Cultural Adaptation of Treatments: A Resource for Considering Culture in Evidence-Based Practice
Cultural Adaptation of Treatments: A Resource for Considering Culture in Evidence-Based Practice
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DOI：
10.1037/a0016401
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发表时间：
2009-08-01
影响因子：
1.5
通讯作者：
Rodriguez, Melanie M. Domenech
中科院分区：
文献类型：
--
作者：
Bernal, Guillermo;Jimenez-Chafey, Maria I.;Rodriguez, Melanie M. Domenech
人们越来越关注是否以及如何调整心理治疗，以考虑到不同民族文化群体的文化，语言和社会经济背景。争论的根源在于，在特定语言和文化背景下开发的循证治疗（EBT）是否适用于不共享相同语言或文化价值观的民族文化群体。有相当多的证据表明，文化和背景影响几乎每一个方面的诊断和治疗过程。然而，有人担心干预措施的忠实性，有些人质疑是否有必要对成熟的EBT进行修补。我们提出的论点，有利于文化兼容性和普遍性的假设。接下来，我们回顾了现有的出版框架的文化适应EBT和提供的例子，从文献中的过程和结果的不同方法。调整现有干预措施的概念模型和新出现的证据表明，调整后的干预措施会产生积极的结果，这表明，有一些工具可以用于对民族文化青年进行循证心理实践。对今后的发展方向提出了建议。
There is a growing interest in whether and how to adapt psychotherapies to take into account the cultural, linguistic, and socioeconomic context of diverse ethnocultural groups. At the root of the debate is the issue of whether evidence-based treatments (EBTs) developed within a particular linguistic and cultural context are appropriate for ethnocultural groups that do not share the same language, cultural values, or both. There is considerable evidence that culture and context influence almost every aspect of the diagnostic and treatment process. Yet, there are concerns about fidelity of interventions, and some have questioned whether tinkering with well-established EBTs is warranted. We present arguments in favor of the cultural compatibility and universalistic hypotheses. Next, we review the available published frameworks for cultural adaptations of EBTs and offer examples from the literature on the process and outcome of different approaches used. Conceptual models for adapting existing interventions and emerging evidence that adapted intervention leads to positive outcomes suggest that there are tools for engaging in evidence-based psychological practices with ethnocultural youth. Recommendations for future directions are provided.