Reporting Cultural Adaptation in Psychological Trials - The RECAPT criteria.
Reporting Cultural Adaptation in Psychological Trials - The RECAPT criteria.
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DOI：
10.32872/cpe.6351
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发表时间：
2021-11
影响因子：
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通讯作者：
Knaevelsrud, Christine
中科院分区：
文献类型：
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作者：
Heim, Eva;Mewes, Ricarda;Abi Ramia, Jinane;Glaesmer, Heide;Hall, Brian;Harper Shehadeh, Melissa;Unlu, Burcin;Kananian, Schahryar;Kohrt, Brandon A;Lechner-Meichsner, Franziska;Lotzin, Annett;Moro, Marie Rose;Radjack, Rahmeth;Salamanca-Sanabria, Alicia;Singla, Daisy R;Starck, Annabelle;Sturm, Gesine;Tol, Wietse;Weise, Cornelia;Knaevelsrud, Christine
西方、受过教育、工业化、富裕和民主（WEIRD）社会中制定的心理干预措施对于治疗不同文化和种族不同群体中常见的精神障碍有效，所需的文化适应水平缺乏经验证据。缺乏证据的部分原因是心理试验中文化适应的记录不足。为了增强经验和荟萃分析证据，需要标准化文件。成立了“难民心理健康干预文化适应工作组”，以协调和记录几项随机对照试验的文化适应过程，这些随机对照试验测试了德国难民群体心理健康的心理干预措施。根据收集的经验，工作组的一个小组制定了本文提出的报告标准。此后，与国际专家就心理干预的文化适应进行了在线调查，包括两轮反馈。整合过程产生了十一项报告标准，以指导和记录临床试验中心理干预的文化适应过程。提供了用于记录此过程的模板。这十一项标准是按照 A) 设置； B）形成性研究方法； C) 干预适应； D) 衡量成果和实施情况。在未来的心理试验中更一致地报告文化适应将有望提高证据质量，并有助于检查文化适应对治疗功效、可行性和可接受性的影响。适应首先要根据文化和社会人口标准确定目标人群。文献综述和形成性研究用于定义目标症状、综合症、需求和背景。建议使用标准化文档系统来构建适应过程。文档包括形成性研究的结果和治疗要素的调整。
There is a lack of empirical evidence on the level of cultural adaptation required for psychological interventions developed in Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies to be effective for the treatment of common mental disorders among culturally and ethnically diverse groups. This lack of evidence is partly due to insufficient documentation of cultural adaptation in psychological trials. Standardised documentation is needed in order to enhance empirical and meta-analytic evidence. A “Task force for cultural adaptation of mental health interventions for refugees” was established to harmonise and document the cultural adaptation process across several randomised controlled trials testing psychological interventions for mental health among refugee populations in Germany. Based on the collected experiences, a sub-group of the task force developed the reporting criteria presented in this paper. Thereafter, an online survey with international experts in cultural adaptation of psychological interventions was conducted, including two rounds of feedback. The consolidation process resulted in eleven reporting criteria to guide and document the process of cultural adaptation of psychological interventions in clinical trials. A template for documenting this process is provided. The eleven criteria are structured along A) Set-up; B) Formative research methods; C) Intervention adaptation; D) Measuring outcomes and implementation. Reporting on cultural adaptation more consistently in future psychological trials will hopefully improve the quality of evidence and contribute to examining the effect of cultural adaptation on treatment efficacy, feasibility, and acceptability. Adaptation starts with defining the target population along cultural and socio-demographic criteria. Literature review and formative research are used to define target symptoms, syndromes, needs, and context. Using a standardized documentation system to structure the adaptation process is recommended. Documentation includes results of formative research and adaptation of treatment elements.