Mance Gishawn A, Mendelson Tamar, Byrd Benjamin, Jones Jahon, Tandon Darius
American University, USA.
Prog Community Health Partnersh. 2010 Summer;4(2):131-40. doi: 10.1353/cpr.0.0112.
Adapting mental health interventions to heighten their cultural and contextual appropriateness may be critical for engaging ethnic/racial groups that have been traditionally excluded or marginalized. Community-based participatory research (CBPR) is a collaborative research approach that highlights unique strengths and expertise of those involved. Although intervention adaptations have garnered much attention there is little previous work specifically describing the adaptation process of mental health interventions using CBPR.
This article summarizes the use of a CBPR approach to adapt a mental health intervention for urban adolescents and young adults disconnected from school and work, a population at elevated risk for poor mental health owing to the presence of numerous chronic stressors.
We describe the process undertaken to modify the content and delivery format of an evidence-based intervention.
Unique challenges of working with urban African American adolescents and young adults in a job training program are highlighted. By incorporating principles of co-learning and shared responsibility, this partnership was able to achieve positive outcomes.
Our experience suggests that a CBPR approach can be used effectively to adapt a mental health intervention in collaboration with African American adolescents and emerging adults in a job training program.
调整心理健康干预措施以提高其文化和情境适应性,对于吸引那些传统上被排斥或边缘化的种族/族裔群体参与可能至关重要。基于社区的参与性研究(CBPR)是一种合作性研究方法,它突出了参与者的独特优势和专业知识。尽管干预措施的调整已引起广泛关注,但此前很少有专门描述使用CBPR进行心理健康干预措施调整过程的研究。
本文总结了使用CBPR方法为与学校和工作脱节的城市青少年和青年调整心理健康干预措施的情况,这类人群由于存在众多慢性应激源而心理健康状况不佳的风险较高。
我们描述了对一项循证干预措施的内容和实施形式进行调整的过程。
强调了在职业培训项目中与城市非裔美国青少年和青年合作所面临的独特挑战。通过纳入共同学习和分担责任的原则,这种伙伴关系取得了积极成果。
我们的经验表明,CBPR方法可有效地用于与职业培训项目中的非裔美国青少年和新兴成年人合作,调整心理健康干预措施。