Adaptation and translation of mental health interventions in Middle Eastern Arab countries: A systematic review of barriers to and strategies for effective treatment implementation
Adaptation and translation of mental health interventions in Middle Eastern Arab countries: A systematic review of barriers to and strategies for effective treatment implementation
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DOI：
10.1177/0020764012452349
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发表时间：
2013-11-01
影响因子：
7.5
通讯作者：
Al-Krenawi, Alean
中科院分区：
文献类型：
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作者：
Gearing, Robin E.;Schwalbe, Craig S.;Al-Krenawi, Alean
目的：当从一种文化适应另一种文化时，有效的心理社会循证干预往往会失败。国际翻译需要深入了解当地文化、文化中的细微差别、既定的服务做法，以及对治疗实施的障碍和促进者的了解。为了更好地促进阿拉伯国家心理社会和心理健康治疗的文化适应和翻译，本研究调查了以下目标：(1)确定障碍或障碍；(2)确定促进策略；(3)提供临床和研究建议。方法：对中东阿拉伯国家的22项心理社会或心理健康研究进行系统回顾，发现在有效翻译和适应经验性支持的心理社会干预措施方面存在更多障碍(68%)，而推动者(32%)更多。结果：确定的障碍包括与文化背景下干预措施的可接受性有关的障碍，社区和系统困难，以及临床参与过程问题。虽然已确定的促进者战略集中于在当地和文化背景下合作和工作的重要性，需要参与可接受的和传统的干预特征，以及开发符合文化背景的治疗策略和技术。结论：尽管中东的阿拉伯文化是独一无二的，但本文提供了一系列核心临床和研究建议，以帮助中东阿拉伯社区有效地进行治疗适应和翻译。
Aim: All too often, efficacious psychosocial evidence-based interventions fail when adapted from one culture to another. International translation requires a deep understanding of the local culture, nuanced differences within a culture, established service practices, and knowledge of obstacles and promoters to treatment implementation. This research investigated the following objectives to better facilitate cultural adaptation and translation of psychosocial and mental health treatments in Arab countries: (1) identify barriers or obstacles; (2) identify promoting strategies; and (3) provide clinical and research recommendations.Methods: This systematic review of 22 psychosocial or mental health studies in Middle East Arab countries identified more barriers (68%) than promoters (32%) to effective translation and adaptation of empirically supported psychosocial interventions.Results: Identified barriers include obstacles related to acceptability of the intervention within the cultural context, community and system difficulties, and problems with clinical engagement processes. Whereas identified promoter strategies centre on the importance of partnering and working within the local and cultural context, the need to engage with acceptable and traditional intervention characteristics, and the development of culturally appropriate treatment strategies and techniques.Conclusions: Although Arab cultures across the Middle East are unique, this article provides a series of core clinical and research recommendations to assist effective treatment adaptation and translation within Arab communities in the Middle East.