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低收入和中等收入国家中针对智障儿童及其父母的心理社会干预措施的益处与文化适应性:一项系统综述

Benefits and cultural adaptations of psychosocial interventions for parents and their children with intellectual disabilities in low-and middle-income countries: A systematic review.

作者信息

Susanty Dessy, Noel Pia, Sabeh Meta Saraswati, Jahoda Andrew

机构信息

Independent Consultant, Makassar, Indonesia.

PhD Candidate, Social and Political Science, University of Edinburgh, Edinburgh, UK.

出版信息

J Appl Res Intellect Disabil. 2021 Mar;34(2):421-445. doi: 10.1111/jar.12820. Epub 2020 Nov 30.

Abstract

BACKGROUND

Evidence and awareness of the importance of culturally adapting psychosocial interventions is growing. The aim of this paper is to systematically review studies on cultural adaptations of psychosocial interventions for parents and their children with intellectual disabilities, in low- and middle-income countries.

METHODS

Studies were identified through electronic databases and searching bibliographies. The quality and cultural adaptations of thirteen studies focusing on parental trainings were analysed using standardised tools and frameworks.

RESULTS

Findings suggest interventions reduce the risk of depression and stress and increase coping strategies and positive perceptions of family functioning. Parenting skills training may improve parent-child interactions and child development. However, these benefits should be interpreted cautiously due to methodological shortcomings. Most studies described efforts to make appropriate cultural adaptations to the interventions, but these adaptations were not comprehensive.

CONCLUSION

High-quality cultural adaptations are crucial to providing meaningful interventions in different parts of the world.

摘要

背景

关于对社会心理干预措施进行文化调适的重要性,相关证据及认识正在不断增加。本文旨在系统回顾中低收入国家针对智障儿童及其父母的社会心理干预措施文化调适方面的研究。

方法

通过电子数据库和检索参考文献来识别研究。使用标准化工具和框架对13项聚焦于父母培训的研究的质量及文化调适情况进行分析。

结果

研究结果表明,干预措施可降低抑郁和压力风险,增加应对策略以及对家庭功能的积极认知。育儿技能培训可能改善亲子互动及儿童发展。然而,由于方法上的缺陷,对这些益处的解读应谨慎。大多数研究描述了为使干预措施进行适当文化调适所做的努力,但这些调适并不全面。

结论

高质量的文化调适对于在世界不同地区提供有意义的干预措施至关重要。

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