Cultural adaptation and feasibility of trauma-focused cognitive behavioural therapy in China

Li, Jia; Li, Jina; Lin, Yuan; Zhou, Ying; Zhiyong, Qu

doi:10.21203/rs.3.rs-42468/v2

Cited by 1 publication

(1 citation statement)

References 24 publications

(29 reference statements)

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“…There is a need to evaluate the efficacy of EBIs for diverse populations and contexts, and when necessary, develop adaptations for additional cultural contexts and populations to fully meet the needs of children who are experiencing trauma globally. For example, adaptations to EBIs to meet the cultural needs of children in China [ 73 ] have already been proposed. However, it is also critical to make decisions about adaptations deliberately based on the available research; for example, there is evidence that many EBIs are equally effective for children from different racial/ethnic backgrounds [ 74 ].…”

Section: Discussionmentioning

confidence: 99%

Adaptations of evidence-based trauma-focused interventions for children and adolescents: a systematic review

Lange

Nelson

Lang

et al. 2022

Implement Sci Commun

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Background Rates of potentially traumatic events (PTEs) and other forms of adversity among children are high globally, resulting in the development of a number of evidence-based interventions (EBIs) to address the adverse outcomes stemming from these experiences. Though EBIs are intended to be delivered according to set parameters, these EBIs are frequently adapted. However, little is known about existing adaptations of EBIs for children who experienced PTEs or other adversities. As such, this review aimed to determine: (1) why existing EBIs designed to address PTEs and other adversities experienced by children are adapted, (2) what processes are used to determine what elements should be adapted, and (3) what components of the intervention are adapted. Methods Nine academic databases and publicly available search engines were used to identify academic and grey literature. Initial screening, full-text review, data extraction, and quality determinations were completed by two members of the research team. Data were synthesized narratively for each adapted EBI by research question. Results Forty-two studies examining the adaptations of nine different EBIs were located, with Trauma-Focused Cognitive Behavioral Therapy and Cognitive Behavioral Intervention for Trauma in Schools being the most commonly adapted EBIs. Most frequently, EBIs were adapted to improve fit with a new population and to address cultural factors. Most commonly, researchers in combination with others made decisions about adapting interventions, though frequently who was involved in these decisions was not described. Common content adaptations included the addition of intervention elements and the tailoring/tweaking/refining of intervention materials. Common contextual adaptations included changes to the intended population, changes to the channel of treatment delivery, and changes to who administered the intervention. Conclusions Most published studies of EBI adaptions have been developed to improve fit and address cultural factors, but little research is available about adaptations made by clinicians in day-to-day practice. Efforts should be made to evaluate the various types of adaptations and especially whether adaptations improve access to services or improve child outcomes in order to ensure that all children exposed to trauma can access effective treatment. Trial registration The protocol for this systematic review was published with PROSPERO (CRD42020149536).

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Section: Discussionmentioning

confidence: 99%