Culural adaptations of interventions for use in global setting

11 important questions on Culural adaptations of interventions for use in global setting

What is a key barrier in overcoming the glaobal treatment gap?

limited access to evidence-based interventions

What are 5 important things towards scalable interventions?

reduced reliance on specialists

task shifting/ sharing

one manual for multiple problems

fewer sessions

explicit focus on skill trianing

What is development of the evidence (2003, now)

2003 = no LAMIC trials

now= generalizablity possible 
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What are evidences for adaptations?

non-specialists -> effective

also for severe emotional problems

What are the 5 phases of WHO for new intervention testing?

1. adaptation

2. small RCT

3. Process evaluation

4. Large RCT

5. Proces evaluation

What are four examples of minor changes?

core same, minor changes

illustrations

examples

stories

terminology

What are the first three steps in NEEDS ASSESSMENT of an initial cutural adaptation process?

1. literature review

2. community engagement

3. rapid qualitative assessment (free listings, key informant intervies)

What are the next 6 steps in the information TRANSLATION AND ADAPTATION process?

4. translation

5. cognitive interviewing

6. adaptation workshop ( review proposed changes)  

7. community feedback

8. cognitive interviewing (question about question)

9. finalisation of adapation

10. training facilitators

What are the next two steps (11 & 12)?

11. conduct pilot

12. process evaluation

What are the three components of intervention adaptation monitoring form and cognitive interviewing?

comprehensibility (semantic)

acceptability (technical)

relevance

What are the 5 steps (13 -17) in the evaluation process?

13. further adaptation

14. training staff

15. pilot RCT

16. Definitve RCT

17. Process evaluation

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