Daniel Mercian, Kallakuri Sudha, Gronholm Petra C, Wahid Syed Shabab, Kohrt Brandon, Thornicroft Graham, Maulik Pallab K
Research Department, George Institute for Global Health, New Delhi, India.
Centre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Front Psychiatry. 2024 Jan 31;15:1337662. doi: 10.3389/fpsyt.2024.1337662. eCollection 2024.
The International Study of Discrimination and Stigma Outcomes (INDIGO) Partnership is a multi-country international research program in seven sites across five low- and middle-income countries (LMICs) in Africa and Asia to develop, contextually adapt mental health stigma reduction interventions and pilot these among a variety of target populations. The aim of this paper is to report on the process of culturally adapting these interventions in India using an established framework.
As part of this larger program, we have contextualized and implemented these interventions from March 2022 to August 2023 in a site in north India. The Ecological Validity Model (EVM) was used to guide the adaptation and contextualization process comprising eight dimensions.
Six dimensions of the Ecological Validity Model were adapted, namely language, persons, metaphors, content, methods, and context; and two dimensions, namely concepts and goals, were retained.
Stigma reduction strategies with varied target groups, based on culturally appropriate adaptations, are more likely to be acceptable to the stakeholders involved in the intervention, and to be effective in terms of the program impact.
国际歧视与污名化结果研究（INDIGO）伙伴关系是一个多国国际研究项目，在非洲和亚洲的五个低收入和中等收入国家（LMICs）的七个地点开展，旨在开发、因地制宜地调整减少心理健康污名化的干预措施，并在各种目标人群中进行试点。本文旨在报告使用既定框架在印度对这些干预措施进行文化调适的过程。
作为这个更大项目的一部分，我们于2022年3月至2023年8月在印度北部的一个地点对这些干预措施进行了情境化和实施。生态效度模型（EVM）被用于指导包括八个维度的调适和情境化过程。
生态效度模型的六个维度得到了调适，即语言、人员、隐喻、内容、方法和情境；两个维度，即概念和目标，被保留。
基于文化适宜调适的针对不同目标群体的减少污名化策略，更有可能被干预措施所涉及的利益相关者接受，并在项目影响方面有效。
