Melissa Harper Shehadeh|Eva Heim|Neerja Chowdhary|And?re?as Maercker|Emiliano Albanese
Cultural Adaptation of Minimally Guided Interventions for Common Mental Disorders: A Systematic Review and Meta-Analysis
University of Geneva|University of Zurich|Sangath|London School of Hygiene & Tropical Medicine|University of Zurich|University of Geneva
cultural adaptation mental health care interventions key particularly little therapist interaction little published information methods adaptation bibliotherapy emental health interventionsto systematically search evidence effectiveness minimally guided interventions treatment common mental disorders among culturally diverse people common mental disorders analyze extent effects cultural adaptation minimally guided interventions treatment common mental disorderswe searched embase pubmed cochrane library psycinfo randomized controlled trials tested efficacy minimally guided selfhelp interventions depression anxiety among culturally diverse populations calculated pooled standardized mean differences using randomeffects model addition administered questionnaire authors primary studies assess cultural adaptation methods used included primary studies entered information metaregression investigate effects extent adaptation intervention efficacywe included eight randomized controlled trials rcts 4911 potentially eligible records identified search four emental health four bibliotherapy extent cultural adaptation varied across studies language translation use metaphors frequently applied elements adaptation pooled standardized mean difference primary outcome measures depression anxiety 081 95 ci 010 062 higher cultural adaptation scores significantly associated greater effect sizes p04our results support results previous systematic reviews cultural adaptation facetoface interventions extent cultural adaptation effect intervention efficacy research warranted explore cultural adaptation may contribute improve acceptability effectiveness minimally guided psychological interventions common mental disorders