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This paper explores the unique and shared communicative difficulties of conveying translated survey informed consent messages observed across ten language groups. We examined results from two cognitive testing projects conducted by the U. S. Census Bureau in 2006 and 2008, with a total of 256 cognitive interviews in ten target languages. Findings suggest that comprehension and interpretation issues for particular informed consent messages were routinely identified. In this paper, we systematically analyzed the types of messages that worked well, that were conceptually difficult to translate effectively, or that failed to convey. We further explored linguistic and socio-cultural barriers for successful communication of these messages and offered strategies to overcome these challenges.
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