Cultural and contextual adaptation of mental health measures in Kenya: An adolescent-centered transcultural adaptation of measures study.
Cultural and contextual adaptation of mental health measures in Kenya: An adolescent-centered transcultural adaptation of measures study.
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肯尼亚心理健康措施的文化和背景适应：以青少年为中心的措施研究的跨文化适应。
DOI：
10.1371/journal.pone.0277619
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在低收入和中等收入国家，用于评估儿童和青少年抑郁和焦虑的文化适应工具很少。这妨碍了及早发现、提供适当的和文化上可接受的干预措施。与内罗毕大学、内罗毕县、肯雅塔国家医院和儿童基金会合作，对三个青少年心理健康量表进行了快速的文化适应，即修订后的儿童焦虑和抑郁量表、患者健康问卷-9和儿童基金会青少年心理健康模块中的其他量表。我们使用定性的方法，通过以青少年为中心的方法，探索青少年参与者对这些工具中特定项目的文化可接受性、可理解性、相关性和完整性的看法，以了解他们的心理社会需求，重点关注围绕痛苦表达的性别和年龄差异。42名青少年和20名照顾者参与了这项研究，研究在两个初级保健中心进行，我们在那里进行了认知访谈和集中的小组讨论，评估心理健康知识、识字、获得服务的机会、社区和家庭层面的耻辱。我们反思了调整工具的过程和结果，包括系统地识别青少年不理解的英语单词和这些量表的斯瓦希里语翻译。一些翻译的单词听不懂，在日常对话中没有使用。更改了答复选项，以提高可理解性；有些发言通过添加额外的词语加以限定，以避免歧义。参与者提出了替代难用词的建议，并得出了适应文化的工具。研究注意到困难的单词、短语、理解从一种语言翻译成另一种语言的单词的动态，以及10-19岁青少年在理解方面的差异。迫切需要考虑青少年抑郁和焦虑工具的文化适应。结果提供了一套文化适应量表。这一进程是由社区推动的，并坚持将文化适应作为评估工具的原则。
There is paucity of culturally adapted tools for assessing depression and anxiety in children and adolescents in low-and middle-income countries. This hinders early detection, provision of appropriate and culturally acceptable interventions. In a partnership with the University of Nairobi, Nairobi County, Kenyatta National Hospital, and UNICEF, a rapid cultural adaptation of three adolescent mental health scales was done, i.e., Revised Children’s Anxiety and Depression Scale, Patient Health Questionnaire-9 and additional scales in the UNICEF mental health module for adolescents. Using a qualitative approach, we explored adolescent participants’ views on cultural acceptability, comprehensibility, relevance, and completeness of specific items in these tools through an adolescent-centered approach to understand their psychosocial needs, focusing on gender and age-differentiated nuances around expression of distress. Forty-two adolescents and 20 caregivers participated in the study carried out in two primary care centers where we conducted cognitive interviews and focused group discussions assessing mental health knowledge, literacy, access to services, community, and family-level stigma. We reflect on process and findings of adaptations of the tools, including systematic identification of words adolescents did not understand in English and Kiswahili translations of these scales. Some translated words could not be understood and were not used in routine conversations. Response options were changed to increase comprehensibility; some statements were qualified by adding extra words to avoid ambiguity. Participants suggested alternative words that replaced difficult ones and arrived at culturally adapted tools. Study noted difficult words, phrases, dynamics in understanding words translated from one language to another, and differences in comprehension in adolescents ages 10–19 years. There is a critical need to consider cultural adaptation of depression and anxiety tools for adolescents. Results informed a set of culturally adapted scales. The process was community-driven and adhered to the principles of cultural adaptation for assessment tools.
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影响因子：
2.5
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Kohrt, Brandon A.;Jordans, Mark J. D.;Upadhaya, Nawaraj
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