An examination of cross-cultural systems implementing evidence-based assessment and intervention approaches

Abstract

An examination of cross-cultural systems implementing evidence-based assessment and intervention approaches Exame dos sistemas transculturais que implementam estratégias de intervenção e avaliação baseadas em evidências A b s t r a c t Implementation of evidence-based assessment and intervention approaches for youth with behavioral and/or emotional problems is rising to recognition worldwide. Feasibility research is critical to examine what characteristics of systems allow for success or barriers to the implementation of evidence-based practices into real-world settings, especially when working cross-culturally. This paper briefly reviews the experience of 4 international sites to understand how the overall structure and specific site variables directed the implementation of the World Health Organization and the World Psychiatry Association project. Discussion includes a thematic summary of the successes and challenges experienced by the sites, and future directions of feasibility studies.Keywords: Evidence-based medicine; Outcome and process assessment (Health care); Feasibility studies; Cross-cultural comparison; Case-control study Resumo A implementação de estratégias de intervenção e avaliação baseadas em evidências para jovens com problemas comportamentais e/ou emocionais está assumindo reconhecimento internacional. Estudos de praticabilidade são críticos para examinar quais características dos sistemas permitem êxito ou se constituem em barreiras para a implementação de práticas baseadas em evidências em instituições do mundo real, especialmente quando trabalhando de forma transcultural. Este estudo revisa brevemente a experiência de quatro localidades internacionais para compreender como a estrutura geral e as variáveis específicas da localidade orientaram a implementação do projeto da Organização Mundial de Saúde e da Associação Mundial de Psiquiatria. A discussão inclui um resumo temático dos êxitos e desafios vivenciados pelas localidades e os caminhos futuros de estudos de praticabilidade.Descritores: Medicina baseada em evidências; Avaliação de processos e resultados (Cuidados da saúde); Estudos de praticabilidade; Comparação transcultural; Estudo de caso controle

Adaptation and translation of mental health interventions in Middle Eastern Arab countries: A systematic review of barriers to and strategies for effective treatment implementation

“…Beliefs and values related to gender were repeatedly identified as a barrier to treatment (Al-Krenawi, 1999;Al-Krenawi, Graham, Dean, & Eltaiba, 2004;Eapen & Ghubash, 2004;Murray, Fayyad, Jensen, Hoagwood, & Azer, 2006;Savaya, 1998;Shalhoub-Kevorkian, 2005). In some traditional segments of society, females are accompanied by males in public; consequently, in interactions with mental health service providers, females may need a chaperone to access and receive services (Al-Krenawi & Graham, 1999).…”

Diffusion of efficacious interventions for children and adolescents with mental health problems

“…The interventions were designed to be brief (8–12 sessions) and to address children and parents in schools and clinical settings. The process of developing and implementing these strategies in four different countries has been extensively described elsewhere (Bauermeister, So, Jensen, Krispin, & El Din, 2006; Hoagwood, Kelleher, Murray, & Jensen, 2006; Murray, Fayyad, Jensen, Hoagwood, & Azer, 2006; So et al., 2006) and exemplifies a technique to reach more children over different cultures, and not only the English‐speakers (Jensen, 2006).…”

Development of adaptable and flexible treatment manuals for externalizing and internalizing disorders in children and adolescents

“…[20][21] The treatment manuals were implemented in four sites that volunteered their participation: Porto Alegre, Brazil; Alexandria, Egypt; Beirut, Lebanon, and a Bedouin community in Israel. 22 While in some localities, such as Porto Alegre, few adaptations were needed, in others several modifications were made or recommended. These adaptations (see below) point out to the importance of being sensitive to the beliefs and practices of participating families, as well as possibly important site-to-site variations, both within and across different cultures.…”