George Washington University, Washington, DC 20052, USA.
Am J Orthopsychiatry. 2010 Jan;80(1):34-45. doi: 10.1111/j.1939-0025.2010.01005.x.
There is growing interest in examining the extent to which evidence-based interventions, found to be efficacious for majority populations, are effective for low-income, ethnically diverse populations. Yet limited attention has been devoted to documenting the specific steps taken in adapting these interventions to meet the needs of the target ethnic population. This article describes the cultural adaptation of an evidence-based cognitive-behavioral therapy intervention to prevent perinatal depression in 2 different Latina immigrant communities using a 5-step iterative process: (a) identify need; (b) gather information; (c) design adaptation; (d) implement, evaluate, and refine adaptation; and (e) replicate and disseminate. Appropriate adaptations of evidence-based interventions have the potential to reduce disparities in utilization and outcomes for high-risk populations. Researchers should document their efforts to transform services for low-income, ethnically diverse populations.
人们越来越关注研究这样一个问题，即针对多数人群有效的基于证据的干预措施在多大程度上对低收入、种族多样化的人群有效。然而，人们很少关注记录将这些干预措施进行具体调整以满足目标种族人群需求的特定步骤。本文使用 5 步迭代过程描述了如何针对两个不同的拉丁裔移民群体，以循证认知行为疗法干预措施来预防围产期抑郁：（a）确定需求；（b）收集信息；（c）设计调整；（d）实施、评估和完善调整；以及（e）复制和推广。对基于证据的干预措施进行适当的调整有可能减少高风险人群在利用和结果方面的差异。研究人员应记录他们为服务低收入、种族多样化人群所做的努力。
