The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology.
Ethnic minorities
Mental health
Psychological interventions
Racial minorities
Refugee
Systematic review
Journal
Clinical psychology review
ISSN: 1873-7811
Titre abrégé: Clin Psychol Rev
Pays: United States
ID NLM: 8111117
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
19
09
2020
revised:
10
06
2021
accepted:
29
06
2021
pubmed:
16
7
2021
medline:
26
10
2021
entrez:
15
7
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 34265501
pii: S0272-7358(21)00106-9
doi: 10.1016/j.cpr.2021.102063
pmc: PMC8591374
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
102063Subventions
Organisme : Wellcome Trust
ID : 201292/Z/16/Z
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 201292/Z/16/Z
Pays : United Kingdom
Informations de copyright
Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.
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