Plessas Anna, Billot Moana W, Tamatea Armon, Medvedev Oleg N, McCormack Jessica, Anderson Angelika
School of Psychology, Division of Arts, Law, Psychology, and Social Sciences, University of Waikato, Hamilton, New Zealand.
National Institute for Health Innovation, Pacific Health, University of Auckland, Auckland, New Zealand.
Front Psychiatry. 2021 Oct 12;12:747054. doi: 10.3389/fpsyt.2021.747054. eCollection 2021.
The extent to which behavior-analytic interventions are offered to Indigenous populations across CANZUS in accessible and culturally appropriate ways is unknown. We conducted a scoping review with a thematic analysis of the extant literature to find: (1) what are the barriers and facilitators for providing effective and equitable delivery of psychological services (with a behavioral component) to Indigenous populations; and (2) what tools and practices exist for an effective and equitable service delivery. We systematically reviewed Medline, CINAHL, PubMed, PsycInfo, Web of science, Ovid and INNZ databases between 1990 and 2020. For the scoping review, we adhered to the JBI methodological approach (2015) and the PRISMA strategy for the identification, selection, and appraisal of the reviewed articles. A total of 1265 unique articles met the criteria for the screening by title; 238 by abstract; 57 were included for full text assessment; and 37 were included in the final analysis. Three themes were revealed to account for the barriers and facilitators of culturally friendly practices: (1) connecting practices are about interactions shaping the relationship between service provider and service client; (2) innovative practices test new approaches and innovations that could facilitate access to psychological services and overcome barriers, and (3) reflective practices are about critically examining the processes and actions undertaken toward effective cultural adaptation of services. Our analysis suggests that the level of success in bringing together services and the recipients of treatment (connection), showing flexibility and persistence in finding solutions (innovation) and examining the role of our behaviors in reaching our goals (reflection) is determined by the providers' action in the aforementioned three dimensions of practice.
目前尚不清楚行为分析干预措施在多大程度上以可及且符合文化习惯的方式提供给加拿大、澳大利亚、新西兰和美国的原住民群体。我们进行了一项范围综述，并对现有文献进行了主题分析，以找出：（1）为原住民群体提供有效且公平的心理服务（包含行为成分）的障碍和促进因素是什么；（2）存在哪些有效且公平的服务提供工具和实践。我们系统检索了1990年至2020年期间的Medline、CINAHL、PubMed、PsycInfo、科学网、Ovid和新西兰国家图书馆数据库。对于范围综述，我们遵循了JBI方法学方法（2015年）以及PRISMA策略，用于所检索文章的识别、筛选和评估。共有1265篇独特文章符合标题筛选标准；238篇通过摘要筛选；57篇纳入全文评估；37篇纳入最终分析。揭示了三个主题来解释文化友好实践的障碍和促进因素：（1）关联实践涉及塑造服务提供者与服务对象之间关系的互动；（2）创新实践测试新方法和创新，这些新方法和创新可以促进心理服务的可及性并克服障碍，（3）反思实践是对为有效进行服务的文化适应而采取的过程和行动进行批判性审视。我们的分析表明，在整合服务与治疗接受者（关联）、在寻找解决方案时表现出灵活性和坚持性（创新）以及审视我们的行为在实现目标中的作用（反思）方面的成功程度，取决于提供者在上述三个实践维度中的行动。
