Translation and localization: Broadening health equity for indigenous practitioners

Conclusion:In our on-going study, English-only survey measures limited representativeness and reach.Translation required time, outside expertise and cost, and improved equity.Practice staff time and turnover caused recruitment delays.Study team outreach and coordination were time-intensive and likely limited by participant text/email/internet access.Incentives were important but insufficient.Our experiences illustrate many challenges in evaluating outcomes of interventions aimed at addressing social needs in community settings.