Spanhel Kerstin, Balci Sumeyye, Baumeister Harald, Bengel Juergen, Sander Lasse B
Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, 79085, Freiburg, Germany.
Department of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, Ulm University, Lise-Meitner-Str. 16, 89081, Ulm, Germany.
Syst Rev. 2020 Sep 3;9(1):207. doi: 10.1186/s13643-020-01438-y.
Internet- and mobile-based interventions (IMI) are an effective and scalable low-threshold solution to reach people who are undersupplied by current healthcare. Adapting interventions to the cultural and ethnic background of the target group enhances their acceptance and effectiveness. However, no systematic approach to cultural adaptation of IMI has been established so far. Therefore, this review aims to summarise components and procedures commonly used in the cultural adaptation of IMI for mental disorders, as well as the current evidence base on whether such a cultural adaptation leads to an increased acceptance, adherence, and effectiveness of IMI for mental disorders.
A systematic literature search will be performed using the following databases: MEDLINE, Embase, PsycINFO, CENTRAL, and WoS. The search term will include keywords related to cultural adaptation, IMI, and mental disorders/disturbances. Two independent reviewers will evaluate studies against inclusion and exclusion criteria and extract study and intervention characteristics, details on the cultural adaptation approach, and outcome data. Quality of evidence will be assessed using the Quality Assessment Tool for Reviewing Studies with Diverse Designs, and results will be synthesised qualitatively.
Providing adequate mental healthcare regardless of cultural backgrounds is a major global health challenge. The planned systematic review will lay the foundation for the further development of the cultural adaptation of IMI for mental disorders by summarising the current state and providing recommendations for future research.
PROSPERO CRD42019142320.
基于互联网和移动设备的干预措施（IMI）是一种有效且可扩展的低门槛解决方案，能够覆盖目前医疗服务供应不足的人群。使干预措施适应目标群体的文化和种族背景可提高其接受度和有效性。然而，目前尚未建立对IMI进行文化适应的系统方法。因此，本综述旨在总结IMI针对精神障碍进行文化适应时常用的组成部分和程序，以及关于这种文化适应是否会提高IMI对精神障碍的接受度、依从性和有效性的现有证据基础。
将使用以下数据库进行系统的文献检索：MEDLINE、Embase、PsycINFO、CENTRAL和WoS。检索词将包括与文化适应、IMI和精神障碍/紊乱相关的关键词。两名独立的评审员将根据纳入和排除标准评估研究，并提取研究和干预特征、文化适应方法的详细信息以及结果数据。将使用《多种设计研究综述质量评估工具》评估证据质量，并对结果进行定性综合。
无论文化背景如何提供充足的精神卫生保健是一项重大的全球卫生挑战。计划进行的系统综述将通过总结当前状况并为未来研究提供建议，为进一步发展IMI针对精神障碍的文化适应奠定基础。
PROSPERO CRD42019142320。
