Ethical considerations in the application of cultural adaptation models with ethnocultural populations.

Trimble, Joseph E.; Rio, Maria Scharron-del; Hill, Jill S.

doi:10.1037/13752-003

Cited by 14 publications

(9 citation statements)

References 16 publications

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“…One means to improve the quality of services is the cultural adaptation of interventions to make them more acceptable, improve their cultural fit and increase their utility in real-world settings. Such cultural adaptation must respect communities’ self-determination rights and integrate their understandings of both the problem and solutions (26). Interventions are likely to be more effective when they are congruent with the culture and context of the person (27).…”

Section: Discussionmentioning

confidence: 99%

Disseminating research in rural Yup'ik communities: challenges and ethical considerations in moving from discovery to intervention development

Rivkin

Trimble

López

et al. 2013

International Journal of Circumpolar Health

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BackgroundThe native people of Alaska have experienced historical trauma and rapid changes in culture and lifestyle patterns. As a consequence, these populations shoulder a disproportionately high burden of psychological stress. The Yup'ik Experiences of Stress and Coping project originated from rural Yup'ik communities’ concerns about stress and its effects on health. It aimed to understand the stressful experiences that affect Yup'ik communities, to identify coping strategies used to deal with these stressors and to inform culturally responsive interventions.ObjectivesHere, we examine the process of moving from research (gaining understanding) to disseminating project findings to translation into intervention priorities. We highlight the importance of community participation and discuss challenges encountered, strategies to address these challenges and ethical considerations for responsible intervention research with indigenous communities that reflect their unique historical and current socio-cultural realities.DesignCommunity-wide presentations and discussions of research findings on stress and coping were followed by smaller Community Planning Group meetings. During these meetings, community members contextualized project findings and discussed implications for interventions. This process placed priority on community expertise in interpreting findings and translating results and community priorities into grant applications focused on intervention development and evaluation.ResultsChallenges included translation between English and Yup'ik, funding limitations and uncertainties, and the long timelines involved in moving from formative research to intervention in the face of urgent and evolving community needs. The lack of congruence between institutional and community worldviews in the intervention research enterprise highlights the need for “principled cultural sensitivity”.ConclusionsCultural sensitivity requires sharing results that have practical value, communicating openly, planning for sustainability and incorporating indigenous knowledge and expertise through a community-guided process. Our research findings will inform continued work within our partnership as we co-develop culturally based strategies for multilevel community interventions to address stress.

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Section: Discussionmentioning

confidence: 99%

Disseminating research in rural Yup'ik communities: challenges and ethical considerations in moving from discovery to intervention development

Rivkin

Trimble

López

et al. 2013

International Journal of Circumpolar Health

View full text Add to dashboard Cite

show abstract

“…This project explored a culturally grounded perspective on conceptions and experiences of stress in Yup'ik communities. Such cultural understandings are critical for informing culturally resonant measures and interventions that reflect communities’ unique histories, realities, and worldviews (Trimble, Scharron‐Del‐Rio, & Hill, ). This study illustrates the challenges, such as considerable trauma, chronic stress, community stressors, and generational gaps, faced by Yup'ik communities undergoing rapid cultural change.…”

Section: Resultsmentioning

confidence: 99%

Yup'ik Understanding of Stress Within the Context of Rapid Cultural Change

Rivkin

Johnson

López

et al. 2016

Journal Community Psychology

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Alaska Native communities shoulder a disproportionately high burden of stress, stemming in part from historical trauma and rapid changes in culture and lifestyle. The Yup'ik Experiences of Stress and Coping Project originated from rural Yup'ik communities' concerns about stress and its effects. Understanding local conceptions of stress as grounded in the experiences and perceptions of the Yup'ik community participants is critical to inform culturally‐based interventions. Sixty adults in two Yup'ik communities in Southwest Alaska participated in semi‐structured interviews exploring their understanding and experience of stress and coping. Participants' understanding of stress included causes of stress, stressful experiences, responses to stress (emotions, physical responses, trouble in the mind), and broader family and community effects of stress. Many described current stressors as being quite different than those of the past. Findings highlight the intersection between traditional ways of thinking about stress and Western influences in remote Yup'ik communities undergoing cultural changes.

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“…Psychologists have an ethical obligation to provide the most effective service available to their clients (Trimble, Scharrón-del-Rí o, & Hill, 2012;Vasquez, 2012). Much of the therapy literature focuses attention on evidence-based practices (EBP) (Kazdin, 2008), but EBPs, like most standardized treatment approaches, do not account for the needs of culturally diverse clients (La Roche & Christopher, 2008).…”

mentioning

confidence: 99%

“…Treatments provided should be based on evidence, but therapists must remember that no single EBP will work with every client. They must attend to cultural factors that influence therapy (Cardemil, 2010a;Smith, 2010;Sue, 2003;Trimble et al, 2012) and realize that cultural adaptations to EBPs are justified (Castro et al, 2010). Therapists who assume that an EBP is equally effective across all cultures take a universalistic approach to treatment, giving deference to the particular EBP over the realities of a particular client.…”

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confidence: 99%

Culturally adapted mental health services: An updated meta-analysis of client outcomes.

Smith¹,

Trimble²

2016

Foundations of Multicultural Psychology: Research to Inform Effective Practice.

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When clients from diverse backgrounds seek professional mental health services, several concerns may arise: Will this therapist respect my beliefs and values? Will this therapist promote mainstream [White/European American] worldviews and solutions? Can I truly be myself in therapy? Clients may not verbalize these specific concerns, but these are among many that may adversely impact client outcomes in traditional therapy (Sue & Zane, 1987; Sue et al., 2006). Thus clinicians should ask this critical question: To what extent does the therapy I provide align with the cultural beliefs, values, and goals of this client? Although mental health treatments have proliferated in recent decades, most treatments are based on theories that reflect European and European-American ideals and values (e.g., psychodynamic, client-centered, cognitive behavioral). As such, these traditional mental health treatments have frequently ignored or minimized contextual variables such as culture, gender, race and ethnicity, socioeconomic status, and religious and spiritual values (Hall, 2001; Ibaraki

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Ethical considerations in the application of cultural adaptation models with ethnocultural populations.

Cited by 14 publications

References 16 publications

Disseminating research in rural Yup'ik communities: challenges and ethical considerations in moving from discovery to intervention development

Disseminating research in rural Yup'ik communities: challenges and ethical considerations in moving from discovery to intervention development

Yup'ik Understanding of Stress Within the Context of Rapid Cultural Change

Culturally adapted mental health services: An updated meta-analysis of client outcomes.

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