Navigating the cultural adaptation of a US-based online mental health and social support program for use with young Aboriginal and Torres Strait Islander males in the Northern Territory, Australia: Processes, outcomes, and lessons.

Autor: Opozda MJ; College of Medicine and Public Health, Flinders Health and Medical Research Institute, Flinders University, Casuarina, NT, Australia., Bonson J; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia.; Healthy Male, Melbourne, VIC, Australia., Vigona J; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia.; One Percent Program, Karama, NT, Australia., Aanundsen D; College of Medicine and Public Health, Flinders Health and Medical Research Institute, Flinders University, Casuarina, NT, Australia., Paradisis C; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia., Anderson P; Indigenous Research Unit, Griffith University, Nathan, QLD, Australia., Stahl G; School of Education, University of Queensland, St. Lucia, QLD, Australia., Watkins DC; School of Social Work, University of Michigan, Ann Arbor, MI, USA., Black O; The National Centre for Aboriginaland, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Acton, ACT, Australia., Brickley B; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia., Canuto KJ; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia., Drummond MJN; College of Education, Psychology, and Social Work, Flinders University, Bedford Park, SA, Australia., Miller KF Jr; School of Social Work, University of Michigan, Ann Arbor, MI, USA., Oth G; Indigenous Allied Health Australia, Brinkin, NT, Australia., Petersen J; College of Nursing and Health Sciences, Caring Futures Institute, Flinders University, Bedford Park, SA, Australia., Prehn J; School of Social Sciences, University of Tasmania, Hobart, TAS, Australia., Raciti MM; Indigenous and Transcultural Research Centre, School of Business and Creative Industries, University of the Sunshine Coast, Sippy Downs, Indooroopilly, QLD, Australia., Robinson M; Institute for Social Science Research, University of Queensland, Indooroopilly, QLD, Australia.; School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland., Rodrigues D; One Percent Program, Karama, NT, Australia., Stokes C; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia., Canuto K; College of Medicine and Public Health, Flinders Health and Medical Research Institute, Flinders University, Casuarina, NT, Australia. kootsy.canuto@flinders.edu.au., Smith JA; Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Casuarina, NT, Australia. james.smith@flinders.edu.au.
Jazyk: angličtina
Zdroj: International journal for equity in health [Int J Equity Health] 2024 Aug 21; Vol. 23 (1), pp. 165. Date of Electronic Publication: 2024 Aug 21.
DOI: 10.1186/s12939-024-02253-w
Abstrakt: Background: Despite disproportionate rates of mental ill-health compared with non-Indigenous populations, few programs have been tailored to the unique health, social, and cultural needs and preferences of young Aboriginal and Torres Strait Islander males. This paper describes the process of culturally adapting the US-based Young Black Men, Masculinities, and Mental Health (YBMen) Project to suit the needs, preferences, culture, and circumstances of Aboriginal and Torres Strait Islander males aged 16-25 years in the Northern Territory, Australia. YBMen is an evidence-based social media-based education and support program designed to promote mental health, expand understandings of gender and cultural identities, and enhance social support in college-aged Black men.
Methods: Our adaptation followed an Extended Stages of Cultural Adaptation model. First, we established a rationale for adaptation that included assessing the appropriateness of YBMen's core components for the target population. We then investigated important and appropriate models to underpin the adapted program and conducted a non-linear, iterative process of gathering information from key sources, including young Aboriginal and Torres Strait Islander males, to inform program curriculum and delivery.
Results: To maintain program fidelity, we retained the core curriculum components of mental health, healthy masculinities, and social connection and kept the small cohort, private social media group delivery but developed two models: 'online only' (the original online delivery format) and 'hybrid in-person/online' (combining online delivery with weekly in-person group sessions). Adaptations made included using an overarching Aboriginal and Torres Strait Islander social and emotional wellbeing framework and socio-cultural strengths-based approach; inclusion of modules on health and wellbeing, positive Indigenous masculinities, and respectful relationships; use of Indigenous designs and colours; and prominent placement of images of Aboriginal and Torres Strait Islander male sportspeople, musicians, activists, and local role models.
Conclusions: This process resulted in a culturally responsive mental health, masculinities, and social support health promotion program for young Aboriginal and Torres Strait Islander males. Next steps will involve pilot testing to investigate the adapted program's acceptability and feasibility and inform further refinement.
(© 2024. The Author(s).)
Databáze: MEDLINE
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