A model for adapting evidence-based behavioral interventions to a new culture: HIV prevention for psychiatric patients in Rio de Janeiro, Brazil
A model for adapting evidence-based behavioral interventions to a new culture: HIV prevention for psychiatric patients in Rio de Janeiro, Brazil
复制标题
DOI：
10.1007/s10461-006-9181-8
复制
发表时间：
2007-11-01
影响因子：
4.4
通讯作者：
Cournos, Francine
中科院分区：
文献类型：
--
作者：
Wainberg, Milton L.;McKinnon, Karen;Cournos, Francine
与世界其他国家一样，巴西患有严重精神疾病的成年人的艾滋病毒感染率相对于普通人群较高。然而，巴西尚未测试艾滋病毒预防干预措施对精神病患者的有效性。我们与当地医疗服务提供者、社区领袖、患者倡导者和患者进行了参与性研究，使用干预适应过程，旨在平衡其他地方开发的有效干预措施的保真度，以适应新的环境和文化。我们调整这些干预措施的过程包括四个步骤：（1）优化保真度； (2)优化拟合； (3)平衡保真度和契合度； (4) 试点和完善干预措施。本文介绍了如何采取这些步骤来为患有严重精神疾病的人制定巴西艾滋病毒预防干预措施。我们的流程可以作为一个模型，使现有的有效干预措施适应新的群体和文化，无论是在地方、国家还是国际层面。
As in other countries worldwide, adults with severe mental illness in Brazil have elevated rates of HIV infection relative to the general population. However, no HIV prevention interventions have been tested for efficacy with psychiatric patients in Brazil. We conducted participatory research with local providers, community leaders, patient advocates, and patients using an intervention adaptation process designed to balance fidelity to efficacious interventions developed elsewhere with fit to a new context and culture. Our process for adapting these interventions comprised four steps: (1) optimizing fidelity; (2) optimizing fit; (3) balancing fidelity and fit; and (4) pilot testing and refining the intervention. This paper describes how these steps were carried out to produce a Brazilian HIV prevention intervention for people with severe mental illness. Our process may serve as a model for adapting existing efficacious interventions to new groups and cultures, whether at a local, national, or international level.