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Cultural Adaptation (cultural + adaptation)

Distribution by Scientific Domains

Medical Sciences	45%
Humanities and Social Sciences	25%
Psychology	20%

Selected Abstracts

Cultural Intelligence: Its Measurement and Effects on Cultural Judgment and Decision Making, Cultural Adaptation and Task Performance

MANAGEMENT AND ORGANIZATION REVIEW, Issue 3 2007
Soon Ang
abstract We enhance the theoretical precision of cultural intelligence (CQ: capability to function effectively in culturally diverse settings) by developing and testing a model that posits differential relationships between the four CQ dimensions (metacognitive, cognitive, motivational and behavioural) and three intercultural effectiveness outcomes (cultural judgment and decision making, cultural adaptation and task performance in culturally diverse settings). Before testing the model, we describe development and cross-validation (N = 1,360) of the multidimensional cultural intelligence scale (CQS) across samples, time and country. We then describe three substantive studies (N = 794) in field and educational development settings across two national contexts, the USA and Singapore. The results demonstrate a consistent pattern of relationships where metacognitive CQ and cognitive CQ predicted cultural judgment and decision making; motivational CQ and behavioural CQ predicted cultural adaptation; and metacognitive CQ and behavioural CQ predicted task performance. We discuss theoretical and practical implications of our model and findings. [source]

Advances in Latino Family Research: Cultural Adaptations of Evidence-Based Interventions

FAMILY PROCESS, Issue 2 2009
GUILLERMO BERNAL PH.D.
The stark contrast between frequent calls for research and practice that are applicable across a broad spectrum of cultural and ethnically diverse groups and the dearth of empirical knowledge about Latino families provided the impetus for this special issue on advances in Latino family research. A focus on empirically based practice frames the issue, focusing specifically on how concepts (expressed emotion, parenting style) can be used within interventions, how Latino parents perceive efforts to deliver evidence-based interventions, and how pilot projects that delivered culturally adapted interventions in three separate cities impacted family functioning. In all, the introduction highlights the complexities for researchers in meeting the needs of the field to ensure that effective interventions are applicable across cultural groups. Meeting the challenges is important to address the need of the growing Latino population. Advances in intervention research with ethnic minorities also stand to contribute to the advancement of intervention research broadly. This special issue provides examples of efforts that are underway to better understand what treatments work for Latino families, provided by whom, for what specific problems, and in which specific circumstances, paving the way to begin attempting to answer a challenge posed more than 40 years ago by Gordon Paul. RESUMEN El marcado contraste entre las frecuentes convocatorias para investigaciones y prácticas aplicables a un amplio espectro de grupos de distintas culturas y razas, y la escasez de conocimiento empírico sobre las familias latinas sirvieron como impulso para publicar este número especial sobre los avances en las investigaciones relativas a las familias latinas. La publicación está enmarcada en el análisis de la práctica sustentada empíricamente, centrándose específicamente en cómo los conceptos (emoción expresada, estilo de crianza de los hijos) pueden utilizarse dentro de las intervenciones, en cómo los padres latinos perciben las iniciativas de realizar intervenciones sustentadas empíricamente y en cómo los proyectos piloto que ofrecieron intervenciones adaptadas culturalmente en tres ciudades distintas influyeron sobre el desenvolvimiento familiar. En general, la introducción destaca las complicaciones que enfrentan los investigadores a la hora de responder a las necesidades del campo para garantizar que puedan aplicarse intervenciones eficaces a distintos grupos culturales. Resolver estas complicaciones es importante para responder a la necesidad de la población latina en aumento. Los avances en las investigaciones sobre intervenciones con minorías étnicas también contribuyen al avance de las investigaciones sobre intervenciones en general. La publicación especial ofrece ejemplos de iniciativas que están en marcha para comprender mejor qué tratamientos son eficaces para las familias latinas, quiénes deben proporcionarlos, para qué problemas específicos y en qué circunstancias específicas, allanando el camino para comenzar a responder un problema que planteó Gordon Paul hace más de 40 años. Palabras clave: Latinos/hispanos, familia, adaptación cultural, intervención, salud mental de los latinos [source]

Making the Case for Selective and Directed Cultural Adaptations of Evidence-Based Treatments: Examples From Parent Training

CLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 4 2006
Anna S. LauArticle first published online: 3 NOV 200
With prevailing concerns about the generalizability of evidence-based treatments (EBTs) in real-world practice settings, there has been increased attention to the potential of cultural adaptations of treatments to ensure fit with diverse consumer populations. However, it could also be argued that there has been insufficient dissemination and evaluation of our existing EBTs with minority populations to warrant and guide adaptation efforts. This article discusses a framework (a) for identifying instances where cultural adaptation of EBTs may be most indicated, and (b) for using research to direct the development of treatment adaptations to ensure community engagement and the contextual relevance of treatment content. Ongoing work in the area of parent training is highlighted to illustrate key issues and recommendations. [source]

Health risk appraisal for older people in general practice using an expert system: a pilot study

HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2005
S. Iliffe
Abstract The prevention of disability in later life is a major challenge facing industrialised societies. Primary care practitioners are well positioned to maintain and promote health in older people, but the British experience of population-wide preventive interventions has been disappointing. Health risk appraisal (HRA), an emergent information-technology-based approach from the USA, has the potential for fulfilling some of the objectives of the National Service Framework for Older People. Information technology and expert systems allow the perspectives of older people on their health and health risk behaviours to be collated, analysed and converted into tailored health promotion advice without adding to the workload of primary care practitioners. The present paper describes a preliminary study of the portability of HRA to British settings. Cultural adaptation and feasibility testing of a comprehensive health risk assessment questionnaire was carried out in a single group practice with 12 500 patients, in which 58% of the registered population aged 65 years and over participated in the study. Eight out of 10 respondents at all ages found the questionnaire easy or very easy to understand and complete, although more than one-third had or would have liked assistance. More than half felt that the length of the questionnaire was about right, and one respondent in 10 disliked some questions. Of those who completed the questionnaire and received tailored, written health promotion advice, 39% provided feedback on this with comments that can be used for increasing the acceptability of tailored advice. These findings have informed a wider exploratory study in general practice. [source]

Filial Piety, Modernization, and the Challenges of Raising Children for Chinese Immigrants: Quantitative and Qualitative Evidence

ETHOS, Issue 3 2004
ELI LIEBER
This study examines Chinese immigrant parents' perceptions of filial piety. The concept of filial piety is introduced and we discuss the impacts of modernization and immigration experience on the challenges faced by contemporary Chinese immigrants as they reconcile traditional values with the demands of sociohistorical change and child rearing in the United States. Factor analysis of a commonly applied scale demonstrates multiple aspects of filial piety and reflects modifications from traditional views. Interview results point to aspects of filial piety not fully represented in the quantitative scale and expose specific challenges in child rearing related to filial values. These findings suggest the evolution of expectations and strategies related to a cultural adaptation of filial piety. One key demand is for strategies consistent with parental values while maintaining respect for children's unique point of view. The conclusions focus on the development of approaches to understanding the evolving conceptualization and meaning of filial piety for contemporary immigrant Chinese. [source]

Intervention Development and Cultural Adaptation Research With Diverse Families

FAMILY PROCESS, Issue 2 2006
GUILLERMO BERNAL
This article provides an introduction to the special issue on intervention development and cultural adaptation research with diverse families. The need for research on intervention development and on cultural adaptation of interventions is presented, followed by a discussion of frameworks on treatment development. Seven articles included in this special issue serve as examples of the stages of treatment and intervention development, and of the procedures employed in the cultural adaptation with diverse families. An overview of the seven articles is provided to illustrate the treatment development process and the use of pluralistic research methods. We conclude with a call to the field for creative and innovative intervention development research with diverse families to contribute to the body of evidence-based practice with these populations. [source]

Reliability in multi-site psychiatric studies

INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 1 2001
Morven N. Leese
Abstract Multi-site psychiatric studies need to take account of cultural and sometimes also linguistic differences and the reliability of the instruments used may need to be re-established. The analysis of reliability data in these circumstances presents special problems, arising from the requirements to make the best use of all the available data and to compare reliability coefficients across sites, interpreting any differences found in terms of measurement errors and/or sample heterogeneity. Focusing on statistical issues, this paper discusses some topics that should ideally be considered when planning, conducting and analysing such studies. A number of practical examples using data from a recent European study involving the translation and cultural adaptation of five instruments used in mental health service research (the EPSILON Study) are used to illustrate the issues. Copyright © 2001 Whurr Publishers Ltd. [source]

Honoring children, mending the circle: cultural adaptation of trauma-focused cognitive-behavioral therapy for American Indian and Alaska Native children

JOURNAL OF CLINICAL PSYCHOLOGY, Issue 8 2010
Dolores Subia BigFoot
Abstract American Indians and Alaska Natives are vulnerable populations with significant levels of trauma exposure. The Indian Country Child Trauma Center developed an American Indian and Alaska Native (AI/AN) adaptation of the evidence-based child trauma treatment, trauma-focused cognitive-behavioral therapy. Honoring Children, Mending the Circle (HC-MC) guides the therapeutic process through a blending of AI/AN traditional teachings with cognitive-behavioral methods. The authors introduced the HC-MC treatment and illustrated its therapeutic tools by way of a case illustration. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1,10, 2010. [source]

Integrated Management of Physician-delivered Alcohol Care for Tuberculosis Patients: Design and Implementation

ALCOHOLISM, Issue 2 2010
Shelly F. Greenfield
Background:, While the integration of alcohol screening, treatment, and referral in primary care and other medical settings in the U.S. and worldwide has been recognized as a key health care priority, it is not routinely done. In spite of the high co-occurrence and excess mortality associated with alcohol use disorders (AUDs) among individuals with tuberculosis (TB), there are no studies evaluating effectiveness of integrating alcohol care into routine treatment for this disorder. Methods:, We designed and implemented a randomized controlled trial (RCT) to determine the effectiveness of integrating pharmacotherapy and behavioral treatments for AUDs into routine medical care for TB in the Tomsk Oblast Tuberculosis Service (TOTBS) in Tomsk, Russia. Eligible patients are diagnosed with alcohol abuse or dependence, are newly diagnosed with TB, and initiating treatment in the TOTBS with Directly Observed Therapy-Short Course (DOTS) for TB. Utilizing a factorial design, the Integrated Management of Physician-delivered Alcohol Care for Tuberculosis Patients (IMPACT) study randomizes eligible patients who sign informed consent into 1 of 4 study arms: (1) Oral Naltrexone + Brief Behavioral Compliance Enhancement Therapy (BBCET) + treatment as usual (TAU), (2) Brief Counseling Intervention (BCI) + TAU, (3) Naltrexone + BBCET + BCI + TAU, or (4) TAU alone. Results:, Utilizing an iterative, collaborative approach, a multi-disciplinary U.S. and Russian team has implemented a model of alcohol management that is culturally appropriate to the patient and TB physician community in Russia. Implementation to date has achieved the integration of routine alcohol screening into TB care in Tomsk; an ethnographic assessment of knowledge, attitudes, and practices of AUD management among TB physicians in Tomsk; translation and cultural adaptation of the BCI to Russia and the TB setting; and training and certification of TB physicians to deliver oral naltrexone and brief counseling interventions for alcohol abuse and dependence as part of routine TB care. The study is successfully enrolling eligible subjects in the RCT to evaluate the relationship of integrating effective pharmacotherapy and brief behavioral intervention on TB and alcohol outcomes, as well as reduction in HIV risk behaviors. Conclusions:, The IMPACT study utilizes an innovative approach to adapt 2 effective therapies for treatment of alcohol use disorders to the TB clinical services setting in the Tomsk Oblast, Siberia, Russia, and to train TB physicians to deliver state of the art alcohol pharmacotherapy and behavioral treatments as an integrated part of routine TB care. The proposed treatment strategy could be applied elsewhere in Russia and in other settings where TB control is jeopardized by AUDs. If demonstrated to be effective, this model of integrating alcohol interventions into routine TB care has the potential for expanded applicability to other chronic co-occurring infectious and other medical conditions seen in medical care settings. [source]

Effect of melasma on quality of life in a sample of women living in southern Brazil

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 6 2008
FM Freitag
Abstract Background Melasma can cause a significant effect on individual emotional well-being. Melasma Quality of Life Scale (MELASQoL) is a specific questionnaire elaborated to assess the burden of melasma on patient's quality of life. Objective To evaluate the clinical aspects, severity and the influence of melasma on daily living of a sample of Brazilian women. Methods Cross-sectional study that enrolled 85 women with melasma older than 15 years of age. Trained investigators asked 55 questions to collect epidemiological and clinical data. The disease severity was clinically assessed using Melasma Area and Severity Index (MASI). Patients answered the Portuguese version of 10-item MELASQoL scale without coaching. Results The mean ± SD age was 41.1 ± 6.8 years, and the mean ± SD of MELASQoL score was 37.5 ± 15.2 (median, 35). Patients with previous psychiatric diagnosis had significantly higher MELASQoL scores (mean, 42.8; SD, 13.6) than patients without this antecedent (mean, 35.4; SD, 15.4; P < 0.05). Patients with less than 8 years of school attendance also had significantly higher MELASQoL score (mean, 44; SD, 16.9) than more graduated ones (mean, 34.4; SD, 13.5; P < 0.05). The mean ± SD MASI was 10.6 ± 6.6 (median, 10.2). There was no correlation between MASI and MELASQoL. Conclusions This study confirms that MELASQoL-BP is easy to administer, adds important information about the impact of melasma on South American women's life and, finally, contributes to building evidence on the validity, reliability and cultural adaptation of the Portuguese language MELASQoL version. [source]

Cultural Intelligence: Its Measurement and Effects on Cultural Judgment and Decision Making, Cultural Adaptation and Task Performance

Evaluation of the Asthma Life Quality test for the screening and severity assessment of asthma

ALLERGY, Issue 11 2004
J. A. Fonseca
Background:, Asthma Life Quality (ALQ) test, a 20-question questionnaire developed by the American College of Allergy, Asthma and Immunology, has been shown to be useful for asthma diagnosis. We aimed to determine the relation between ALQ scores and (a) diagnosis of asthma; (b) physician's classification of asthma severity according to National Institutes of Health/Global Initiative for Asthma (GINA). Methods:, Standard translation and cultural adaptation to Portuguese was performed. Patients self-administered the ALQ in the waiting room; the attending allergist classified them, blindly for the test. The scores of nonasthmatics were compared with those of asthma patients. Asthma patients were analyzed in two severity groups: intermittent and mild persistent asthma (IMPA), and moderate and severe persistent asthma (MSPA); sensitivity, specificity, positive and negative predictive values were calculated and receiver operating characteristic curve plotted. Logistic regression analysis models were computed. Results:, From 283 patients, 237 tests were analyzed. Non-asthmatic patients ALQ scores (mean ± SD) were 6 ± 4 and, for asthmatics, 10 ± 5 [mean difference 4.6 (95%CI 3.3,5.9)]. The odds of positive diagnosis increased 1.27 times (95%CI 1.17,1.38) for each one-unit increase in the test. For asthma severity ALQ scores were 9 ± 4 for IMPA, 15 ± 3 for MSPA [difference 6.0 (95%CI 4.8,7.1)]; with a sensitivity of 88% and specificity of 74% for a score of 12. The odds of MSPA increased 1.49 times (95%CI 1.28,1.74) per unit increase in ALQ. Conclusions:, ALQ can help both to identify patients with asthma and to differentiate those more likely to have moderate/severe asthma. These are relevant characteristics for the possible use of this simple, self-administered questionnaire in the assessment of asthma patients needing additional medical management. [source]

The development of the School Function Assessment , Chinese version for cross-cultural use in Taiwan

OCCUPATIONAL THERAPY INTERNATIONAL, Issue 1 2004
Jeng-Liang Hwang
Abstract The primary purpose of this research project was to translate and adapt the School Function Assessment (SFA), a standardized criterion-referenced instrument that measures school-related functional skills, for its cross-cultural use in Taiwan. The project consisted of four study phases: translation, cultural adaptation, pilot testing, and field testing for standardization. A series of rigorous procedures including the method of translation and back-translation, team consensus for cultural adaptation, and Rasch modelling techniques were used to address various dimensions of cross-cultural equivalence and psychometric properties of the translated SFA. The protocols that were developed as well as technical issues that were addressed in this project provide useful guidelines for international occupational therapists who are interested in translating and adapting instruments for cross-cultural use. Copyright © 2004 Whurr Publishers Ltd. [source]

Transforming an Evidence-Based Intervention to Prevent Perinatal Depression for Low-Income Latina Immigrants

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2010
Huynh-Nhu Le
There is growing interest in examining the extent to which evidence-based interventions, found to be efficacious for majority populations, are effective for low-income, ethnically diverse populations. Yet limited attention has been devoted to documenting the specific steps taken in adapting these interventions to meet the needs of the target ethnic population. This article describes the cultural adaptation of an evidence-based cognitive,behavioral therapy intervention to prevent perinatal depression in 2 different Latina immigrant communities using a 5-step iterative process: (a) identify need; (b) gather information; (c) design adaptation; (d) implement, evaluate, and refine adaptation; and (e) replicate and disseminate. Appropriate adaptations of evidence-based interventions have the potential to reduce disparities in utilization and outcomes for high-risk populations. Researchers should document their efforts to transform services for low-income, ethnically diverse populations. [source]

Making the Case for Selective and Directed Cultural Adaptations of Evidence-Based Treatments: Examples From Parent Training

Mental Health First Aid: an international programme for early intervention

EARLY INTERVENTION IN PSYCHIATRY, Issue 1 2008
Betty A. Kitchener
Abtract Aim: To describe the development of the Mental Health First Aid (MHFA) programme in Australia, its roll-out in other countries and evaluation studies which have been carried out. Methods: A description of the programme's development and evaluation, its cultural adaptations and its dissemination in seven countries. Results: The programme was developed in Australia in 2001. By the end of 2007, there were 600 instructors and 55 000 people trained as mental health first aiders. A number of evaluations have been carried out, including two randomized controlled trials that showed changes in knowledge, attitudes and first aid behaviours. Special adaptations of the course have been rolled out for Aboriginal and Torres Strait Islander peoples and some non-English speaking immigrant groups. The course has spread to seven other countries with varying degrees of penetration. In all countries, the programme has been initially supported by government funding. Independent evaluations have been carried out in Scotland and Ireland. Conclusions: The concept of first aid by the public for physical health crises is familiar in many countries. This has made it relatively easy to extend this approach to early intervention by members of the public for mental disorders and crises. Through MHFA training, the whole of a community can assist formal mental health services in early intervention for mental disorders. [source]

Parenting and Cultures of Risk: A Comparative Analysis of Infidelity, Aggression, and Witchcraft

AMERICAN ANTHROPOLOGIST, Issue 1 2007
ROBERT J. QUINLAN
Parenting behavior may respond flexibly to environmental risk to help prepare children for the environment they can expect to face as adults. In hazardous environments where child outcomes are unpredictable, unresponsive parenting could be adaptive. Child development associated with parenting practices, in turn, may influence cultural patterns related to insecurity and aggression (which we call the "risk-response model"). We test these propositions in a cross-cultural analysis. The Standard Cross-Cultural Sample (SCCS) includes indicators of parental responsiveness: father,infant sleeping proximity, father involvement, parental response to infant crying, and breastfeeding duration (age at weaning). Unresponsive parenting was associated with cultural models including greater acceptance of extramarital sex, aggression, theft, and witchcraft. Socialization practices in later childhood were not better predictors of the outcomes than was earlier parenting. We conclude that some cultural adaptations appear rooted in parenting practices that affect child development. [source]

Preliminary reliability and repeatability of the Brazilian version of the Revised Knox Preschool Play Scale

OCCUPATIONAL THERAPY INTERNATIONAL, Issue 2 2010
Amanda M. Pacciulio
Abstract The aim of this study was to create an adaptation of the Revised Knox Preschool Play Scale (RKPPS) for the Brazilian population, as well as to apply the instrument with statistical analysis to verify the preliminary intra-rater and inter-rater reliability and repeatability of the instrument. The instructions presented by Beaton et al. regarding adaptation of instruments were followed to perform a cross-cultural adaptation of the RKPPS. A preliminary test of the Portuguese version was performed on 18 children with no motor, cognitive or sensory impairment. The video recordings of this administration were analysed on two separate occasions by two examiners within a 5-month interval, using the scores suggested by Pfeifer. The Spearman's test was used in the statistical analysis of the obtained data. The author of the RKPPS agreed with the small necessary cultural adaptations. The Spearman test revealed a high correlation coefficient and good significance levels for both intra- and inter-raters values. This study demonstrated the reliability and repeatability of the Brazilian version of the RKPPS. This is a preliminary study and further studies are needed in order to validate the scale to be administered in the Brazilian population. Copyright © 2010 John Wiley & Sons, Ltd. [source]

Forty years on and still going strong: the use of hominin-cercopithecid comparisons in palaeoanthropology

THE JOURNAL OF THE ROYAL ANTHROPOLOGICAL INSTITUTE, Issue 1 2006
Sarah Elton
Hominin-cercopithecid comparisons have been used in palaeoanthropology for over forty years. Fossil cercopithecids can be used as a ,control group' to contextualize the adaptations and evolutionary trends of hominins. Observations made on modern cercopithecids can also be applied to questions about human evolution. This article reviews the history of hominin-cercopithecid comparisons, assesses the strengths and weaknesses of cercopithecids as comparators in studies of human evolution, and uses cercopithecid models to explore hominin inter-specific dynamics. Cercopithecids appear to be excellent ecological referents, but may be less good when considering the cognitive abilities and cultural adaptations of hominins. Comparison of cercopithecid and hominin adaptations at Koobi Fora in East Africa indicates that, whereas the cercopithecids were largely grass- or leaf-eating, the hominins occupied a generalist niche, apparently excluding other primate generalist-frugivores. If any of the hominin species at Koobi Fora were sympatric, analogies with modern cercopithecids suggest that inter-specific contact cannot be discounted and may even have been beneficial. [source]