Cultural adaptations of behavioral health interventions: A progress report
| Autor: | Lisa A. Strycker, Manuel Barrera, Felipe González Castro, Deborah J. Toobert |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Research Report
Gerontology medicine.medical_specialty Consensus media_common.quotation_subject Culture Psychological intervention Health intervention Article Behavioral Medicine Outcome Assessment Health Care Health care medicine Humans Disease media_common business.industry Public health Health equity Psychiatry and Mental health Clinical Psychology Health promotion business Psychology Cultural competence Diversity (politics) |
| Zdroj: | Journal of Consulting and Clinical Psychology. 81:196-205 |
| ISSN: | 1939-2117 0022-006X |
| DOI: | 10.1037/a0027085 |
| Popis: | Health disparities among racial and ethnic groups present a complex national issue (Satcher & Higginbotham, 2008). The Healthy People 2000, 2010, and 2020 reports proposed progressively higher aspirations for eliminating health disparities in a nation of growing diversity, challenging researchers and practitioners to integrate evidence-based interventions (EBIs) into community systems of care. To help guide this research, a three-stage framework was proposed: (a) detecting disparities in health and health care, (b) understanding the conditions that account for disparities, and (c) developing interventions to reduce these disparities (Kilbourne, Switzer, Hyman, Crowley-Matoka, & Fine, 2006). In addition to ongoing mandates to monitor the status of health disparities and to identify factors accounting for these inequities (Vega, Rodriguez, & Gruskin, 2009), there is a pressing need to develop effective behavioral health intervention and prevention programs for subcultural groups, especially those groups and diseases (e.g., type 2 diabetes) for which health disparities are known to exist. Public health researchers have long believed that, to be effective, health-behavior interventions must be responsive to the cultural practices and worldviews of the subcultural groups for whom these interventions are intended (Resnicow, Baranowski, Ahluwalia, & Braithwaite, 1999). Nonetheless, certain questions persist. Under what conditions are cultural adaptations justified? How might such adaptations be achieved? What intervention activities should be added or modified in the development of cultural adaptations? Are culturally adapted interventions effective? Particularly in the past decade, health researchers have proffered thoughtful discussions of these issues (Domenech Rodriguez, Baumann & Schwartz, 2011). The goals of the paper are to: (a) describe consensus on the stages that can be followed in developing cultural adaptations, (b) identify common elements of cultural adaptations, (c) examine evidence on the effectiveness of culturally enhanced interventions for a variety of health conditions, and (d) identify questions that could be examined in future research. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|