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Lost in Translation? Cultural Adaptation of Child Mental Health Interventions in Nepal: A Systematic Review.

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Title: Lost in Translation? Cultural Adaptation of Child Mental Health Interventions in Nepal: A Systematic Review.
Authors: Pacini, Adele, Broker, Hayley, Shrestha, Prithvi
Source: Journal of Child & Family Studies. Sep2024, Vol. 33 Issue 9, p2705-2716. 12p.
Subjects: Medical information storage & retrieval systems, Mental health services, Mental health, Culture, Translations, Psychological adaptation, Descriptive statistics, Systematic reviews, MEDLINE, Psychometrics, Online information services, Psychology information storage & retrieval systems, Reliability (Personality trait), Adolescence, Children
Geographic Terms: Nepal
Abstract: This systematic review provides a synthesis of the state of the evidence relating to child and adolescent mental health interventions in Nepal, with particular emphasis on the use and impact of cultural adaptation of these interventions. The review follows the PRISMA and JBI review guidance. Nine papers met the inclusion criteria, studies were characterised by methodological weaknesses impacting on their reliability. Five of the nine studies reported statistically significant improvements, of these, all except one worked with the family and wider community alongside the child. The use of cultural adaptation was implemented in all studies, but varied in terms of the extent of the adaptation processes used. The findings from this review indicate that high quality studies are needed in this area, particularly those which consider the influence on the collectivist nature of Nepali culture on design of the intervention. Interventions need to consider cultural adaptation more closely, as well as the acceptability of the intervention to the wider community. Highlights: In a collectivist culture such as Nepal, successful interventions typically included the family and wider community alongside the child Cultural adaptation was implemented in all studies, but with marked variation in the extent of it. Some studies only adapted the outcome measurement tools The majority of the studies were of low to moderate quality, impacting on the reliability of the findings Future studies should look to report the implementation of cultural adaptation much more closely, alongside the acceptability of the intervention to the child's family, school and wider community. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: This systematic review provides a synthesis of the state of the evidence relating to child and adolescent mental health interventions in Nepal, with particular emphasis on the use and impact of cultural adaptation of these interventions. The review follows the PRISMA and JBI review guidance. Nine papers met the inclusion criteria, studies were characterised by methodological weaknesses impacting on their reliability. Five of the nine studies reported statistically significant improvements, of these, all except one worked with the family and wider community alongside the child. The use of cultural adaptation was implemented in all studies, but varied in terms of the extent of the adaptation processes used. The findings from this review indicate that high quality studies are needed in this area, particularly those which consider the influence on the collectivist nature of Nepali culture on design of the intervention. Interventions need to consider cultural adaptation more closely, as well as the acceptability of the intervention to the wider community. Highlights: In a collectivist culture such as Nepal, successful interventions typically included the family and wider community alongside the child Cultural adaptation was implemented in all studies, but with marked variation in the extent of it. Some studies only adapted the outcome measurement tools The majority of the studies were of low to moderate quality, impacting on the reliability of the findings Future studies should look to report the implementation of cultural adaptation much more closely, alongside the acceptability of the intervention to the child's family, school and wider community. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10826-024-02880-5
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 2705
    Subjects:
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Culture
        Type: general
      – SubjectFull: Translations
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Systematic reviews
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      – SubjectFull: Psychometrics
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      – SubjectFull: Online information services
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      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
      – SubjectFull: Reliability (Personality trait)
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      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Children
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      – SubjectFull: Nepal
        Type: general
    Titles:
      – TitleFull: Lost in Translation? Cultural Adaptation of Child Mental Health Interventions in Nepal: A Systematic Review.
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              M: 09
              Text: Sep2024
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