boots ____ long sleeve shirts ____oro-nasal masks ____ gloves ____ goggles ____ clean handkerchief to wipe off sweat 6 9. ____ wash hands before eating 10. ____ wash hands before using the bathroom 11. ____ wash hands before smoking cigarettes 13. ____ wash hands before chewing gum or tobacco 14. ____ bath after spraying pesticides 15. ____ wash work clothes before wearing them again 16. ____ wash work clothes separately from your family’s laundry 17. ____ read pesticide labels 17. ____ wait for wind to stop blowing, if pesticide drift occurs, before going back to work 18. ____ not enter fields immediately after they have been sprayed with pesticides 25. What are the reasons why you would not wear protective gear when working with pesticides (i.e. because you are tired, because it is too hot outside, because other farm workers do not wear it)? Awareness/Health 26. What sicknesses or health problems do you think are caused by pesticides? 27. Which of these symptoms have you experienced in the past year? (check all that apply) 1. ____ skin rashes 2. ____ allergic reactions 3. ____ headache 4. ____ chest pain 5. ____ coughing 6. ____ upset stomach/nausea 7. ____ vomiting 8. ____ dizziness/weakness 9. ____ loss of appetite (not wanting to eat) 10. ____ problems with memory or thinking 11. ____ trouble breathing 12. ____ fainting 13. ____ itchy eyes 14. ____ jumpiness, edginess 15. ____ excessive sweating Awareness Measure-Interview Format 28. What is the meaning of these symbols? A B C 7 D E F A. B. C. D. E. F. 29. What is the meaning of these words or phrases? A. Pesticide drift B. Harmful if absorbed through skin. C. Avoid breathing vapor. D. Harmful if inhaled. E. Get medical attention if irritation persists. 8 F. Organophosphate insecticide G. WARNING H. DANGER I. CAUTION 30. Please indicate which of the above three words (danger, warning, caution) you think means “the most hazardous”. Which is “the least hazardous”? _____________ (most hazardous) _____________ _____________(least hazardous) 9 RP Instructions: Please use the following scales to indicate how well each statement fits you. There are no right or wrong answers. Question Response (Place an X in the box that matches your answer). STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 5. Getting pesticides on my skin can cause me an illness that could last a long time. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 6. To me, it is more important to work than to worry about getting sick from pesticides. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 1. In the past month I often had thoughts or fears about the health effects of pesticides. 2. Pesticides could affect the health of children born to farm workers. 3. Farm workers will experience health problems in the future that are due to pesticide exposure. 4. I will experience health problems in the future that are due to pesticide exposure. 7. If you are a strong individual you will not get sick from pesticides. LC Instructions: Please use the following scales to indicate how well each statement fits you. There are no right or wrong answers. 10 Response (Place an X in the box that matches your answer). Question STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 4. If I become exposed to pesticides and become sick, it is my own fault. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 5. Regarding safety from pesticide exposure, I can only do what the supervisor/farm owner tells me to do. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 1. I have a great deal of control over keeping myself from getting sick because of pesticides. 2. I have no control over the amount of pesticides that I am exposed to. 3. There is no point in worrying about being exposed to pesticides. What will be will be. SE Instructions: Please use the following scale to indicate how well each statement fits you. There are no right or wrong answers. Question Response (Place an X in the box that matches your answer). 11 1. I am confident that I can prevent myself from being exposed to pesticides. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 2. I am confident that I can prevent my family from being exposed to pesticides. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 3. If I needed advice on how to safely handle a given pesticide, I am confident that I would be able to get that advice. 4. I am confident that I can use the protective personal equipment correctly to protect myself when mixing/ applying pesticides or when harvesting crops that were sprayed by pesticides. STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 5. I am confident that I can stay out of the fields during the restricted entry interval (time period after spraying). 6. I am confident that I can reduce the chance of pesticide exposure by washing my hands before I eat. 7. I am confident that I can use the recommended personal protective equipment in hot weather or when I am tired. STRONGLY DISAGREE SLIGHTLY DISAGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 12 BI Instructions: Please use the following scale to indicate how well each statement fits you. There are no right or wrong answers. Question 1. In the future, I will read the warnings on pesticide labels before using that pesticide. 2. If the label instructions indicate to do so, I will wear gloves the next time I work in fields where pesticides have been sprayed. 3. In the future, I will be careful when handling crops that have been sprayed with pesticides. 4. In the future, I will wash my hands before eating after working in areas where pesticides are used. 5. In the future, I will not enter a field immediately after it has been sprayed with pesticides. 6. I will not go see a doctor the next time I am exposed to pesticides while applying them. 7. I will not go see a doctor the next time I become dizzy after working in the fields. 8. In the future, I will wash my work clothes after working in areas where pesticides have been used. Response (Place an X in the box that matches your answer). STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DISAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 13 PIA Instructions: Please use the following scale to indicate how well each statement fits you. There are no right or wrong answers. Question 1. I worry about things. 2. I fear for the worst. 3. I am afraid of many things. 4. I get stressed out easily. 5. I get caught up in my problems. 6. I am not easily bothered by things. 7. I am relaxed most of the time. 8. I am not easily disturbed by events. 9. I don’t worry about things that have already happened. 10. I adapt easily to new situations. Response (Place an X in the box that matches your answer). STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE PIC Instructions: Please use the following scale to indicate how well each statement fits you. There are no right or wrong answers. 14 Question 1. I avoid making mistakes. 2. I choose my words with care. 3. I stick to my chosen path. 4. I jump into things without thinking. 5. I make rash decisions. Response (Place an X in the box that matches your answer). STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE STRONGLY DISAGREE SLIGHTLY DIAGREE Neither AGREE nor DISAGREE SLIGHTLY AGREE STRONGLY AGREE 6. I like to act on a whim. 7. I rush into things. 8. I do crazy things. 9. I act without thinking. 10. I often make last minute plans. As the number of Spanish speakers increase in the United States, manufacturers may begin to use bilingual labels (those written in both English and Spanish) to communicate directions for use, and any warnings of potential hazards. Below are 14 statements. Please read the ENTIRE list of statements before making your ratings. Use the 0 to 8 point scale below to rate the statements as to how much you disagree or agree with them. Please answer every item. Assume that bilingual labels have both English and Spanish text. 15 Rating Scale 0 1 2 3 4 5 6 7 8 |-------------|------------|-------------|------------|-------------|-------------|-------------|-------------| Very strongly disagree Strongly disagree Disagree Slightly disagree No opinion Slightly (neither agree agree or disagree) Agree Strongly agree Very Strongly agree Ratings ↓ 1. _____ Products with bilingual labels are useful for people who speak English. 2. _____ Products with bilingual labels are useful for people who speak Spanish. 3. _____ Products with bilingual labels make the product cost more because extra material must be printed on the labels. 4. _____ I expect to pay less for a product with bilingual labels. 5. _____ Bilingual labels are worth the extra cost. 6. _____ Bilingual labels should only be used for those products that are potentially hazardous to users and others (for example, pesticides and chemicals). 7. _____ I do not read warnings on bilingual labels. 8. _____ I prefer products that have bilingual labels more than English-only labels. 9. _____ Bilingual labels are important because many people in the U.S. do not read English. 10. _____ Bilingual labels make products look “cheap.” 11. _____ In the U.S, the use of bilingual labels are really intended for people who only read Spanish, not for people who can read English. 12. _____ People who intend to live in the U.S. should learn English. 13. _____ Products with bilingual labels should not be sold in the United States. 14. _____ Many people will not read bilingual labels because they have too much text and because it takes too much effort to read. Optional: Do you have anything else to add? Demographic Measure-Interview Format Esta informacion nos ayudara a comprender como hacer mas seguro su trabajo en el campo. Por favor responder todas las preguntas. Si tienes algun problema en entender alguna de las preguntas, no dudes en preguntarnos. 16 27. _______ ¿Cuantos años tienes? 28. _______ ¿Cuantos años de escuela has cumplido? 29. No____ Si____ ¿Hablas tú Español solamente? 30. No____ Si____ ¿Puedes tú leer en Español? 31. No____ Si____ ¿Puedes tú escribir en Español? 32. _________ ¿Dónde nacistes? 33. _________ ¿En qué año llegaste a los Estados Unidos? 34. Eres: 1. casado/viviendo con alguien 2. soltero 3. divorciado/viudo 35. No____ Si____ ¿Tiénes hijos? 36. _______ ¿Cuántos hijos tienes? 37. ¿Con quién vives? (i.e. esposa e hijos, solo, con otros trabajadores ) 38. _________ ¿Cuántos meses o años has trabajado en el campo? 39. ______________¿Trabajas todo el año o solo algunos meses del año? 40. _________ ¿Cuántos meses del año trabajas? 41. _________ ¿Cuánto dinero ganas a la semana? Perception of Employer 42. No____ Si_____ ¿Alguien le aviso sobre los peligros de los pesticidas? 43. Quién? 44. No____ Si_____ ¿Si pides vestuario protector, especficado en las instruciones, que estan en las etiquetas, crees que lo recibiras? 17 Level of Exposure 45. ¿Cuántas veces has hecho los siguentes? 18a. _____ guardado los pesticidas en areas de almacenamiento 18b. _____ mezclado los pesticidas 18c. _____ aplicado los pesticidas a las plantas 18d. _____ trabajado en campos donde se han rociado pesticidas 46. (Si seleccionaste el 19c entonces), cuántas veces aplicas los pesticidas? 7. _____ 2 veces por semana 8. _____ 1 vez por semana 9. _____ 1 vez cada dos semanas 10. _____ 1 vez por mes 11. _____ 1 vez cada tres meses 12. _____ 2 veces al año 47. ¿Cuando el campo ha sido rociado, cuánto tiempo esperas para volver a trabajar en el campo? 5. 6. 7. 8. _____ después de varias horas _____ después de un día _____ después de 2-3 días _____ después de una semana o mas. 48. No____ Si ____ ¿Has recibido algún tipo de entrenamiento para trabajar con/manejar los pesticidas? 49. ______________ ¿En qué tipo de cosecha has trabajado mas tiempo donde hubieras podido tener contacto con los pesticidas (i.e. tobaco, pepino, uvas, arboles de navidad, etc.) Protective Behavior 50. ¿Que tipo de proteccion usas cuando estas trabando con pesticidas o cuando estas en los campos donde han applicado los peticidas? 9. ____ overol o mameluco 10. ____ pantalones largos que caen sobre las botas 11. ____ botas 12. ____ camisa de manga larga 13. ____ mascarilla 14. ____ guantes 15. ____ lentes 16. ____ pañuelo limpio para quitarse el sudor de la frente 17. ____ lavarse las manos antes de comer 11. ____ lavarse las manos antes de ir al baño 12. ____ lavarse las manos antes de fumar 13. ____ lavarse las manos antes de masticar chicle o tabaco 18 14. ____ bañarse despues de trabajar con los pesticidas 14. ____ lavar su ropa de trabajo antes de ponersela otra vez. 15. ____ lavar su ropa de trabajo separada de la ropa du su familia 16. ____ leer instrucciones en la etiqueta del pesticida 17. ____ retirarse si hay pesticidas que son arrastrados por el viento hacia el area donde usted esta trabajando 18. ____ no entrar a un area durante el intervalo de entrada restringida (el periodo de tiempo que una persona tiene que esperar antes de re-entrar a un campo donde se han aplicado pesticidas.) 51. ¿Cuales son las razones que no usas equipo protector? (i.e. debido a estar cansado, mucho calor, porque hay trabajadores que no usan equipo protector.) Awareness/ Health 26. ¿Qué enfermedades o problemas de salud pueden ser causados por los pesticidas? 27. ¿Cuàl de estos síntomas has tenido en el año pasado? 1. ____ picazón /irritación en la piel 16. ____ alergerias 17. ____ dolor de cabeza 18. ____ dolor de pecho 19. ____ toz 20. ____ dolor de estómago/nausea 21. ____ vomito 22. ____ mareos/debilidad 23. ____ perdida del apetito 24. ____ problemas con la memoria 25. ____ dificultad al respirar 26. ____ desmayos 27. ____ irritacion en los ojos 28. ____ sentirse nervioso, agitado 29. ____ sudor excesivo 28. ¿Cuál es el significado de estos simbolos? A B C 19 D E F A. B. C. D. E. F. 29. ¿Cuál es el significado de estas palabras o frases? A. Pesticidas arrastrados B. Peligroso si le hace contacto con la piel. C. Evite respirar el vapor D. Causa daño al respirar E. Busque ayuda médica si la irritación persiste 20 F. Pesticidas de fosfato orgánico G AVISO H PELIGRO I. PRECAUCION 30. Indique cual de estas tres palabras (peligro, aviso, precaucion) usted considera “la mas peligrosa”. ¿Cuál consideras “la menos peligrosa”? _____________ (mas peligrosa) _____________ _____________(menos peligrosa) 21 RP Instruciones: Por favor use este questionairio e indique como se indentifica con cada una de las siguentes preguntas. Ninguna respuesta es corecta o incorecta. Pregunta 1. En el mes pasado me daba miedo pensar en los efectos medicos que pueden causar los pesticidas. 2. Los pesticidas pueden afectar la salud de los niños que nacen de familias campesinas. 3. A la larga los campesinos pueden desarollar problemas de salud debido a ser expuesto a los pesticidas. 4. En el futuro yo puedo tener problemas de salud debido a ser expuesto a los pesticidas. 5. El contacto de los pesticidas con la piel puede causar enfermedades que duran mucho tiempo. 6. Para mi es mas importante trabajar que preocuparme de que si me voy a enfermar por trabajar con los pesticidas. 7. Si eres una persona fuerte, ningun pesticida te puede afectar la salud. Respuesta (Por favor marque una X en el cuadrado para cada una de las siguentes expresiones, indicando asi hasta que punto está de acuerdo o desacuerdo en como le describe a usted.) MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO LC Instruciones: Por favor use este questionairio e indique como se indentifica con cada una de las siguentes preguntas. Ninguna respuesta es corecta o incorecta. 22 Pregunta 1. Yo me protejo bien para evitar enfermarme debido a las pesticidas. 2. Tengo control sobre la cantidad de pesticida al cual yo estoy expuesto. 3. No tiene sentido preocuparme sobre como protegerme de los efectos de los pesticidas. De todas formas lo que va a pasar, pasara. 4. Si trabajo con los pesticidas y me produce una enfermedad el unico culpable soy yo. 5. La unica forma de protegerme de los efectos de los pesticidas es seguir las ordenes de mi jefe. Respuesta (Por favor marque una X en el cuadrado para cada una de las siguentes expresiones, indicando asi hasta que punto está de acuerdo o desacuerdo en como le describe a usted.) MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO SE Instruciones: Por favor use este questionairio e indique como se indentifica con cada una de las siguentes preguntas. Ninguna respuesta es corecta o incorecta. Pregunta Respuesta (Por favor marque una X en el cuadrado para cada una de las siguentes expresiones, indicando asi hasta que punto está de acuerdo o desacuerdo en como le describe a usted.) 23 MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO 4. Estoy seguro de que puedo usar el equipo protector correctamente para protegerme cuando estoy mezclando o aplicando pesticidas o cuando recojo cosecha que fue rociada con pesticidas. MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO 5. Estoy seguro que puedo permanecer fuera del campo rociado con pesticidas durante el intervalo de entrada restringida (i.e. el periodo de tiempo que una persona tiene que esperar antes de re-entrar a un campo donde se han aplicado pesticidas). MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO 1. Estoy seguro de poder prevenir el estar expuesto a los pesticidas. 2. Estoy seguro de poder prevenir que mi familia sea expuesto a los pesticidas. 3. Si necesito consejos en como usar, de manera segura, los pesticidas, tengo confianza en que los puedo conseguir. 6. Estoy seguro que puedo reducir la posibilidad de exponerme al peligro de los pesticidas lavando mis manos antes de comer. 7. Estoy seguro de que puedo usar el equipo protector recomendado en tiempos de calor o cuando estoy cansado. BI Instruciones: Por favor use este questionairio e indique como se indentifica con cada una de las siguentes preguntas. Ninguna respuesta es corecta o incorecta. Pregunta Respuesta (Por favor marque una X en el cuadrado para cada una de las siguentes expresiones, indicando asi hasta que punto está de acuerdo o desacuerdo en como le describe a usted.) 24 1. En el futuro leere las etiquetas de proteccion antes de usar un pesticida. 2. Si la etiqueta de proteccion requiere el uso de guantes para exponerse a los pesticidas yo usare los guantes. 3. En el futuro tendre cuidado cuando tenga que trabajar en campos que han sido rociados con pesticidas. 4. En el futuro me lavare las manos antes de comer si he trabajado en areas donde los pesticidas fueron usados. 5. En el futuro no entrare a un campo que recien se haya rociado pesticidas. 6. No visitare a un medico si estuve expuesto al pesticida mientras trabajando en el campo. 7. En el futuro, no visitare a un medico si me mareo cuando trabajo en el campo rociado con pesticidas. 8. En el futuro lavare la ropa despues de trabajar en el campo donde se uso los pesticidas. MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO 25 PIA Instruciones: Por favor use este questionairio e indique como se indentifica con cada una de las siguentes preguntas. Ninguna respuesta es corecta o incorecta. Pregunta 1. Yo me preocupo por las cosas. 2. Yo temo por lo peor. 3. Yo tengo miedo de muchas cosas. 4. Yo me puedo estresar facilmente. 5. Yo me encierro en mis problemas. 6. Yo no me preocupo facilmente por las cosas. 7. Yo estoy relajado la mayor parte del tiempo. 8. Yo no me pertubo facilmente por lo que pase. 9. Yo no me preocupo por las cosas que ya pasaron. 10. Yo me adapto facilmente a nuevas situaciones. Respuesta (Por favor marque una X en el cuadrado para cada una de las siguentes expresiones, indicando asi hasta que punto está de acuerdo o desacuerdo en como le describe a usted.) MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO PIC Instruciones: Por favor use este questionairio e indique como se indentifica con cada una de las siguentes preguntas. Ninguna respuesta es corecta o incorecta. Pregunta Respuesta (Por favor marque una X en el cuadrado para cada una de las siguentes expresiones, indicando asi hasta que punto está de acuerdo o desacuerdo en como le describe a usted.) 26 1. Yo evito cometer errores. 2. Yo pongo atención al vocabulario que uso. 3. Yo soy firme en mis decisions. 4. Yo me apresuro hacer las cosas antes de pensar. 5. Yo no pienso mucho en las cosas antes de tomar una decision. MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO MUY EN DESACUERDO LIGERAMENTE EN DESACUERDO NI DE ACUREDO NI EN DESACUERDO LIGERAMENTE EN ACUERDO MUY EN ACUERDO 6. Yo actuo por ideas caprichosas. 7. Yo me apresuro mucho ante las cosas. 8. Yo hago locuras. 9. Yo actuo sin pensar. 10. A menudo, yo hago mis planes a ultima hora. As the number of Spanish speakers increase in the United States, manufacturers may begin to use bilingual labels (those written in both English and Spanish) to communicate directions for use, and any warnings of potential hazards. Below are 14 statements. Please read the ENTIRE list of statements before making your ratings. Use the 0 to 8 point scale below to rate the statements as to how much you disagree or agree with them. Please answer every item. Assume that bilingual labels have both English and Spanish text. 27 Rating Scale 0 1 2 3 4 5 6 7 8 |-------------|------------|-------------|------------|-------------|-------------|-------------|-------------| Very strongly disagree Strongly disagree Disagree Slightly No opinion Slightly disagree (neither agree agree or disagree) Agree Strongly Very strongly agree agree Ratings ↓ 2. _____ Products with bilingual labels are useful for people who speak English. 2. _____ Products with bilingual labels are useful for people who speak Spanish. 3. _____ Products with bilingual labels make the product cost more because extra material must be printed on the labels. 4. _____ I expect to pay less for a product with bilingual labels. 5. _____ Bilingual labels are worth the extra cost. 6. _____ Bilingual labels should only be used for those products that are potentially hazardous to users and others (for example, pesticides and chemicals). 7. _____ I do not read warnings on bilingual labels. 8. _____ I prefer products that have bilingual labels more than English-only labels. 9. _____ Bilingual labels are important because many people in the U.S. do not read English. 10. _____ Bilingual labels make products look “cheap.” 11. _____ In the U.S, the use of bilingual labels are really intended for people who only read Spanish, not for people who can read English. 12. _____ People who intend to live in the U.S. should learn English. 13. _____ Products with bilingual labels should not be sold in the United States. 14. _____ Many people will not read bilingual labels because they have too much text and because it takes too much effort to read. Optional: Do you have anything else to add? ---------------------------------------------------------------------------------------------------------------------USABILITY RATING SCALE (ENGLISH): Please pick a number that tells us your opinion or thoughts. 1. How well did you understand the information presented in the pesticide label. 28 1 2 3 4 5 6 Not at all Very Well 2. What do you think about the amount of information that is shown on this pesticide label (this includes information such as pictures, colors, words, etc.)? 1 2 3 4 5 6 Not Enough Too much 3. How easy was it to read the label? 1 2 3 4 5 6 Very Difficult Very Easy 4. How careful would you be if you saw this label on a real pesticide product and had to apply the product to a field, work in a field where the product was sprayed, or mix the product so it could be applied? 1 2 3 4 5 6 Not at all careful Very Careful 5. How likely are you to take the time to read a label like this before applying or using a pesticide in any way? 1 Not at all likely 2 3 4 5 6 Extremely likely 29 6. What do you like about this label? What do you dislike about this label? Prompt: What is good and what is bad about this label? Probe: If you could design it to make it better for you and other farm workers, what would you change? Questionnaire A: Label Comprehension Test (Transfer questions are in bold) Please answer these questions based on what you remember from the label and NOT your general knowledge about the pesticides. 1. What is the name of the pesticide product? Prompt: What was this pesticide called? 2. What would you do if you accidentally inhaled or breathed the pesticide into your lungs (list/say as many things as you can remember)? Prompt: What do you need to do if you get this pesticide inside you by breathing it in (name as many things as you can remember)? 3. What kind of protective equipment should you wear to protect yourself from this pesticide (list as many types of equipment as you can)? Prompt: What do you need to wear to protect yourself if you are using this pesticide? 30 4. What is dangerous about this pesticide? Prompt: What can happen to you if you get this pesticide in your body? 5. If you worked around this pesticide all day, and then you went home, what would you need to do to protect yourself and your family from becoming contaminated (list/say as many things as you can remember)? Prompt: What do you need to do to protect yourself and your family after working with this pesticide all day (list/say as many things as you can)? 31 Questionnaire B: Brochure Comprehension Test (Transfer questions are in bold) Please answer these questions based on what you remember from the brochure and NOT your general knowledge about the pesticides. 1. How do farm workers come in contact with pesticides? (list/say 2 ways) Prompt: How do farm workers get pesticides in their bodies? 2. If you wanted to drink something after harvesting crops where pesticides were used, what should you do? Prompt: If you were harvesting crops where pesticides had been sprayed, and you want to get something to drink, what should you do? 3. How do you know that a field has been sprayed recently? Prompt: What should you look for to see if a field has just been sprayed (last day or last few hours)? 4. How can your family or the families of farm workers get pesticides in their eyes and skin? Prompt: What causes family members of farm workers to get pesticides in their eyes and skin? 5. What are two things that your supervisor or boss must tell you? Prompt: Your supervisor or boss is supposed to tell you 2 things when working in a crop area where pesticides might be used. What are those 2 things? 32 6. If wind is blowing pesticides through the air, what should you do? Prompt: What needs to be done if pesticides are being blown through the air by the wind? 7. Who can you call if you think your supervisor or boss is not doing his/her job, for example, not giving you the correct protective equipment? Prompt: Who should you call if the supervisor or boss is not giving you the correct equipment? 8. What would you say to ask your boss for protection if you are working around crops that have been sprayed with pesticides? Prompt: How would you ask the boss to give you protection if you are working around pesticides. 33 APPENDIX B: SAMPLE TEST LABEL IN ENGLISH SEE FILE ACCOMPANYING THIS DOCUMENT 34 APPENDIX C: DESIGN GUIDELINES FOR CULTURALLY-CENTERED MATERIALS Design Guideline Rationale/Source 1. Well-designed warnings should be concise and written for people who read on a low-grade level. Print materials need to be as concrete as possible. Clark1999, Silver 1991 2. Labels and Brochures should depict meaningful graphics / pictograms illustrating methods by which a user is exposed to risk. Arcury 1999, Clark 1999 3. Risk to family/ group should be highlighted on warning labels and brochures Asai, Lucca 1988 4. Bold Text, colorful graphics, text highlighted in colored boxes, bold borders, and specific points that are set out with dark bulleted dots have been identified as attention getters. Clark 1999 5. Hazards increased by external factors like smoking should be highlighted. Larson, 2001 6. Descriptions should be written to evoke vivid images Loewenstein, Hsee, Weber, Welch 2001 Design Guideline 7. When possible link warnings to people and anecdotes Evaluation Comments and Design Recommendations Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies Rationale/Source Does Not Comply __ __ __ __ __ __ __ Fully Complies Evaluation Comments and Design Recommendations Loewenstein, Hsee, 35 Weber, Welch 2001 Does Not Comply __ __ __ __ __ __ __ Fully Complies Loewenstein, Hsee, Weber, Welch 2001 Does Not Comply __ __ __ __ __ __ __ Fully Complies 9. Stress the immediate effects of the pesticides more than the long-term effects. Loewenstein, Hsee, Weber, Welch 2001 Does Not Comply __ __ __ __ __ __ __ Fully Complies 10.Should motivate reader to take protective action Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 11.Should provide a basic understanding of the exposure, effects, and mitigation processes Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 12. Section headings should be used. Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 8. Detail how to eliminate risk and not just avoid it. Design Guideline Rationale/Source 13. Should take into account users existing mental model, add critical missing information, and dispel misconceptions that might affect decisions Atman, Bostrom, Fischhoff, Morgan, 1993 Evaluation Comments and Design Recommendations Does Not Comply __ __ __ __ __ __ __ Fully Complies 36 14. Should be specific enough to aid decision making Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 15. Should NOT include, wrong concepts, peripheral concepts-which are correct but are not central to the problem, or overly specific concepts Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 16. Structure text so that the most important concepts are first Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 17. Include summaries of information as opposed to elaborate text Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies 18. Section headings should be stated as questions that the text answers Atman, Bostrom, Fischhoff, Morgan, 1993 Does Not Comply __ __ __ __ __ __ __ Fully Complies Design Guideline 19. Use colors red and black wherever possible Rationale/Source Smith-Jackson, Wolgalter, Evaluation Comments and Design Recommendations Does Not Comply __ __ __ __ __ __ __ Fully Complies 37 20. Should take into account literacy level of reader Smith-Jackson, Wolgalter, Does Not Comply __ __ __ __ __ __ __ Fully Complies 21. When communicating a high degree of hazard use Spanish words EXPLOSIVO, MORTAL, VENENO, and PELIGROSO over the word PELIGRO. Smith-Jackson, Wogalter, Does Not Comply __ __ __ __ __ __ __ Fully Complies 22. When communicating a high degree of hazard in Spanish use the Skull symbol followed by the Shock symbol and the Prohibition symbol Smith-Jackson, Wogalter, Does Not Comply __ __ __ __ __ __ __ Fully Complies 23. New information should be presented in a format that is consistent with their initial belief system Breakwell, 2001 24. Frequency and periodicity of transmission should be taken into account, the higher the frequency of transmission the better user memory Breakwell, 2001 Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies 38 Design Guideline Rationale/Source Evaluation 25. Material should be presented in such a way as to attempt to instill in the reader a sense of trust in the presenter Johnson, Slovic, 1995 26. According to ANSI Z535 (2002): *Danger – Indicates immediately hazardous situation that will result in death or serious injury if not avoided; use only in extreme situations. Red should be used. *Warning – Indicates a potentially hazardous situation that may result in death or serious injury if not avoided. Orange should be used. *Caution – Indicates a potentially hazardous situation that may result in minor or moderate injury. Yellow should be used. *Notice – Indicates important non-hazard information. Blue should be used. 27. *Message panel should be high contrast, preferably black print on white background, or vice versa. *Left-justify text. *Consistently position component elements *Orient messages to read from left to right. *Each statement starts on it own line. *Use white space or bullet points to separate statements or sets of statements. *Place most important warning statements at the top. 28. *Use as little text as necessary to clearly convey the message. *Remove unnecessary connector words, eg. prepositions, articles. *Use short sentences rather than long complicated ones. *Give information about the hazard, instructions to avoid hazard, and consequences of failing to comply. *Be explicit – tell the reader exactly what to do or not do. *Use short, familiar words. *Avoid using abbreviations unless they have been tested on the user population. *Use active voice rather than passive voice. *Use concrete rather that abstract wording. *Avoid using words or statements that might have multiple interpretations. *Use multiple languages when necessary. Design Guideline Wogalter, Kenneth R. Laughery, 2004 Does Not Comply __ __ __ __ __ __ __ Fully Complies Wogalter, Kenneth R. Laughery, 2004 Does Not Comply __ __ __ __ __ __ __ Fully Complies Wogalter, Kenneth R. Laughery, 2004 Does Not Comply __ __ __ __ __ __ __ Fully Complies 29. *When used alone, symbols should have at least 85% comprehension scores, with no more than 5% critical Wogalter, Kenneth R. Laughery, 2004 Comments and Design Recommendations Does Not Comply __ __ __ __ __ __ __ Fully Complies Rationale/Source Evaluation Comments and Design Recommendations Does Not Comply __ __ __ __ __ __ __ Fully Complies 39 confusions (opposite or very wrong answers). *Pictorials not passing comprehension test should be accompanied by words, but critical confusions should still be avoided. *Use bold shapes. Avoid including irrelevant details. *Prohibition (circle slash should not obscure critical elements of symbol. 30. *Warning must be large enough to be seen by the intended audience and expected viewing distance. *Use mixed case letters. Avoid using all caps except for signal words or for specific emphasis. *Use san serif fonts (Arial, Helvetica, etc.) for signal words. *Use serif (Times, Times New Roman, etc) fonts for smaller text messages. 31. *Located/Positioned so presentation is where it will be seen or heard. *Testing to assure message will be seen, heard, and positively affects safety. Wogalter, Kenneth R. Laughery, 2004 Does Not Comply __ __ __ __ __ __ __ Fully Complies Wogalter, Kenneth R. Laughery, 2004 Does Not Comply __ __ __ __ __ __ __ Fully Complies 32. Use cultural branding: Text, as well as symbols should use idioms, phrases, and analogies that are the basis for transferring meaning in the target culture. Bowman Principle of Functional Relevance Does Not Comply __ __ __ __ __ __ __ Fully Complies 33. Use the primary language Caroll, 1994; Clark, 1985 Does Not Comply __ __ __ __ __ __ __ Fully Complies 34. Design information so that it flows in the manner that a user will think about it in the real world. What is most important should be presented first. Remaining orders should also be matched to the flow of the user’s decision model or mental model. Design Guideline 35. Design for collectivist cultures such that users are persuaded to avoid hazards in order to protect the group and to avoid being a burden to the group; Ex. Use of firstperson plural; embedding references to coworkers and family references Fletcher and Chrysler (1990); Thorndyke (1984); Atman (1990); Atman et al. (1994) Rationale/Source Does Not Comply __ __ __ __ __ __ __ Fully Complies Evaluation Weber and Hsee (1998) Does Not Comply __ __ __ __ __ __ __ Fully Complies Adjust on the basis of the diversity within the group (i.e., Mexican, Honduran, etc.) Must first determine order of content in the users’ mental representations of the tasks or task components Comments and Design Recommendations Based upon the “cushion hypothesis”: States that collectivist cultures will ‘share the negative consequences when members experience severe consequences after taking a risk. NOTE: There are many other possible 40 requirements that can be derived from the cushion hypothesis. 36. Information should appeal to social relationships, responsibility to the group or team; Consequences to the group should be emphasized. Han and Shavit (1994); Marin et al. (1990) Does Not Comply __ __ __ __ __ __ __ Fully Complies 37. Use culturally appropriate terms, including idioms. Use only words that are considered acceptable in the target culture. Lundgren and McMakin, 1998 Does Not Comply __ __ __ __ __ __ __ Fully Complies 38. Avoid sexist or racist terms. Lundgren and McMakin (1998) Does Not Comply __ __ __ __ __ __ __ Fully Complies Must get information on acceptable language from experts. See consultant as well as graduate student. Project consultant is Jose Pesante at …. 41 Design Guideline Rationale/Source Evaluation 39. Need explicit statements of the hazard, consequences, and safe behaviors in order to ensure that meaning is assigned a risk connotation Johnson and Slovic (1995) Does Not Comply __ __ __ __ __ __ __ Fully Complies 40. Apply cultural beliefs, attitudes, and other attributes to the manner in which meaning will be transferred Bontempo, Bottom, and Weber (1997) Does Not Comply __ __ __ __ __ __ __ Fully Complies 41. *Consequence information should be communicated using “will” instead of “may”. This may provide an immediate or shorter term and more certain connotation. Does Not Comply __ __ __ __ __ __ __ Fully Complies 42. Emphasize text that communicates the safety precautions; ensure that precautions are communicated such that the cost of compliance is manageable (within the capabilities of the individual) Earley, Gibson, Chen, and Chao (1999); Neff and Hopp (1993); Schulz and Heckhausen (1999) 43. Text should, in own language, provide concrete and direct information (no soft wording or passive voice). Hofstede (1997) Design Guideline Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies Rationale/Source Evaluation Comments and Design Recommendations However, due to constraints on the language of warnings and safety information, it may be best to list the consequences using a conditional: such as “If you breathe in this pesticide, these problems will occur:…” Here is where role-playing negotiation dialogue is important in the brochure. For the labels themselves, a short bulleted form of the dialogue may need to be tested. Applies to Mexico, Chile, Costa Rica, Panama, Argentina Guatemala, Uruguay, Salvador, Peru, Colombia, Venezuela, Equador Comments and Design 42 44. *Text should explicitly state the hazards; Requirements from Phase I analyses Does Not Comply __ __ __ __ __ __ __ Fully Complies 45. Given this context, negotiation is critical. Must include role-playing dialogues in brochure AND additional information on where to get PPE. Requirements from Phase I analyses Does Not Comply __ __ __ __ __ __ __ Fully Complies 46. Label and brochure real estate do not have to be consumed by convincing users that the pesticides contain dangerous substances. They already know this. Requirements from Phase I analyses Does Not Comply __ __ __ __ __ __ __ Fully Complies *Brochure: Design in negotiation dialogues. Requirements from Phase I analyses Does Not Comply __ __ __ __ __ __ __ Fully Complies 47. Avoid the use of YELLOW and ORANGE for hazard alerting. Use RED as much as possible. Smith-Jackson and Wogalter (2000); Wogalter et al. (1997) Recommendations Brochure should provide a list of the commonly used pesticides so the words can be recognized on the containers brought to the field or during the mixing process. Should possibly use a miniature label in the brochure so they can be recognized from a distance. Focus on communicating the protective behaviors. Must continue to brainstorm about this. Does Not Comply __ __ __ __ __ __ __ Fully Complies This does not mean that you should avoid using YELLOW and ORANGE. Just use only when absolutely necessary as a way to alert people to hazard information. 43 Design Guideline Evaluation Comments and Design Recommendations Rationale/Source 48. Avoid the use of these 2 symbols to communicate hazards Smith-Jackson and Wogalter (2000); SmithJackson and EssumanJohnson (2001) 49. Graphics should be used for lower literacy levels and should use analogies, metaphors, or other peripheral communications that are culturally relevant. Bowman Principle of Functional Relevance 50. Symbols or “person” type graphics should show facial expressions, hand gestures, etc. Hofstede (1997) Does Not Comply __ __ __ __ __ __ __ Fully Complies Rely on the Worker Protection Standard symbols as much as possible. However, must also develop new symbols that are culturally meaningful and more concrete Does Not Comply __ __ __ __ __ __ __ Fully Complies Does Not Comply __ __ __ __ __ __ __ Fully Complies *Indicates less certainty regarding translation from requirement to guideline 44 45
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