Cultural adaptation of mental health first aid guidelines for depression for Sri Lanka: a Delphi expert consensus study

Fernando, Madhawee; Chandrasiri, Amila; Dayabandara, Madhubhashinee; Reavley, Nicola

doi:10.1186/s12888-021-03598-0

Cited by 9 publications

(4 citation statements)

References 43 publications

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“…For instance, a statement created from participants' comments ("The first aider should check if there is someone in the family who can accompany the person in their treatment") was endorsed by all health professionals and all consumers and carers, showing the centrality of family within the Brazilian culture [13]. The focus on family seen in this study is in line with previously adapted mental health first aid guidelines for depression for other countries with collectivist cultures such as Sri Lanka [25] and China [24], where family involvement was also an essential factor in their adaptation of the guidelines.…”

Section: Comparison With the English-language Guidelinessupporting

confidence: 73%

“…Statements were immediately excluded at both rounds if they were rated by less than 70% by either panel. Cut-off values were based on previous Delphi studies of mental health first aid guidelines to help someone with depression [24,25,30].…”

Section: Data Collection and Analysismentioning

confidence: 99%

“…Evidence suggests that the cross-cultural generalizability of the mental health first aid guidelines is likely, but there is still a need for cultural adaptation [23]. For instance, recent cultural adaptations of the mental health first aid guidelines for depression in China [24] and Sri Lanka [25] suggest that even though the adapted depression guidelines were similar to the English-language guidelines, some statements related to respect for one's autonomy, involvement of the family [24,25], and health communication style [25] were culturally-specific and needed to be added to the adapted guidelines. Likewise, the cultural adaptation of the mental health first aid guidelines for suicide in Brazil emphasized the importance of family and friends' involvement when assisting someone at risk of suicide [26].…”

Section: Introductionmentioning

confidence: 99%

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Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

et al. 2023

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Background Depression is a significant contributor to disability in Brazil, with most Brazilians affected by depression receiving no treatment. As the community, including family and friends, plays a crucial role in providing support for someone with depression, it is important that evidence-based resources are available to support people who wish to help. The aim of this study was to culturally adapt the English-language mental health first aid guidelines for assisting a person with depression for the Brazilian culture. Methods A Delphi expert consensus study was conducted, with two expert panels; health professionals (n = 29) and people with lived experience of depression (n = 28). One hundred and seventy-four statements from the English-language guidelines were translated into Brazilian Portuguese and administered as a survey. Participants were asked to rate statements based on how appropriate those statements were for the Brazilian culture and to suggest new statements if appropriate. Results Data were collected over two survey rounds. Consensus was achieved on 143 statements. A total of 133 statements were adopted from the English-language guidelines, whereas 10 new endorsed statements were generated from suggestions of the two expert panels. Conclusions There were similarities between the English-language and Brazilian guidelines, mainly related to family involvement and the value of empathy. More research on dissemination and incorporation of the guidelines into the Mental Health First Aid (MHFA) training course for Brazil is required.

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Section: Comparison With the English-language Guidelinessupporting

confidence: 73%

Section: Data Collection and Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

et al. 2023

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“…This study is similar to other Delphi studies conducted by our team to culturally adapt the MHFA guidelines to Chile and Argentina [ 84 , 85 ] and by those of the broader research group to adapt guidelines in several other countries [ 81 – 83 , 86 , 87 ]. It comprised four stages: [ 1 ] The development of the first-round survey; [ 2 ] Expert panel member recruitment; [ 3 ] Data collection and analyses for the round 1 and 2 surveys; and [ 4 ] Guidelines development.…”

Section: Methodssupporting

confidence: 86%

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

Encina-Zúñiga,

Rodante,

Agrest

et al. 2023

BMC Psychiatry

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Background Suicide continues to pose a significant global public health challenge and ranks as one of the leading causes of death worldwide. Given the prevalence of suicide risk in the community, there is a significant likelihood of encountering individuals who may be experiencing suicidal thoughts or plans, creating an opening for non-health professionals to offer support. This study aims to culturally adapt the original Australian Mental Health First Aid Guidelines for suicide risk to the Chilean and Argentine context. Methods A two-round Delphi expert consensus study was conducted involving two panels, one comprising individuals with personal experience in suicide thoughts/attempts or caregiving for those with such experiences (n = 18), and the other consisting of professionals specialized in suicide assessment and support for individuals at risk (n = 25). They rated a total of 179 items mainly derived from guidelines developed by Australian experts and translated into Spanish (168), and new items included by the research team (11). The panel members were requested to assess each item utilizing a five-point Likert scale. During the second round, items that received moderate approval in the initial round were re-evaluated, and new items suggested by the local experts in the first round were also subjected to evaluation in the next round. Inclusion in the final guidelines required an 80% endorsement as “essential” or “important” from both panels. Results Consensus of approval was reached for 189 statements. Among these, 139 statements were derived from the English-language guidelines, while 50 locally generated statements were accepted during the second round. A significant difference from the original guideline was identified concerning the local experts’ reluctance to discuss actions collaboratively with adolescents. Furthermore, the local experts proposed the inclusion of an entirely new section addressing suicide risk in older individuals, particularly focusing on suicide methods and warning signs. Conclusions A Delphi expert consensus study was conducted to culturally adapt mental health first aid guidelines for assessing suicide risk in Chile and Argentina. This study involved professionals and individuals with lived experience. While many items were endorsed, some related to inquiring about suicide risk and autonomy, particularly for adolescents, were not. An additional section for older individuals was introduced. Future research should explore the implementation and impact of these adapted guidelines in training courses. This is vital for enhancing mental health support and implementing effective suicide prevention strategies in Chile and Argentina.

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Cultural considerations for youth mental health first aid USA for South Asian and Southeast Asian American families

Patel,

Hui,

Havewala

et al. 2024

Advances in Mental Health

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Cultural adaptation of mental health first aid guidelines for depression for Sri Lanka: a Delphi expert consensus study

Cited by 9 publications

References 43 publications

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

Cultural considerations for youth mental health first aid USA for South Asian and Southeast Asian American families

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