Cultural adaptation of internet interventions for refugees: Results from a user experience study in Germany
| Autor: | Johannes Samuel Schweizer, Lasse Sander, Dorothea Wirsching, Dirk Lehr, J. Bengel, Kerstin Spanhel, Harald Baumeister |
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| Rok vydání: | 2019 |
| Předmět: |
050103 clinical psychology
Refugee Applied psychology lcsh:BF1-990 Psychological intervention Health Informatics Cultural sensitive psychotherapy Mental health gap Grounded theory 03 medical and health sciences 0302 clinical medicine Stepped care Intervention (counseling) Low-threshold intervention eHealth Psychology 0501 psychology and cognitive sciences 030212 general & internal medicine Think aloud protocol ISRII meeting 2019 special issue: Guest edited by Gerhard Anderson Sonja March and Mathijs Lucassen Social work lcsh:T58.5-58.64 lcsh:Information technology 05 social sciences fungi food and beverages lcsh:Psychology Qualitative research |
| Zdroj: | Internet Interventions Internet Interventions, Vol 18, Iss, Pp-(2019) Spanhel, K, Schweizer, J S, Wirsching, D, Lehr, D, Baumeister, H, Bengel, J & Sander, L 2019, ' Cultural adaptation of internet interventions for refugees : Results from a user experience study in Germany ', Internet Interventions, vol. 18, 100252 . https://doi.org/10.1016/j.invent.2019.100252 |
| ISSN: | 2214-7829 |
| Popis: | Background The estimated number of refugees worldwide resulting from persecution, conflict, violence, or human rights violations reached 25.4 million in 2017. An increased prevalence of mental disorders combined with language and socio-cultural barriers pose a challenge for healthcare systems. Internet-based interventions can help to meet this challenge. For the effective use of such interventions in refugees, cultural adaptations are necessary. The variety of their cultural backgrounds thereby is particularly challenging. Methods We conducted this explorative qualitative study in order to identify elements of Internet-based interventions that need cultural adaptation to be suitable for refugees. Six refugees from Syria, Iran, Eritrea, Algeria, and Iraq, and six healthcare providers (two social workers, two psychologists, one physiotherapist, one physician) working with refugees went through an intervention for individuals with sleeping problems (eSano Sleep-e). Possible threats to user experience were identified using the Think Aloud method and semi-structured interviews. Statements were analysed based on the grounded theory method. Results Results indicate the necessity to adapt the intervention to the specifics of refugees including aspects related to the flight (i.e., past and current stressors) and non-western characteristics (i.e., habits, disease and treatment concepts). Elements of adaptation should include pictures, role models, language, psychoeducational elements, structure of modules, and format of presentation. Conclusions Cultural adaptation can be used to facilitate the identification with an intervention, which seems crucial to increase the acceptance among refugees. In spite of their diverse cultural backgrounds, it appears feasible to create interventions that allow identification by refugees from different home countries. Highlights • Internet interventions can serve as low-threshold measures in stepped care models for refugees. • Using the expertise of refugees and healthcare providers, clear-cut elements that need cultural adaptation were identified. • Addressing the specific stressors of refugees are key to facilitate refugees' identification with Internet interventions. |
| Databáze: | OpenAIRE |
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