Fendt-Newlin, Meredith Leah, Jagannathan, Aarti and Webber, Martin Paul orcid.org/0000-0003-3604-1376 (2020) Cultural Adaptation Framework of social interventions in mental health: evidence-based case studies from low and middle income countries. International journal of social psychiatry. pp. 41-48. ISSN 0020-7640
Abstract
Background:Evidence based strategies for treating mental health conditions need to be scaled up to address the mental health treatment gap in low and middle-income countries. Most medical and psychological interventions for the treatment of mental health conditions have been developed and evaluated in high income countries. However, the imperative of scaling up such interventions potentially ignores local realities, and may also discredit or replace local frameworks for responding to distress. Aims: This paper aims to develop a framework for the cultural adaptation of social interventions which are developed within, and draw upon, local contexts, to ensure they are acceptable, feasible and effective. Method: A case study approach is used to discuss the feasibility of developing and adapting psychosocial interventions which are embedded in local knowledge, values and practices. Results The first introduces yoga as an alternative and/or complementary, and culturally relevant, approach for people experiencing mental health conditions in India. The second is a cross-cultural adaptation of a psychosocial intervention from the UK to fit the local idioms of distress and service context in Sierra Leone, as the country battled with the Ebola outbreak. We use these case studies to develop a Cultural Adaptation Framework, which recognises that people and their mental health are products of their culture and society, to inform the future development, adaptation and evaluation of socio-cultural interventions for people experiencing mental health conditions in low and middle-income countries. Conclusions: The Cultural Adaptation Framework can be used to ensure interventions are culturally relevant and responsive to local conditions prior to evaluating in experimental studies.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2019. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Social Policy and Social Work (York) |
Depositing User: | Pure (York) |
Date Deposited: | 06 Sep 2019 15:20 |
Last Modified: | 02 Apr 2025 23:16 |
Published Version: | https://doi.org/10.1177/0020764019879943 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1177/0020764019879943 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:150575 |
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