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Cultural adaptation of internet- and mobile-based interventions for mental disorders: a systematic review
Open accessAbstract
Providing accessible and effective healthcare solutions for people living in low- and middle-income countries, migrants, and indigenous people is central to reduce the global mental health treatment gap. Internet- and mobile-based interventions (IMI) are considered scalable psychological interventions to reduce the burden of mental disorders and are culturally adapted for implementation in these target groups. In October 2020, the databases PsycInfo, MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science were systematically searched for studies that culturally adapted IMI for mental disorders. Among 9438 screened records, we identified 55 eligible articles. We extracted 17 content, methodological, and procedural components of culturally adapting IMI, aiming to consider specific situations and perspectives of the target populations. Adherence and effectiveness of the adapted IMI seemed similar to the original IMI; yet, no included study conducted a direct comparison. The presented taxonomy of cultural adaptation of IMI for mental disorders provides a basis for future studies investigating the relevance and necessity of their cultural adaptation.PROSPERO registration number: CRD42019142320.
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“Currently available smartphone-delivered interventions differ widely in their cultural and contextual adaptations (Spanhel et al., 2021) and in their treatment approach and range of indications (e.g., targeting one specific problem vs. a transdiagnostic approach).”
From Smartphone-delivered mental health care interventions for refugees: A systematic review of the literature (2023) · cites this paper as Spanhel et al., 2021
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Previous culturally adapted ICBT trials targeting adult non-western immigrant and refugee participants have overall demonstrated treatment effects, and adherence similar to standard ICBT interventions (Spanhel et al., 2021)”
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 Spanhel et al., 2021
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“The participation of the seven countries has led to cultural adaptations in language and materials, following the recommendations of the literature on this topic (Spanhel et al., 2021).”
From Internet-based self-administered intervention to reduce anxiety and depression symptomatology and improve well-being in 7 countries: protocol of a randomized control trial (2024) · cites this paper as Spanhel et al., 2021
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“Spanhel et al. (2021) conducted a systematic review on cultural adaptation of internet-based interventions for marginalized groups worldwide, and identified 17 components regarding content, methods, and procedural components eligible for cultural adaptation in the context of internet- and mobile-based mental health interventions.”
From Smartphone-delivered mental health care interventions for refugees: A systematic review of the literature (2023) · cites this paper as Spanhel et al., 2021
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“These interventions offer several advantages over traditional formats of assistance, including greater temporal and local independency, anonymity, accessibility, and flexible delivery [6]”
From The Efficacy of Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Examining Mechanisms of Change in a Randomized Controlled Trial (2023) · cites this paper as [6]
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“A recent review of cultural adaptation of internet-based interventions found no significant associations between the extent of adaptation and the efficacy or adherence to the intervention (Spanhel et al., 2021).”
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 Spanhel et al., 2021
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Metadata
- Authors
- Spanhel, K., Balci, S., Feldhahn, F., Bengel, J., Baumeister, H., & Sander, L. B.
- Affiliations
- University of Freiburg (DE)
- Universität Ulm (DE)
- Corresponding author
- Spanhel, Kerstin
- Venue
- npj Digital Medicine
- Published
- 2021-08-25
- Volume
- 4
- Issue
- 1
- Pages
- 128-128
- ISSN
- 2398-6352 (ISSN-L)
- PMC
- PMC8387403
- OpenAlex
- W3196086198
- Cited by
- 178
- References
- 178
- Citations by year
- 2026: 32 · 2025: 37 · 2024: 46 · 2023: 34 · 2022: 27 · 2021: 2
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- npj Digital Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- German Academic Scholarship Foundation
- Scholarship granted by the Ministry of Education, Turkey
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- cultural adaptation, online intervention, mobile-based interventions, mental illness, low- and middle-income countries, migrants, indigenous peoples, adherence, intervention effectiveness
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