文化适应性循证干预措施设计中的问题和挑战。
Issues and challenges in the design of culturally adapted evidence-based interventions.
机构信息
Department of Psychology, Arizona State University, Tempe, Arizona 85287-1104, USA.
出版信息
Annu Rev Clin Psychol. 2010;6:213-39. doi: 10.1146/annurev-clinpsy-033109-132032.
This article examines issues and challenges in the design of cultural adaptations that are developed from an original evidence-based intervention (EBI). Recently emerging multistep frameworks or stage models are examined, as these can systematically guide the development of culturally adapted EBIs. Critical issues are also presented regarding whether and how such adaptations may be conducted, and empirical evidence is presented regarding the effectiveness of such cultural adaptations. Recent evidence suggests that these cultural adaptations are effective when applied with certain subcultural groups, although they are less effective when applied with other subcultural groups. Generally, current evidence regarding the effectiveness of cultural adaptations is promising but mixed. Further research is needed to obtain more definitive conclusions regarding the efficacy and effectiveness of culturally adapted EBIs. Directions for future research and recommendations are presented to guide the development of a new generation of culturally adapted EBIs.
本文探讨了从原始基于证据的干预（EBI）中开发文化适应性时所面临的问题和挑战。本文还考察了最近出现的多步骤框架或阶段模型，因为这些模型可以系统地指导文化适应性 EBI 的开发。本文还提出了关于是否以及如何进行这种适应性调整的关键问题，并提供了关于这种文化适应性调整的有效性的实证证据。最近的证据表明，这些文化适应性调整在应用于某些亚文化群体时是有效的，尽管在应用于其他亚文化群体时效果较差。一般来说，目前关于文化适应性调整有效性的证据是有希望的，但也存在一些矛盾。需要进一步研究以获得关于文化适应性 EBI 的疗效和有效性的更明确结论。本文提出了未来研究的方向和建议，以指导新一代文化适应性 EBI 的开发。
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