Department of Health Sciences, University of York, York, UK
The Academy of Justice, Warsaw, Poland.
BMJ Open. 2023 Jul 9;13(7):e069252. doi: 10.1136/bmjopen-2022-069252.
To complete a cultural adaptation of a UK evidence-based problem-solving intervention to support Polish prisoners at risk of suicidal behaviour.
A cross-sectional survey participatory design using an Ecological Validity Model.
The study was a collaboration between: the Academy of Justice, in Warsaw, the University of Lodz, two Polish prisons (ZK Raciborz and ZK Klodzko) and the University of York (UK).
The adaptation process included an examination of the use of language, metaphors and content (ie, culturally appropriate and syntonic language), the changing of case study scenarios (relevance and acceptability) and maintenance of the theoretical underpinning of the problem-solving model (intervention comprehensibility and completeness). Four stages used: (1) a targeted demonstration for Polish prison staff, (2) a wider audit of the skills with Polish prison staff and students, (3) forward and back-translation of the adapted package, and (4) two iterative consultations with participants from stages (1) and (2) and prison officers from two Polish prisons.
Self-selecting volunteer participants included: targeted prison staff (n=10), prison staff from the wider Polish penitentiary system (n=39), students from the University of Lodz (n=28) and prison officers from two Polish prisons (n=12).
Acceptability and feasibility of the training package, reported in a series of knowledge user surveys.
The recognised benefits of using the skills within the training package included: enhancing communication, reflective development, collaborative working, changing behaviour, empowering decision-making, relevance to crisis management situations and use of open-ended questions. The skills were endorsed to be used as part of future penitentiary training for prison officers in Poland.
The skills had widespread appeal for use across the Polish penitentiary system. The materials were deemed relevant while adhering to the comprehensibility of the intervention. Further evaluation of the intervention should be explored using a randomised controlled trial design.
完成一项针对英国循证问题解决干预措施的文化适应性调整，以支持有自杀行为风险的波兰囚犯。
使用生态有效性模型的横断面调查参与式设计。
该研究是在以下机构之间的合作：华沙司法学院、罗兹大学、两所波兰监狱（ZK Raciborz 和 ZK Klodzko）和约克大学（英国）。
适应过程包括检查语言、隐喻和内容（即，文化上适当和协调的语言）、改变案例研究场景（相关性和可接受性）以及维护问题解决模型的理论基础（干预可理解性和完整性）。使用了四个阶段：（1）为波兰监狱工作人员进行有针对性的演示，（2）对波兰监狱工作人员和学生的技能进行更广泛的审核，（3）对适应后的方案进行前后翻译，以及（4）与来自阶段（1）和（2）的参与者以及来自两所波兰监狱的监狱官员进行两次迭代协商。
自我选择的志愿者参与者包括：目标监狱工作人员（n=10）、更广泛的波兰监狱系统的监狱工作人员（n=39）、罗兹大学的学生（n=28）和两所波兰监狱的监狱官员（n=12）。
培训包的可接受性和可行性，在一系列知识用户调查中报告。
使用培训包中的技能的公认好处包括：增强沟通、反思性发展、协作工作、改变行为、增强决策能力、与危机管理情况相关以及使用开放式问题。这些技能被认可为波兰监狱官员未来监狱培训的一部分。
这些技能在波兰监狱系统中得到了广泛的应用。这些材料被认为是相关的，同时坚持干预措施的可理解性。应探索使用随机对照试验设计进一步评估该干预措施。
