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The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology

This review assessed the efficacy of adapted psychological interventions for Black and minority ethnic (BME) groups. A conceptual typology was developed based on adaptations reported in the literature, drawing on the common factors model, competence frameworks and distinctions between types of cultu...

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Autores principales: Arundell, Laura-Louise, Barnett, Phoebe, Buckman, Joshua E.J., Saunders, Rob, Pilling, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591374/
https://www.ncbi.nlm.nih.gov/pubmed/34265501
http://dx.doi.org/10.1016/j.cpr.2021.102063
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author Arundell, Laura-Louise
Barnett, Phoebe
Buckman, Joshua E.J.
Saunders, Rob
Pilling, Stephen
author_facet Arundell, Laura-Louise
Barnett, Phoebe
Buckman, Joshua E.J.
Saunders, Rob
Pilling, Stephen
author_sort Arundell, Laura-Louise
collection PubMed
description This review assessed the efficacy of adapted psychological interventions for Black and minority ethnic (BME) groups. A conceptual typology was developed based on adaptations reported in the literature, drawing on the common factors model, competence frameworks and distinctions between types of cultural adaptations. These distinctions were used to explore the efficacy of different adaptations in improving symptoms of a range of mental health problems for minority groups. Bibliographic searches of MEDLINE, Embase, PsycINFO, HMIC, ASSIA, CENTRAL, CDSR and CINAHL spanned the period from 1965 to December 2020. Adaptations to interventions were categorised: i) treatment specific: therapist-related, ii) treatment-specific: content-related and iii) organisation-specific. Meta-analyses of RCTs found a significant effect on symptom reduction when adapted interventions were compared to non-adapted active treatments (K = 30, Hedge's g = -0.43 [95% CI: -0.61, -0.25], p < .001). Studies often incorporated multiple adaptations, limiting the exploration of the comparative effectiveness of different adaptation types, although inclusion of organisation-specific adaptations may be associated with greater benefits. Future research, practitioner training and treatment and service development pertaining to adapted care for minority groups may benefit from adopting the conceptual typology described.
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spelling pubmed-85913742021-11-22 The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology Arundell, Laura-Louise Barnett, Phoebe Buckman, Joshua E.J. Saunders, Rob Pilling, Stephen Clin Psychol Rev Review This review assessed the efficacy of adapted psychological interventions for Black and minority ethnic (BME) groups. A conceptual typology was developed based on adaptations reported in the literature, drawing on the common factors model, competence frameworks and distinctions between types of cultural adaptations. These distinctions were used to explore the efficacy of different adaptations in improving symptoms of a range of mental health problems for minority groups. Bibliographic searches of MEDLINE, Embase, PsycINFO, HMIC, ASSIA, CENTRAL, CDSR and CINAHL spanned the period from 1965 to December 2020. Adaptations to interventions were categorised: i) treatment specific: therapist-related, ii) treatment-specific: content-related and iii) organisation-specific. Meta-analyses of RCTs found a significant effect on symptom reduction when adapted interventions were compared to non-adapted active treatments (K = 30, Hedge's g = -0.43 [95% CI: -0.61, -0.25], p < .001). Studies often incorporated multiple adaptations, limiting the exploration of the comparative effectiveness of different adaptation types, although inclusion of organisation-specific adaptations may be associated with greater benefits. Future research, practitioner training and treatment and service development pertaining to adapted care for minority groups may benefit from adopting the conceptual typology described. Elsevier Science 2021-08 /pmc/articles/PMC8591374/ /pubmed/34265501 http://dx.doi.org/10.1016/j.cpr.2021.102063 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Arundell, Laura-Louise
Barnett, Phoebe
Buckman, Joshua E.J.
Saunders, Rob
Pilling, Stephen
The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
title The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
title_full The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
title_fullStr The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
title_full_unstemmed The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
title_short The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
title_sort effectiveness of adapted psychological interventions for people from ethnic minority groups: a systematic review and conceptual typology
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591374/
https://www.ncbi.nlm.nih.gov/pubmed/34265501
http://dx.doi.org/10.1016/j.cpr.2021.102063
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