An examination of the evidence in culturally adapted evidence-based or empirically supported interventions

Datos Bibliográficos

ID2395038
AutoresJanet E Helms (0000-0001-9445-6401, Boston College, autor de correspondencia)
Año2015
Volumen52
Número2
Páginas174-197
Fecha de publicación2015-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaTranscultural Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1363-4615 • E-ISSN: 1461-7471
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461514563642
PMID25534401
OpenAlexW2115254930
IdiomaEN
Citas recibidas12
Referencias citadas45

Measurement yields perhaps the most critical evidence influencing whether culturally adapted evidence- based practice (EBP) and empirically supported treatments (EST) are deemed more effective for African Americans, Latino/a Americans, Asian/Pacific Islander Americans, Native Americans, and related immigrant groups than standard treatments, as well as for determining the validity of results of surveys of health conditions in nondominant populations internationally. However, little attention has been given to measuring the effects of race and ethnic culture, as experiential constructs rather than sociodemographic categories, on diagnosis, the treatment process, and outcomes. Three meta-analyses of culturally adapted treatments and three studies cited in them were analyzed to determine the ways in which researchers incorporated measurement of racial and ethnic cultural dynamics as explicit factors in any phase of their interventions. The analysis revealed that researchers did not report adapting standard measures to address cultural influences, nor did they define symptoms from participants' cultural or racial experiences. The author concludes that although there are criteria for judging good research designs, which may or not be feasible for research on nondominant racial and ethnic groups, there are no paradigms for developing measures or for interpreting existing measures to incorporate ethnicity and racialized experiences. Some principles from cross-cultural assessment research (i.e., functional, conceptual, metric, and linguistic equivalence) are adapted to suggest how measures for investigating the effectiveness of culturally adapted interventions for nondominant ethnic and racialized groups might be developed and/or used more appropriately throughout the course of the intervention

Acculturation · Cultural diversity · Ethnic group · Health equity · Pacific islanders · Psychological intervention · Public health · Sociology · Clinical Psychology · Counseling Practices and Supervision · Cultural Competency in Health Care · Medicine · Occupational Therapy Practice and Research · Psychology · Social Psychology