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为智利背景对循证育儿干预措施进行文化调适:兼顾保真度、背景和文化相关性。

Culturally adapting an evidence-based parenting intervention for the Chilean context: Balancing fidelity, context, and cultural relevance.

作者信息

Parra-Cardona Rubén, Banderas Montalva José Miguel, Muñoz Retamal Viviana, Cantizano Rioseco Luz, Perry Mitchell Raúl, Amador Buenabad Nancy, Domenech Rodríguez Melanie

机构信息

The University of Texas at Austin, Austin, Texas, USA.

Fundación San Carlos de Maipo, Providencia, Chile.

出版信息

Fam Process. 2023 Mar;62(1):182-200. doi: 10.1111/famp.12837. Epub 2022 Nov 15.

Abstract

The dissemination of evidence-based parent training (PT) interventions remains extremely limited in Latin American countries. This is concerning when considering the high prevalence of child maltreatment associated with punitive parenting practices across countries in the region. Furthermore, efforts to disseminate PT interventions must be conducted by adhering to the core parenting components that have established effectiveness for such interventions, while ensuring contextual and cultural relevance for focus populations. In this manuscript, we describe the cultural adaptation of an evidence-based PT intervention in the context of Chile. This initial phase of adaptation was informed by the theoretical tenets of the Ecological Validity Model of cultural adaptation (Bernal et al., J. Abnorm. Child Psychol., 23, 1995, 67). According to findings from a qualitative thematic analysis conducted with five interventionists in training, therapists perceived that the intervention's core components were relevant to Chilean caregivers who participated in the parenting program. Interventionists also provided specific suggestions to enhance the intervention's contextual and cultural relevance. This investigation illustrates the importance of culturally adapting evidence-based interventions according to comprehensive cultural adaptation frameworks, prior to engaging in large-scale dissemination of adapted interventions in Latin American contexts.

摘要

在拉丁美洲国家,循证育儿培训(PT)干预措施的传播仍然极为有限。考虑到该地区各国与惩罚性育儿方式相关的儿童虐待行为高发,这令人担忧。此外,传播PT干预措施的工作必须坚持已证实对这类干预有效的核心育儿要素,同时确保与目标人群的背景和文化相关性。在本论文中,我们描述了在智利背景下对循证PT干预措施进行文化调适的情况。这一初步调适阶段是依据文化调适的生态效度模型(Bernal等人,《异常儿童心理学杂志》,第23卷,1995年,第67页)的理论原则进行的。根据对五名接受培训的干预人员进行的定性主题分析结果,治疗师认为该干预的核心要素与参与育儿项目的智利照料者相关。干预人员还提出了具体建议,以增强干预措施与背景和文化的相关性。本研究表明,在拉丁美洲背景下大规模传播调适后的干预措施之前,根据全面的文化调适框架对循证干预措施进行文化调适非常重要。

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