Cultural adaptations of behavioral health interventions: a progress report.
Cultural adaptations of behavioral health interventions: a progress report.
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DOI：
10.1037/a0027085
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发表时间：
2013-04
影响因子：
5.9
通讯作者：
Toobert, Deborah J.
中科院分区：
文献类型：
--
作者：
Barrera, Manuel, Jr.;Castro, Felipe G.;Strycker, Lisa A.;Toobert, Deborah J.
为了减少健康差异，行为健康干预措施必须覆盖亚文化群体，并证明在改善其健康行为和结果方面的有效性。制定此类卫生干预措施的一种方法是在文化上调整原来的循证干预措施。本文的目标是(a)描述对发展文化适应所涉及的阶段的共识，(b)确定文化适应的共同要素，(c)检查文化增强干预措施对各种健康状况的有效性的证据，以及(d)为未来的研究提出问题。研究了过去十年有影响力的文献，以确定共识点。人们一致认为，文化适应可以分为五个阶段：信息收集、初步设计、初步测试、完善和最终试验。除了少数例外，对若干健康状况（如艾滋病、哮喘、糖尿病）的审查得出的结论是，在改善健康结果方面，文化上加强的干预措施比常规护理或其他控制条件更有效。在建立进行文化适应的方法和提供其有效性证据方面取得了进展。未来的研究应包括对阶段性发展的文化适应的评估，确定文化适应相对于原始版本的有效性的测试，以及促进我们对文化建构对干预参与和有效性的贡献的研究。
To reduce health disparities, behavioral health interventions must reach subcultural groups and demonstrate effectiveness in improving their health behaviors and outcomes. One approach to developing such health interventions is to culturally adapt original evidence-based interventions. The goals of the paper are to (a) describe consensus on the stages involved in developing cultural adaptations, (b) identify common elements in cultural adaptations, (c) examine evidence on the effectiveness of culturally enhanced interventions for various health conditions, and (d) pose questions for future research. Influential literature from the past decade was examined to identify points of consensus. There is agreement that cultural adaptation can be organized into five stages: information gathering, preliminary design, preliminary testing, refinement, and final trial. With few exceptions, reviews of several health conditions (e.g., AIDS, asthma, diabetes) concluded that culturally enhanced interventions are more effective in improving health outcomes than usual care or other control conditions. Progress has been made in establishing methods for conducting cultural adaptations and providing evidence of their effectiveness. Future research should include evaluations of cultural adaptations developed in stages, tests to determine the effectiveness of cultural adaptations relative to the original versions, and studies that advance our understanding of cultural constructs’ contributions to intervention engagement and efficacy.
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影响因子：
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通讯作者：
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