Adapting Interventions for Diverse Ethnocultural Families

描述(由申请者提供)：由本次会议组成的题为“适应不同民族文化家庭的干预措施”的科学会议的目标是促进将文化结构纳入现有干预措施的知识和方法。我们建议将儿童和青少年心理健康、行为科学和干预研究领域的主要学者聚集在一起，以解决五个目标：(1)生成和完善可推广到不同群体的适应概念模型；(2)确定和开发适应现有干预措施的基于理论的方法；(3)促进干预开发人员和干预适配器之间关于在干预的核心要素和适应过程之间导航的对话；(4)支持研究人员，特别是初级研究人员，开发和测试干预适应的模型、理论和方法；以及(5)通过印刷媒体和最先进的电子媒体传播会议内容，通过我们的互动网站向世界各地的公众、临床医生和研究人员开放。在此之前，我们关注的是文化结构的概念定义，并将其付诸实施以注入干预。但我们发现，开发影响深远的适应科学模型和方法，不仅仅是一个种族群体，有可能推动干预-适应科学的发展。通过拟议的一系列年度会议，我们可以应对推进适应科学的几个挑战。首先，我们需要开发全面的适应模式，能够吸收种族和文化群体确定的持久文化因素，而不是着眼于帮助较小的短暂文化变化。每个小组都必须进行这一过程。因此，我们的第二个挑战是将我们的范围扩大到多元文化的范围，其中包括与其他少数族裔群体(例如，非裔美国人、美国印第安人、亚洲人/太平洋岛民、难民和其他人)合作的调查人员。第三，扩展我们的概念模型和人口群体还需要注意设计方法，以指导跨民族文化群体的干预适应科学家。第四，因为适应总是增加忠诚度和适合度之间的紧张关系，我们必须让干预开发人员参与到关于适应的对话中。简而言之，会议将包括由科学证据、人口群体和干预开发商支持的模型和方法，以达成共识和可应用于生态环境的产品。通过三次年度会议，我们解决了这些和其他令人烦恼的问题。会议将于每年4月初在圣路易斯的华盛顿大学举行。一个由精神健康服务研究人员组成的指导委员会将确保成功、高质量的努力。产品将包括将在高影响力期刊上发表的科学论文、会议记录、美国国立卫生研究院对测试适应模型和方法的拨款申请，以及通过复杂的互联网技术传播。 公共卫生相关性：拟议的会议将提供调整干预措施的方法和模式，通过确保其与少数族裔群体的文化相关性来减少健康差距。NIMH的战略计划(2008年)呼吁开发新的更好的干预措施，纳入我们公民的不同需求和情况，并通过审查社区和干预交付方法以及它们可能如何影响干预结果来加强干预措施的应用。最后，《未来之路：转变服务的研究伙伴关系》(NIMH，2006)还建议我们确定在不同文化和种族人群的不同服务环境中成功实施循证干预的机制。

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.