A Meta-Analysis of Cultural Adaptations of Psychological Interventions

Hall, Gordon C. Nagayama; Ibaraki, Alicia Yee; Huang, Ellen R.; Marti, C. Nathan; Stice, Eric

doi:10.1016/j.beth.2016.09.005

Cited by 598Psychotherapy Techniques and ApplicationsCounseling Practices and SupervisionCultural Competency in Health Care

A Meta-Analysis of Cultural Adaptations of Psychological Interventions

Hall, Gordon C. Nagayama, Ibaraki, Alicia Yee, Huang, Ellen R., Marti, C. Nathan, Stice, Eric·2016·Behavior Therapy

DOI 10.1016/j.beth.2016.09.005

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Abstract

Forehand and Kotchick (1996) issued a wake-up call to the field to develop culturally responsive interventions. Since that time, 11 meta-analyses on culturally adapted interventions have been conducted. To reconcile the differences of the previous meta- analyses, a new meta-analysis was conducted that included 13,998 participants, 95% of whom were non-European American, in 78 studies evaluating culturally adapted interventions with psychopathology outcomes. Using a random effects multilevel regression model, the overall effect size (g = 0.67, p < .001) favored the effectiveness of culturally adapted interventions over other conditions (no intervention, other interventions). There was a medium effect size favoring the effectiveness of culturally adapted interventions over unadapted versions of the same intervention (g = .52). The overall effect size was moderated by whether the study involved treatment (g = .76) vs. prevention (g = .25, p = .03) and whether the study involved specific measures of mood or anxiety symptoms (g = .76) vs. general measures of psychopathology (g = .48, p = .02). Culturally adapted interventions had 4.68 times greater odds than other conditions to produce remission from psychopathology (p < .001) in 16 studies that reported remission. There were greater effects in no intervention control designs (marginal odds ratio = 9.80) than in manualized intervention (marginal odds ratio = 3.47, p = .03) or another active, nonmanualized intervention (marginal odds ratio = 3.38, p = .04) comparison designs in remission studies. Research has yet to adequately investigate whether culturally adapted or unadapted interventions impact culture-specific psychopathology. These findings indicate a continuing need for rigor in the conceptualization and measurement of culture- specific psychopathology and in developing culturally responsive interventions.

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Culturally adapted treatments are more effective, acceptable, and satisfying for patients.
“Research consistently shows that culturally adapted treatments are more effective, acceptable, and satisfying for patients [58-60].”
From Effectiveness of an Internet-Based Self-Help Acceptance and Commitment Therapy Program on Medical Students’ Mental Well-Being: Follow-Up Randomized Controlled Trial (2024) · cites this paper as [59]
Culturally adapted psychotherapy is more effective than unadapted bona fide psychotherapy.
“Meta-analytic studies involving diverse samples show that culturally adapted psychotherapy is more effective than unadapted bona fide psychotherapy (Benish et al., 2011; Hall et al., 2016; Smith and Trimble, 2016).”
From Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder (2020) · cites this paper as Hall et al., 2016
Cultural adaptation of treatments can increase treatment effects in adult populations.
“Previous research indicates that cultural adaptation of treatments can increase treatment effects, both in adult populations (Hall et al., 2016) and among youth populations (Huey and Polo, 2008; Pina et al., 2019).”
From Investigating the potential of a novel internet-based cognitive behavioural intervention for Dari and Farsi speaking refugee youth: A feasibility study (2022) · cites this paper as Hall et al., 2016

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Gater, R. A., Waheed, W., Husain, N., Tomenson, B., Aseem, S., & Creed, F. H. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.109.066845 · Cited by 90 · see citing works
Multiple-Family Group Treatment for English- and Vietnamese-Speaking Families Living With Schizophrenia
Bradley, G., Couchman, G. M., PERLESZ, A. J., Nguyen, A. T., SINGH, B. S., & Riess, C. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.4.521 · Cited by 89 · see citing works
Family‐based prevention counseling for high‐risk young adolescents: Immediate outcomes
Hogue, A., Liddle, H. A., Becker, D., & Johnson‐Leckrone, J. (2001) · Journal of Community Psychology · doi:10.1002/jcop.1047 · Cited by 88 · see citing works
Development and Pilot Testing of a New Psychosocial Intervention for Older Latinos With Chronic Psychosis
Patterson, T. L. (2005) · Schizophrenia Bulletin · doi:10.1093/schbul/sbi036 · Cited by 87 · see citing works
Brief psychological intervention after self-harm: randomised controlled trial from Pakistan
Husain, N., Afsar, S., Ara, J., Fayyaz, H., Rahman, R.-U., Tomenson, B., Hamirani, M. M., Chaudhry, N., Fatima, B., Husain, M., et al. (2014) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.113.138370 · Cited by 87 · see citing works
Cultural Diversity: Do We Need a New Wake-Up Call for Parent Training?
Ortiz, C., & Vecchio, T. D. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.03.009 · Cited by 85 · see citing works
A Randomized Trial of Multisystemic Therapy With Hawaii's Felix Class Youths
Rowland, M. D., Halliday‐Boykins, C. A., Henggeler, S. W., Cunningham, P. B., Lee, T. G., Kruesi, M. J. P., & Shapiro, S. B. (2005) · Journal of Emotional and Behavioral Disorders · doi:10.1177/10634266050130010201 · Cited by 81 · see citing works
A Pilot Randomized Controlled Trial of a Brief Parenting Intervention in Low-Resource Settings in Panama
Mejía, A., Calam, R. M., & Sanders, M. R. (2015) · Prevention Science · doi:10.1007/s11121-015-0551-1 · Cited by 80 · see citing works
Preliminary evaluation of culturally sensitive CBT for depression in Pakistan: findings from developing culturally-sensitive CBT Project (DCCP)
Naeem, F., Waheed, W., Gobbi, M., Ayub, M., & Kingdon, D. (2011) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465810000822 · Cited by 79 · see citing works
A critical review of culturally sensitive treatments for depression: Recommendations for intervention and research.
Kalibatseva, Z., & Leong, F. T. L. (2014) · Psychological Services · doi:10.1037/a0036047 · Cited by 76 · see citing works
The Houston parent—child development center and the primary prevention of behavior problems in young children
Johnson, D. L., & Breckenridge, J. N. (1982) · American Journal of Community Psychology · doi:10.1007/bf00896497 · Cited by 75 · see citing works
Bridging the gap for ethnic minority adult outpatients with depression and anxiety disorders by culturally adapted treatments
van Loon, A., van Schaik, A., Dekker, J., & Beekman, A. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.12.014 · Cited by 73 · see citing works
An Effectiveness Study of a Culturally Enriched School-Based CBT Anxiety Prevention Program
Miller, L. D., Laye-Gindhu, A., Bennett, J. L., Liu, Y., Gold, S., March, J. S., Olson, B. F., & Waechtler, V. E. (2011) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2011.581619 · Cited by 69 · see citing works
Effectiveness of brief school‐based, group cognitive behavioural therapy for depressed adolescents in south west Nigeria
Bella-Awusah, T. T., Ani, C. C., Ajuwon, A. J., & Omigbodun, O. O. (2015) · Child and Adolescent Mental Health · doi:10.1111/camh.12104 · Cited by 67 · see citing works
A pilot randomized controlled trial of interpersonal psychotherapy for Sudanese refugees in Cairo, Egypt
Meffert, S. M., Abdo, A. O., Alla, O. A. A., Elmakki, Y. O. M., Omer, A. A., Yousif, S., Metzler, T. J., & Marmar, C. R. (2014) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0023540 · Cited by 67 · see citing works
Cognitive behavioral treatment groups for people with chronic depression in Hong Kong: a randomized wait-list control design
Wong, D. F. K. (2008) · Depression and Anxiety · doi:10.1002/da.20286 · Cited by 66 · see citing works
Treating Low-Income and Minority Women With Posttraumatic Stress Disorder
Feske, U. (2008) · Journal of Interpersonal Violence · doi:10.1177/0886260507313967 · Cited by 61 · see citing works
Culturally-Adapted versus Standard Exposure Treatment for Phobic Asian Americans: Treatment Efficacy, Moderators, and Predictors
Pan, D., Huey, S. J., & Hernandez, D. B. (2011) · Cultural diversity & ethnic minority psychology · doi:10.1037/a0022534 · Cited by 60 · see citing works
Cross-Cultural Adaptation and Evaluation of a Home-Based Program for Alcohol Use Prevention among Urban Youth: The “Slick Tracy Home Team Program”
Komro, K. A., Perry, C. L., Veblen‐Mortenson, S., Farbakhsh, K., Kugler, K. C., Alfano, K. A., Dudovitz, B., Williams, C. L., & Jones‐Webb, R. (2006) · The Journal of Primary Prevention · doi:10.1007/s10935-005-0029-1 · Cited by 58 · see citing works
The Cares of Life Project (CoLP): An exploratory randomised controlled trial of a community-based intervention for black people with common mental disorder
Afuwape, S. A., Craig, T., Harris, T., Clarke, M., Flood, A. D. C., Olajide, D., Cole, E., Leese, M., McCrone, P., & Thornicroft, G. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.05.017 · Cited by 58 · see citing works
A multicentre randomised controlled trial of a carer supervised Culturally adapted CBT (CaCBT) based self-help for depression in Pakistan
Naeem, F., Sarhandi, I., Gul, M., Khalid, M., Aslam, M., Anbrin, A., Saeed, S., Noor, M., Fatima, G., Minhas, F., et al. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.10.051 · Cited by 57 · see citing works
The Components of Cultural Match in Psychotherapy
Ibaraki, A. Y., & Hall, G. C. N. (2014) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2014.33.10.936 · Cited by 56 · see citing works
Self-citation
Trauma-focused cognitive behavioral therapy: Cultural adaptations for application in Jordanian culture
Damra, J. K. M., Nassar, Y. H., & Ghabri, T. M. F. (2014) · Counselling Psychology Quarterly · doi:10.1080/09515070.2014.918534 · Cited by 54 · see citing works
Cognitive–Behavioral Group Therapy Versus a Wait-List Control in the Treatment of African American Women with Panic Disorder
Carter, M. M., Sbrocco, T., Gore, K. L., Marin, N. W., & Lewis, E. L. (2003) · Cognitive Therapy and Research · doi:10.1023/a:1026350903639 · Cited by 49 · see citing works
Preliminary results for an adaptive family treatment for drug abuse in Hispanic youth.
Santisteban, D. A., Mena, M. P., & McCabe, B. E. (2011) · Journal of Family Psychology · doi:10.1037/a0024016 · Cited by 48 · see citing works
An Afrocentric Approach to Group Social Skills Training with Inner-City African American Adolescents
Banks, R., Hogue, A., Timberlake, T. L., & Liddle, H. A. (1996) · The Journal of Negro Education · doi:10.2307/2967144 · Cited by 47 · see citing works
Culturally sensitive interventions for health related behaviors among Latino youth: A meta-analytic review
Hodge, D. R., Jackson, K. F., & Vaughn, M. G. (2010) · Children and Youth Services Review · doi:10.1016/j.childyouth.2010.05.002 · Cited by 31 · see citing works
A meta-analysis of culturally sensitive interventions designed to reduce high-risk behaviors among african American youth
Jackson, K. F., Hodge, D. R., & Vaughn, M. G. (2010) · Journal of Social Service Research · doi:10.1080/01488371003697780 · Cited by 30 · see citing works
Culturally Sensitive Interventions and Substance Use: A Meta-analytic Review of Outcomes among Minority Youths
Hodge, D. R., Jackson, K. F., & Vaughn, M. G. (2012) · Social Work Research · doi:10.1093/swr/svs008 · Cited by 29 · see citing works
Effectiveness of a Cognitive-Behavioral Intervention for Puerto Rican Children
Cabiya, J. J., Padilla–Cotto, L., Gonzalez, K., Sanchez-Cestero, J., Martínez‐Taboas, A., & Sayers, S. (2008) · Cited by 26 · see citing works
Evaluating Culturally Responsive Group Work with Black Women
Jones, L. V., & Warner, L. A. (2011) · Research on Social Work Practice · doi:10.1177/1049731511411488 · Cited by 25 · see citing works
The Effects of Cuento Therapy on Reading Achievement and Psychological Outcomes of Mexican-American Students
Ramirez, S. Z., Jain, S., Flores-Torres, L. L., Perez, R., & Carlson, R. (2009) · Professional School Counseling · doi:10.5330/psc.n.2010-12.253 · Cited by 25 · see citing works
Evaluation of a Culturally Tailored Skills Intervention for Latinos with Persistent Psychotic Disorders
Mausbach, B. T., Bucardo, J., McKibbin, C. L., GOLDMAN, S. R., Jeste, D. V., Patterson, T. L., Cárdenas, V., & Barrio, C. (2008) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487760701853102 · Cited by 24 · see citing works
Preventing Depression: Culturally Relevant Group Work With Black Women
Jones, L. V. (2007) · Research on Social Work Practice · doi:10.1177/1049731507308982 · Cited by 19 · see citing works
School-based Child Parent Relationship Therapy (CPRT) with Hispanic parents
Villarreal, C. E. (2008) · Cited by 9 · see citing works
Evidence‐based practice in a global context.
Cardemil, E. V. (2015) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12089 · Cited by 8 · see citing works
The effect of exposure to culturally relevant/historically based material on level of frustration tolerance, level of depression, and mediation of anger in african-american young males.
Jackson, P. A. (1997) · Cited by 5 · see citing works
The efficacy of video feedback on self-evaluation of performance and treatment of bilingual participants: A linguistically and culturally sensitive intervention for public speaking anxiety
Perez, M. (2006) · Cited by 3 · see citing works
A Pilot Feasibility and Effectiveness Trial of the Family Check-Up Parenting Intervention with Spanish Preadolescents and Their Families: A Cultural Adaptation and Feasibility Study to Enhance Evidence-Based Intervention Research in Spain
Margolis, K. L. (2013) · Scholars' Bank (University of Oregon) · doi:10.7264/n3125qxn · Cited by 3 · see citing works

Flagged first, then by citations

Sorted by citations

Cultural adaptations and therapist multicultural competence: Two meta‐analytic reviews
Soto, A., Smith, T. B., Griner, D., Domenech Rodríguez, M., & Bernal, G. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22679 · Cited by 289 · see citing works
“Demonstrable improvement of culturally diverse clientele provides evidence of therapist cultural competence (Hayes et al., 2016).”
The current status of culturally adapted mental health interventions: a practice-focused review of meta-analyses
Rathod, S., Gega, L., Degnan, A., Pikard, J., Khan, T., Husain, N., Munshi, T., & Naeem, F. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s138430 · Cited by 261 · see citing works
Scaling up Evidence-Based Interventions in US Public Systems to Prevent Behavioral Health Problems: Challenges and Opportunities
Fagan, A. A., Bumbarger, B. K., Barth, R. P., Bradshaw, C. P., Cooper, B. R., Supplee, L. H., & Walker, D. K. (2019) · Prevention Science · doi:10.1007/s11121-019-01048-8 · Cited by 216 · see citing works
Cultural Adaptation of Scalable Psychological Interventions: A New Conceptual Framework
Heim, E., & Kohrt, B. A. (2019) · Clinical Psychology in Europe · doi:10.32872/cpe.v1i4.37679 · Cited by 191 · see citing works
“A systematic review (Hall et al., 2016) provided indications that culturally adapted psychological interventions are indeed more effective than the unadapted versions of the same interventions.”
Background
Cultural adaptation of internet- and mobile-based interventions for mental disorders: a systematic review
Spanhel, K., Balci, S., Feldhahn, F., Bengel, J., Baumeister, H., & Sander, L. B. (2021) · npj Digital Medicine · doi:10.1038/s41746-021-00498-1 · Cited by 178 · see citing works
User-Centered App Adaptation of a Low-Intensity E-Mental Health Intervention for Syrian Refugees
Burchert, S., Alkneme, M. S., Bird, M., Carswell, K., Cuijpers, P., Hansen, P., Heim, E., Harper Shehadeh, M., Sijbrandij, M., van't Hof, E., et al. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00663 · Cited by 160 · see citing works
Ethnic differences in eating disorder prevalence, risk factors, and predictive effects of risk factors among young women
Cheng, Z. H., Perko, V. L., Fuller-Marashi, L., Gau, J. M., & Stice, E. M. (2018) · Eating Behaviors · doi:10.1016/j.eatbeh.2018.11.004 · Cited by 173 · see citing works
Self-citation
Cultural and Contextual Adaptation of Digital Health Interventions: Narrative Review
Naderbagi, A., Loblay, V., Zahed, I. U. M., Ekambareshwar, M., Poulsen, A., Song, Y. J. C., Ospina‐Pinillos, L., Krausz, M. R., Kamel, M. M., Hickie, I. B., et al. (2024) · Journal of Medical Internet Research · doi:10.2196/55130 · Cited by 160 · see citing works
Use of Technology to Provide Mental Health Care for Racial and Ethnic Minorities: Evidence, Promise, and Challenges
Ramos, G., & Chavira, D. A. (2022) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2019.10.004 · Cited by 143 · see citing works
Culturally Responsive Cognitive Behavioral Therapy for Ethnically Diverse Populations
Huey, S. J., Park, A. L., Galán, C. A., & Wang, C. X. (2023) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-080921-072750 · Cited by 160 · see citing works
Where identities converge: The importance of intersectionality in eating disorders research
Burke, N. L., Schaefer, L. M., Hazzard, V. M., & Rodgers, R. F. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23371 · Cited by 151 · see citing works
The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology
Arundell, L.-L., Barnett, P., Buckman, J. E. J., Saunders, R., & Pilling, S. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102063 · Cited by 137 · see citing works
Empirical Examinations of Modifications and Adaptations to Evidence-Based Psychotherapies: Methodologies, Impact, and Future Directions
Wiltsey Stirman, S., Gamarra, J. M., Bartlett, B. A., Calloway, A., & Gutner, C. A. (2017) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12218 · Cited by 138 · see citing works
“, & Stice, E. (2016). A meta-analysis of cultural adaptations of psychological interventions.”
Diversity in randomized clinical trials of depression: A 36-year review
Polo, A. J., Makol, B. A., Castro, A. S., Colón-Quintana, N., Wagstaff, A. E., & Guo, S. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.09.004 · Cited by 114 · see citing works
Reducing mental health disparities by increasing the personal relevance of interventions.
Hall, G. C. N., Berkman, E. T., Zane, N. W. S., Leong, F. T. L., Hwang, W., Nezu, A. M., Nezu, C. M., Hong, J. J., Chu, J. P., & Huang, E. R. (2020) · American Psychologist · doi:10.1037/amp0000616 · Cited by 110 · see citing works
Self-citation
Technology in Parenting Programs: A Systematic Review of Existing Interventions
Corralejo, S. M., & Rodríguez, M. M. D. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1117-1 · Cited by 108 · see citing works
“Evidence-based culturally adapted interventions are available (Hall et al. 2016) with myriad theoretical models for adaptation (Bernal and Domenech Rodriguez 2012) and speci ﬁ c examples of clinical trials (e.g., Parra-Cardona et al. 2012) and clinical case studies (Koslofsky and Domenech Rodríguez…”
Background
Person-Centered Cultural Assessment Can Improve Child Mental Health Service Engagement and Outcomes
Sanchez, A. L., Jent, J. F., Aggarwal, N. K., Chavira, D. A., Coxe, S. J., Garcia, D., Roche, M. J. L., & Comer, J. S. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2021.1981340 · Cited by 102 · see citing works
“, language, metaphors, values, perceptions of parenting skills, immigration experiences, discussions about race/racism) for various racial/ethnic minority groups (Hall et al., 2016; Park et al., 2021; Pina et al., 2019; Reese & Vera, 2007).”
BackgroundInfluential
Cultural Adaptations: Conceptual, Ethical, Contextual, and Methodological Issues for Working with Ethnocultural and Majority-World Populations
Bernal, G., & Adames, C. (2017) · Prevention Science · doi:10.1007/s11121-017-0806-0 · Cited by 103 · see citing works
“…(Koslofsky and Domenech Rodríguez 2017), and there are now seven meta-analyses that evaluate the effects of cultural adaptations (Benish et al. 2011; Griner and Smith 2006; Hall et al. 2016; Huey and Polo 2008; Smith et al. 2011; Timothy B. Smith and Trimble 2016; van Loon et al. 2013).”
Background
A Systematic Review and Meta-Analysis of Cultural Adaptations of Mindfulness-Based Interventions for Hispanic Populations
Castellanos, R., Spinel, M. Y., Phan, V., Orengo‐Aguayo, R., Humphreys, K. L., & Flory, K. (2019) · Mindfulness · doi:10.1007/s12671-019-01210-x · Cited by 97 · see citing works
Cultural Considerations in the Treatment of Eating Disorders among Racial/Ethnic Minorities: A Systematic Review
Acle, A., Cook, B. J., Siegfried, N., & Beasley, T. (2021) · Journal of Cross-Cultural Psychology · doi:10.1177/00220221211017664 · Cited by 95 · see citing works
“Specifically, the first theme (e.g., use/develop culturally sensitive interventions) supports a recent meta-analysis that found culturally adapted interventions produced greater reductions in psychopathology relative to other or no intervention (Hall et al., 2016).”
Result
A systematic review of cultural considerations and adaptation of social skills interventions for individuals with autism spectrum disorder
Davenport, M., Mazurek, M. O., Brown, A. M., & McCollom, E. M. (2018) · Research in Autism · doi:10.1016/j.rasd.2018.05.003 · Cited by 81 · see citing works
Mental health and unemployment: A systematic review and meta-analysis of interventions to improve depression and anxiety outcomes
Arena, A. F. A., Mobbs, S., Sanatkar, S., Williams, D. O., Collins, D., Harris, M., Harvey, S. B., & Deady, M. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.05.027 · Cited by 85 · see citing works
Challenges in implementing cultural adaptations of digital health interventions
Nittas, V., Daniore, P., Chavez, S. J., & Wray, T. B. (2024) · Communications Medicine · doi:10.1038/s43856-023-00426-2 · Cited by 80 · see citing works
“Yet, they come with risks because if not conducted properly, they might impose irrelevant concepts, leading to ineffective adaptations and wasted resources 28,29 .”
Background
Development of the mental health cultural adaptation and contextualization for implementation (mhCACI) procedure: a systematic framework to prepare evidence-based psychological interventions for scaling
Sangraula, M., Kohrt, B. A., Ghimire, R., Shrestha, P., Luitel, N. P., Hof, E. V., Dawson, K. S., & Jordans, M. J. D. (2021) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2021.5 · Cited by 82 · see citing works
“We have condensed these theories into three main distinctions that need to be balanced when adapting treatments (Griner and Smith, 2006; Bernal and Domenech Rodriguez, 2012, p. 20; Huey et al., 2014; Hall et al., 2016; Nisar et al., 2020).”
Method
Posttraumatic Stress Disorder in Refugees
Bryant, R. A., Nickerson, A., Morina, N., & Liddell, B. J. (2023) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-080921-080359 · Cited by 82 · see citing works
Building the Evidence Base to Inform Planned Intervention Adaptations by Practitioners Serving Health Disparity Populations
Alvidrez, J., Nápoles, A. M., Bernal, G., Lloyd, J. J., Cargill, V. A., Godette, D. C., Cooper, L., Heart, M. Y. H. B., Das, R., & Farhat, T. (2019) · American Journal of Public Health · doi:10.2105/ajph.2018.304915 · Cited by 80 · see citing works
Learning How to Make Friends for Chinese Adolescents with Autism Spectrum Disorder: A Randomized Controlled Trial of the Hong Kong Chinese Version of the PEERS® Intervention
Shum, K. K., Cho, W. K., Lam, L. M. O., Laugeson, E. A., Wong, W. S., & Law, L. S. K. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3728-1 · Cited by 75 · see citing works
“Research suggests that cultural aspects can influence the feasibility and effects of psychological interventions, and adaptations according to cultural differences may be necessary before implementation (Hall et al. 2016; Hwang 2006).”
Background
Community cognitive interviewing to inform local adaptations of an e-mental health intervention in Lebanon
Abi Ramia, J., Harper Shehadeh, M., Kheir, W., Zoghbi, E., Watts, S., Heim, E., & El Chammay, R. (2018) · Global Mental Health · doi:10.1017/gmh.2018.29 · Cited by 65 · see citing works
Frameworks for cultural adaptation of psychosocial interventions: A systematic review with narrative synthesis
Day, S., Laver, K., Jeon, Y., Radford, K. A., & Low, L. (2023) · Dementia · doi:10.1177/14713012231192360 · Cited by 77 · see citing works
“…for minority groups in Western countries, and people from non-Western and lower-middle income countries (LMICs) (e.g., Arundell et al., 2021; Hall et al., 2016; James et al., 2021; Rathod et al., 2018) The many challenges of cultural adaptation have been extensively documented and continue…”
Background
Mindfulness-based interventions among people of color: A systematic review and meta-analysis
Sun, S., Goldberg, S. B., Loucks, E. B., & Brewer, J. A. (2022) · Psychotherapy Research · doi:10.1080/10503307.2021.1937369 · Cited by 64 · see citing works
“This is particularly surprising given robustmeta-analytic evidence suggesting that cultural adaptation improves treatment engagement and outcomes (Hall et al., 2016).”
Background
Reporting Cultural Adaptation in Psychological Trials – The RECAPT criteria
Heim, E., Mewes, R., Ramia, J. A., Glaesmer, H., Hall, B. J., Shehadeh, M. H., Ünlü, B., Kananian, S., Kohrt, B. A., Lechner‐Meichsner, F., et al. (2021) · Clinical Psychology in Europe · doi:10.32872/cpe.6351 · Cited by 70 · see citing works
“Few studies use a bottom-up approach to develop new interventions based on culturally specific symptoms or syndromes (Hall et al., 2016; Hwang, 2006).”
BackgroundInfluential
Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
McCabe, K. M., Yeh, M., & Zerr, A. A. (2020) · Psychology Research and Behavior Management · doi:10.2147/prbm.s230005 · Cited by 68 · see citing works
Culturally adapted psychotherapies for depressed adults: A systematic review and meta-analysis
Anik, E., West, R. M., Cardno, A. G., & Mir, G. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.09.051 · Cited by 65 · see citing works
“A recent meta-analysis of 78 studies confirms this increased interest in developing culturally adapted treatments (Hall et al., 2016).”
BackgroundResultInfluential
Internet-based cognitive behavioural therapy for depression and anxiety among Arabic-speaking individuals in Sweden: a pilot randomized controlled trial
Lindegaard, T., Seaton, F., Halaj, A., Berg, M., Kashoush, F., Barchini, R., Ludvigsson, M., Sarkohi, A., & Andersson, G. (2021) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2020.1771414 · Cited by 62 · see citing works
Cultural concepts of distress and complex PTSD: Future directions for research and treatment
Heim, E., Karatzias, T., & Maercker, A. R. A. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102143 · Cited by 66 · see citing works
The Acceptability, Engagement, and Feasibility of Mental Health Apps for Marginalized and Underserved Young People: Systematic Review and Qualitative Study
Bear, H. A., Ayala‐Nunes, L., Ramos, G., Manchanda, T., Fernandes, B., Chabursky, S., Walper, S., Watkins, E. R., & Fazel, M. S. (2024) · Journal of Medical Internet Research · doi:10.2196/48964 · Cited by 61 · see citing works
A Culturally Adapted Intervention for Mexican‐Origin Parents of Adolescents: The Need to Overtly Address Culture and Discrimination in Evidence‐Based Practice
Parra‐Cardona, R., López‐Zerón, G., Leija, S. G., Maas, M. K., Villa, M., Zamudio, E., Arredondo, M., Yeh, H., & Domenech Rodríguez, M. M. (2019) · Family Process · doi:10.1111/famp.12381 · Cited by 60 · see citing works
A systematic review of cultural adaptations in the global application of ABA ‐based telehealth services
Sivaraman, M., & Fahmie, T. A. (2020) · Journal of Applied Behavior Analysis · doi:10.1002/jaba.763 · Cited by 62 · see citing works
Thinness pressures in ethnically diverse college women in the United States
Ordaz, D. L., Schaefer, L. M., Choquette, E. M., Schueler, J., Wallace, L., & Thompson, J. K. (2017) · Body Image · doi:10.1016/j.bodyim.2017.11.004 · Cited by 55 · see citing works
Feasibility and Acceptability of a Culturally- and Linguistically-Adapted Smoking Cessation Text Messaging Intervention for Latino Smokers
Cartujano-Barrera, F., Cox, L. S., Arana-Chicas, E., Ramírez, M., Perales-Puchalt, J., Valera, P., Diaz, F., Catley, D., Ellerbeck, E., & Cupertino, A. (2020) · Frontiers in Public Health · doi:10.3389/fpubh.2020.00269 · Cited by 51 · see citing works
Expressive Writing Intervention Improves Quality of Life among Chinese-American Breast Cancer Survivors: A Randomized Controlled Trial
Lu, Q., Gallagher, M. W., Loh, A., & Young, L. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kax067 · Cited by 53 · see citing works
Cultural adaptations of psychological interventions for prevalent sleep disorders and sleep disturbances: A systematic review of randomized controlled trials in the United States
Alcántara, C., Cosenzo, L. G., McCullough, E., Vogt, T., Falzon, A. L., & Pérez, I. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101455 · Cited by 54 · see citing works
One Size Does Not Fit All: Making Suicide Prevention and Interventions Equitable for Our Increasingly Diverse Communities
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Culturally Responsive Trauma-Informed Services: A Multilevel Perspective from Practitioners Serving Latinx Children and Families
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Authors: Hall, G. C. N., Ibaraki, A. Y., Huang, E. R., Marti, C. N., & Stice, E.
Affiliations: University of Oregon (US)
Oregon Research Institute (US)
Corresponding author: Hall, Gordon C. Nagayama
ORCID: Hall, Gordon C. Nagayama
Ibaraki, Alicia Yee
Huang, Ellen R.
Marti, C. Nathan
Stice, Eric
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 2016-11
Volume: 47
Issue: 6
Pages: 993-1014
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/j.beth.2016.09.005
OpenAlex: W2523975554
Cited by: 598
References: 122
Citations by year: 2026: 82 · 2025: 82 · 2024: 95 · 2023: 84 · 2022: 62 · 2021: 66 · 2020: 55 · 2019: 33 · 2018: 29 · 2017: 9 · 2016: 1
FWCI: 3.56
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Behavior Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords: culturally tailored interventions, cultural responsiveness, psychopathology, treatment effectiveness, prevention, remission, mood symptoms, anxiety symptoms
MeSH terms: Mental Disorders, Culture, Ethnicity, Humans, Psychotherapy

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A Meta-Analysis of Cultural Adaptations of Psychological Interventions

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