Doyle Kerrie, Hungerford Catherine
Disciplines of Nursing and Midwifery, Faculty of Health, University of Canberra, Canberra, Australia.
Issues Ment Health Nurs. 2014 Oct;35(10):739-44. doi: 10.3109/01612840.2014.901452.
Evidence-based interventions are an essential part of delivering contemporary mental health services. Many such interventions, however, are developed with and for mainstream population groups. Practitioners and researchers alike will often adapt tools, practices, processes or programmes to meet the needs of culturally diverse populations groups, but wonder if and how such adaptations will affect outcomes. This paper considers the processes by which evidence-based interventions can be adapted by health professionals in any context; and includes an example of a successful cultural adaptation to an evidence-based intervention. The successful implementation of the Aboriginal Mental Health First Aid programme in Australia illustrates the potential for adapted interventions to support improvements in the health outcomes of people from culturally diverse backgrounds. The paper concludes by outlining the steps mental health professionals can take when adapting evidence-based interventions for use in their own workplace settings.
循证干预是提供当代心理健康服务的重要组成部分。然而，许多此类干预措施是为主流人群开发并面向主流人群的。从业者和研究人员通常会调整工具、实践、流程或项目，以满足文化多元群体的需求，但会怀疑这种调整是否以及如何影响结果。本文探讨了卫生专业人员在任何情况下对循证干预进行调整的过程；并给出了一个对循证干预进行成功文化调适的例子。澳大利亚原住民心理健康急救项目的成功实施，说明了调适后的干预措施在支持改善来自不同文化背景人群健康结果方面的潜力。本文最后概述了心理健康专业人员在调整循证干预措施以用于自己工作场所时可以采取的步骤。
