Adapting an internet-delivered intervention for depression for a Colombian college student population: An illustration of an integrative empirical approach

Salamanca-Sanabria, Alicia; Richards, Derek; Timulák, Ladislav

doi:10.1016/j.invent.2018.11.005

Cited by 37 publications

(38 citation statements)

References 83 publications

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“…Arjadi and colleagues ( 33 ) applied the Ecological Validity Model to adapt an internet-based behavioral activation intervention addressing depression for Indonesian people. In addition, an internet-based intervention for depression was culturally adapted for Colombian university students using this model ( 34 ) and was evaluated ( 35 ). Evidence from a meta-analysis of eight randomized controlled trials showed that the effectiveness of minimally guided digital mental health interventions to reduce symptoms of common mental disorders was enhanced by cultural adaptation ( 36 ).…”

Section: Introductionmentioning

confidence: 99%

“…The current study adopted the EVM ( 26 ) to inform which intervention elements should be culturally adapted. The framework, including eight culturally sensitive dimensions (i.e., language, persons, metaphors, content, concepts, goals, methods, context) was previously applied in cultural adaptation studies ( 20 , 22 , 34 ). For the framework informing the strategies and process of cultural adaptation, the current study did not follow any existing cultural adaptation process model ( 22 , 37 , 38 ) since they were not appropriate for digital mental health program as digital mental health interventions minimize contact between the providers and service users.…”

Section: Introductionmentioning

confidence: 99%

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The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression Among Chinese Young Adults

Sit¹,

Ling

Lam

et al. 2020

Front. Psychiatry

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Background Digital mental health interventions leverage digital communication technology to address the mental health needs of populations. Culturally adapting interventions can lead to a successful, scalable mental health intervention implementation, and cultural adaptation of digital mental health interventions is a critical component to implementing interventions at scale within contexts where mental health services are not well supported. Objective The study aims to describe the cultural adaptation of a digital mental health intervention Step-by-Step in order to address depression among Chinese young adults. Methods Cultural adaptation was carried out in four phases following Ecological Validity Model: (1) stage setting and expert consultation; (2) preliminary content adaptation; (3) iterative content adaptation with community members; (4) finalized adaptation with community feedback meetings. Cognitive interviewing was applied to probe for relevance, acceptability, comprehensibility, and completeness of illustrations and text. Six mental health experts and 34 Chinese young adults were recruited for key informant interviews and focus group discussions. Results We adapted the text and illustrations to fit the culture among Chinese young adults. Eight elements of the intervention were chosen as the targets of cultural adaptation (e.g., language, metaphors, content). Samples of major adaptations included: adding scenarios related to university life ( relevance ), changing leading characters from a physician to a peer and a cartoon ( acceptability ), incorporating two language versions (traditional Chinese and simplified Chinese) in the intervention ( comprehensibility ), and maintaining fundamental therapeutic components ( completeness ). Conclusion This study showed the utility of using Ecological Validity Model and a four-point procedure framework for cultural adaptation and achieved a culturally appropriate version of the Step-by-Step program for Chinese young adults.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression Among Chinese Young Adults

Sit¹,

Ling

Lam

et al. 2020

Front. Psychiatry

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“…The culturally adapted version of the PM+ intervention protocol was assessed by a Colombian and a Venezuelan psychologist, both based in academic institutions, who independently evaluated the protocol using the Cultural Relevance Questionnaire (CRQ), in approximately 3 h [36]. Grounded in cultural sensitivity and ecological validity theories and principles, the CRQ was specifically developed to evaluate the degree of ecological validity following cultural adaptation [2,37].…”

Section: Settingmentioning

confidence: 99%

No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

et al. 2020

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Background: Despite the widely recognised importance of cultural adaptation to increase the effectiveness of psychological interventions, there is little guidance on its process. Developed based on existing theory, we applied a four-step process to culturally adapt a low-intensity psychological intervention for use in humanitarian settings. Methods: The four-step process was applied to adapt a WHO low-intensity psychological intervention (i.e. Problem Management Plus, or PM+) for use with displaced Venezuelans and Colombians in Colombia. First, a rapid desk review was used as an (1) information gathering tool to identify local population characteristics. Next, the results were taken forward for the (2) formulation of adaptation hypotheses, whereby PM+ protocols were screened to identify components for adaptation, drawing on the Ecological Validity Model. Third, the elements flagged for adaptation were taken forward for (3) local consultation to firstly, verify the components identified for adaptation, to identify other areas in need of adaptation, and thirdly, to adapt the intervention protocols. Finally, the adapted intervention protocols were reviewed through (4) external evaluations with local experts. Results: The information gathering phase yielded key information on the socioeconomic aspects of the groups targeted for intervention, the availability and need for mental health and psychosocial support, and existing barriers to accessing care. The adaptation hypotheses phase further identified the need for clearer explanations of key concepts, the need for sensitive topics to match local attitudes (e.g., domestic violence, thoughts of suicide), and the identification of culturally appropriate social supports. Building on these first two phases, local consultation subsequently resulted in revised PM+ protocols. The adapted protocols differed from the original format in their focus on the problems unique to these population groups, the way that psychological distress is expressed in this context, and the inclusion of locally available supports. The results of the external evaluation supported the adaptations made to the protocols.

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“…Previous reviews and meta-analyses have summarised studies that conducted IMI in LMIC [53] and investigated the extent and effectiveness of cultural adaptation of IMI for the treatment of common mental disorders among people with diverse cultural backgrounds [48]. Yet, the procedure of the cultural adaptation is often only poorly reported [43,52,[54][55][56]. This makes it difficult to identify components of the cultural adaptation that may contribute to an enhanced acceptance and effectiveness of IMI, such as the language, illustrations, or example characters [43,54,56,57].…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation of Internet- and mobile-based interventions for mental disorders: a systematic review protocol

et al. 2020

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Background: Internet-and mobile-based interventions (IMI) are an effective and scalable low-threshold solution to reach people who are undersupplied by current healthcare. Adapting interventions to the cultural and ethnic background of the target group enhances their acceptance and effectiveness. However, no systematic approach to cultural adaptation of IMI has been established so far. Therefore, this review aims to summarise components and procedures commonly used in the cultural adaptation of IMI for mental disorders, as well as the current evidence base on whether such a cultural adaptation leads to an increased acceptance, adherence, and effectiveness of IMI for mental disorders. Methods: A systematic literature search will be performed using the following databases: MEDLINE, Embase, PsycINFO, CENTRAL, and WoS. The search term will include keywords related to cultural adaptation, IMI, and mental disorders/disturbances. Two independent reviewers will evaluate studies against inclusion and exclusion criteria and extract study and intervention characteristics, details on the cultural adaptation approach, and outcome data. Quality of evidence will be assessed using the Quality Assessment Tool for Reviewing Studies with Diverse Designs, and results will be synthesised qualitatively. Discussion: Providing adequate mental healthcare regardless of cultural backgrounds is a major global health challenge. The planned systematic review will lay the foundation for the further development of the cultural adaptation of IMI for mental disorders by summarising the current state and providing recommendations for future research.

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Adapting an internet-delivered intervention for depression for a Colombian college student population: An illustration of an integrative empirical approach

Cited by 37 publications

References 83 publications

The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression Among Chinese Young Adults

The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression Among Chinese Young Adults

No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

Cultural adaptation of Internet- and mobile-based interventions for mental disorders: a systematic review protocol

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