Adapting Interventions for Diverse Ethnocultural Families

描述（由申请人提供）：本次会议的主题为“适应不同民族文化家庭的干预措施”，其目的是促进将文化结构整合到现有干预措施中的知识和方法。我们建议汇集儿童和青少年心理健康、行为科学和干预研究领域的顶尖学者，以实现以下五个目标：(1)生成和完善可推广到不同群体的适应概念模型；(2)确定和发展基于理论的方法，以适应现有的干预措施；(3)促进干预措施开发人员和干预措施适应者之间就干预措施的核心要素与适应过程之间的导航进行对话；(4)支持研究者特别是初级研究者开发和检验干预适应的模型、理论和方法；(5)通过印刷和最先进的电子媒体传播会议内容，这些媒体通过我们的互动网站向全世界的公众、临床医生和研究人员开放。以前，我们专注于文化建构的概念定义，并将其应用于干预措施中。但是我们发现，为适应科学开发影响深远的模型和方法，不仅仅局限于一个族群，有可能推进干预适应科学。通过提议的一系列年度会议，我们可以解决推进适应科学的几个挑战。首先，我们需要发展全面的适应模式，能够吸收由民族和文化群体确定的持久文化因素，而不是着眼于没有多大帮助的短暂文化变化。每个小组都必须进行这个过程。由此，我们的第二个挑战是将我们的范围扩展到一个多元文化的范围，包括与其他少数民族（例如，非洲裔美国人，美洲印第安人，亚洲人/太平洋岛民，难民等）合作的调查人员。第三，扩展我们的概念模型和人口群体也需要注意设计方法，以指导跨民族文化群体的干预适应科学家。第四，由于适应总是会引起忠实度和契合度之间的紧张关系，我们必须让干预开发人员参与有关适应的对话。简而言之，会议将包括由科学证据、人口群体和干预开发人员支持的模型和方法，以达成共识和可应用于各种生态环境的产品。通过三次年度会议，我们解决了这些和其他棘手的问题。会议将于每年4月初在圣路易斯的华盛顿大学举行。心理健康服务研究人员指导委员会将确保一个成功的，高质量的努力。产品将包括发表在高影响力期刊上的科学论文、会议记录、NIH拨款申请以测试适应模型和方法，并通过复杂的互联网技术传播。

DESCRIPTION (provided by applicant): The objectives of the scientific meetings comprising this conference, titled "Adapting Interventions for Diverse Ethnocultural Families," are to advance knowledge and methods on integrating cultural constructs into extant interventions. We propose to bring together leading scholars in child and adolescent mental health, behavioral sciences, and intervention research to address five objectives: (1) to generate and refine conceptual models for adaptation that can generalize to diverse groups; (2) to identify and develop theoretically based methodologies for adapting extant interventions; (3) to foster dialogue among intervention developers and intervention adapters on navigating between the core elements of interventions and adaptation processes; (4) to support the development and testing of models, theories and methods for intervention adaptation by investigators, especially junior researchers; and (5) disseminate meeting content through print and state-of-theart electronic media made accessible to the public, clinicians, and investigators around the world through our interactive website.. Previously, we focused on conceptual definitions of cultural constructs and operationalizing them for infusion into interventions. But we discovered that developing models and methods for adaptation science that are far-reaching, beyond just one ethnic group, has potential to advance the science of intervention-adaptation. Through the proposed series of annual meetings we can address several challenges for advancing adaptation science. First, we need to develop comprehensive adaptation models that can absorb the enduring cultural factors as identified by ethnic and cultural groups rather than looking at transitory cultural changes that are less helpful. Each group must undertake this process. Deriving from this, our second challenge is to expand our scope to a multicultural one that includes investigators working with other minority ethnic groups (e.g., African American, American Indian, Asians/Pacific Islanders, refugees and others). Third, extending our conceptual models and population groups also requires attention to designing methodologies to guide intervention-adaptation scientists across ethnocultural groups. Fourth, because adaptation always raises tension between fidelity and fit, we must engage intervention developers in conversations about adaptation. In short, the meetings will encompass models and methods buttressed by scientific evidence, population groups, and intervention-developers to arrive at consensus and products that can be applied across ecological contexts. Through three annual meetings, we address these and other vexing issues. The meetings will be held in early April each year at Washington University in St. Louis. A Steering Committee of mental health services researchers will insure a successful, high quality endeavor. Products will include scientific papers to be published in high impact journals, conference proceedings, NIH grant applications to test adaptation models and methods, and disseminated through sophisticated internet technology. PUBLIC HEALTH RELEVANCE: The proposed meetings will provide methods and models for adapting interventions that will reduce health disparities can be reduced by ensuring their cultural relevance to ethnic minority groups. NIMH's Strategic Plan (2008) calls for developing new and better interventions that incorporate the diverse needs and circumstances of our citizens and strengthening the application of interventions by examining community and intervention delivery approaches and how they may affect intervention outcomes. Finally, The Road Ahead: Research Partnerships to Transform Services (NIMH, 2006) also recommends that we determine the mechanisms underlying the successful implementation of evidence-based interventions in varying service settings with culturally and ethnically diverse populations.