Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions

An increasing number of culturally adapted family‐level interventions address mental health disparities with marginalized populations in the United States. However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We c...

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Veröffentlicht in:Family process 2020-06, Vol.59 (2), p.492-508
Hauptverfasser: Cooper, Daniel K., Wieling, Elizabeth, Domenech Rodríguez, Melanie M., Garcia‐Huidobro, Diego, Baumann, Ana, Mejia, Anilena, Le, Huynh‐Nhu, Cardemil, Esteban V., Acevedo‐Polakovich, Ignacio D.
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container_end_page 508
container_issue 2
container_start_page 492
container_title Family process
container_volume 59
creator Cooper, Daniel K.
Wieling, Elizabeth
Domenech Rodríguez, Melanie M.
Garcia‐Huidobro, Diego
Baumann, Ana
Mejia, Anilena
Le, Huynh‐Nhu
Cardemil, Esteban V.
Acevedo‐Polakovich, Ignacio D.
description An increasing number of culturally adapted family‐level interventions address mental health disparities with marginalized populations in the United States. However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We conducted 12 elite phenomenological interviews with mental health scholars involved in prevention and intervention family research with various Latinx communities within and outside of the United States. These scholars discussed their experiences of overcoming barriers in their research. We used thematic analysis to code and analyze participant responses, and our findings support the gaps in previous literature and highlight potential pathways to overcoming barriers in cultural adaptation research. Themes included the need for: (a) better understanding of the intersection between culture and context; (b) community‐centered approaches to addressing implementation challenges; and (c) structural changes within institutional, governmental, and political levels. We discuss implications for researchers and practitioners working with Latinx families. Un número cada vez mayor de intervenciones adaptadas culturalmente a nivel familiar abordan las desigualdades en la salud mental con poblaciones marginadas en los Estados Unidos. Sin embargo, con estos avances han surgido muchos obstáculos, como las dificultades con el grado de integración cultural, la participación y la sostenibilidad. Realizamos veinte entrevistas fenomenológicas selectas con investigadores de la salud mental dedicados a la investigación familiar en materia de prevención e intervenciones con varias comunidades latinas dentro y fuera de los Estados Unidos. Estos investigadores comentaron sus experiencias de superación de los obstáculos en su investigación. Utilizamos el análisis temático para decodificar y analizar las respuestas de los participantes; nuestros resultados respaldan la falta de datos en publicaciones previas y destacan las posibles vías para superar los obstáculos en la investigación sobre la adaptación cultural. Los temas incluyeron la nacesidad de: (a) una mejor comprensión del enlace entre la cultura y el contexto; (b) enfoques centrados en la comunidad para abordar las dificultades de implementación; y (c) cambios estructurales dentro de los niveles institucionales, gubernamentales y políticos. Debatimos las implicancias para los investigadores y los profesionales que trabajan con famili
doi_str_mv 10.1111/famp.12433
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However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We conducted 12 elite phenomenological interviews with mental health scholars involved in prevention and intervention family research with various Latinx communities within and outside of the United States. These scholars discussed their experiences of overcoming barriers in their research. We used thematic analysis to code and analyze participant responses, and our findings support the gaps in previous literature and highlight potential pathways to overcoming barriers in cultural adaptation research. Themes included the need for: (a) better understanding of the intersection between culture and context; (b) community‐centered approaches to addressing implementation challenges; and (c) structural changes within institutional, governmental, and political levels. We discuss implications for researchers and practitioners working with Latinx families. Un número cada vez mayor de intervenciones adaptadas culturalmente a nivel familiar abordan las desigualdades en la salud mental con poblaciones marginadas en los Estados Unidos. Sin embargo, con estos avances han surgido muchos obstáculos, como las dificultades con el grado de integración cultural, la participación y la sostenibilidad. Realizamos veinte entrevistas fenomenológicas selectas con investigadores de la salud mental dedicados a la investigación familiar en materia de prevención e intervenciones con varias comunidades latinas dentro y fuera de los Estados Unidos. Estos investigadores comentaron sus experiencias de superación de los obstáculos en su investigación. Utilizamos el análisis temático para decodificar y analizar las respuestas de los participantes; nuestros resultados respaldan la falta de datos en publicaciones previas y destacan las posibles vías para superar los obstáculos en la investigación sobre la adaptación cultural. Los temas incluyeron la nacesidad de: (a) una mejor comprensión del enlace entre la cultura y el contexto; (b) enfoques centrados en la comunidad para abordar las dificultades de implementación; y (c) cambios estructurales dentro de los niveles institucionales, gubernamentales y políticos. Debatimos las implicancias para los investigadores y los profesionales que trabajan con familias latinas. 针对特定文化族群的家庭层面干预来解决处于美国社会边缘的人群心理健康差距问题的做法越来越多,但是在其发展过程中也会遇到一些障碍,比如文化适应程度方面的困难,如何让病人配合和治疗措施持续性的问题等等。我们对12名顶级的心理健康学者进行了现象学的访谈,这些学者均参与过针对很多在美国境内和境外的拉丁美洲社群家庭进行预防和干预的家庭研究。他们都谈到了他们在研究过程中克服障碍的经历。我们使用主题分析法来解码和分析参与者的访谈内容,我们的结果显示在以前的文献中此类研究选题确实存在空白,并指出了克服这些文化调适研究中的障碍的可能路径。主题包括有必要:(a)更好地理解文化和具体生活环境共同的相互作用;(b)以社群为中心的方法来讨论实施过程中的困难;(c)在体制、政府和政治层面进行结构化变革。我们给出了研究者和从业者在跟拉丁美洲家庭打交道时的一些建议。</description><identifier>ISSN: 0014-7370</identifier><identifier>EISSN: 1545-5300</identifier><identifier>DOI: 10.1111/famp.12433</identifier><identifier>PMID: 30830697</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Adaptation ; Barriers ; Cultural and Ethnic Diversity ; difusión e implementación ; Dissemination &amp; Implementation ; diversidad cultural y étnica ; Elite Interviews ; Evidence Based Interventions ; Family research ; Family Studies ; fenomenología ; Health disparities ; Hispanic Americans ; intervención de base fáctica ; Intervention ; investigación cualitativa ; Latin American cultural groups ; Marginality ; Mental health ; Mental health services ; Phenomenology ; Prevention programs ; Preventive medicine ; Psychology ; Psychology, Clinical ; Qualitative Research ; salud mental ; Social Sciences ; 宣传和实施 ; 心理健康 ; 文化和种族多样性 ; 有实证基础的干预 ; 现象学 ; 质的研究</subject><ispartof>Family process, 2020-06, Vol.59 (2), p.492-508</ispartof><rights>2019 Family Process Institute</rights><rights>2019 Family Process Institute.</rights><rights>2020 Family Process Institute</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>10</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000538685400013</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3573-2a335700e8aaee31ecb5c0d22e6a364757eab159d44e646ceee6d2996a6c40a63</citedby><cites>FETCH-LOGICAL-c3573-2a335700e8aaee31ecb5c0d22e6a364757eab159d44e646ceee6d2996a6c40a63</cites><orcidid>0000-0002-4523-0147 ; 0000-0002-7144-8406</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ffamp.12433$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ffamp.12433$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,28254,31004,33779,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30830697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cooper, Daniel K.</creatorcontrib><creatorcontrib>Wieling, Elizabeth</creatorcontrib><creatorcontrib>Domenech Rodríguez, Melanie M.</creatorcontrib><creatorcontrib>Garcia‐Huidobro, Diego</creatorcontrib><creatorcontrib>Baumann, Ana</creatorcontrib><creatorcontrib>Mejia, Anilena</creatorcontrib><creatorcontrib>Le, Huynh‐Nhu</creatorcontrib><creatorcontrib>Cardemil, Esteban V.</creatorcontrib><creatorcontrib>Acevedo‐Polakovich, Ignacio D.</creatorcontrib><title>Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions</title><title>Family process</title><addtitle>FAM PROCESS</addtitle><addtitle>Fam Process</addtitle><description>An increasing number of culturally adapted family‐level interventions address mental health disparities with marginalized populations in the United States. However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We conducted 12 elite phenomenological interviews with mental health scholars involved in prevention and intervention family research with various Latinx communities within and outside of the United States. These scholars discussed their experiences of overcoming barriers in their research. We used thematic analysis to code and analyze participant responses, and our findings support the gaps in previous literature and highlight potential pathways to overcoming barriers in cultural adaptation research. Themes included the need for: (a) better understanding of the intersection between culture and context; (b) community‐centered approaches to addressing implementation challenges; and (c) structural changes within institutional, governmental, and political levels. We discuss implications for researchers and practitioners working with Latinx families. Un número cada vez mayor de intervenciones adaptadas culturalmente a nivel familiar abordan las desigualdades en la salud mental con poblaciones marginadas en los Estados Unidos. Sin embargo, con estos avances han surgido muchos obstáculos, como las dificultades con el grado de integración cultural, la participación y la sostenibilidad. Realizamos veinte entrevistas fenomenológicas selectas con investigadores de la salud mental dedicados a la investigación familiar en materia de prevención e intervenciones con varias comunidades latinas dentro y fuera de los Estados Unidos. Estos investigadores comentaron sus experiencias de superación de los obstáculos en su investigación. Utilizamos el análisis temático para decodificar y analizar las respuestas de los participantes; nuestros resultados respaldan la falta de datos en publicaciones previas y destacan las posibles vías para superar los obstáculos en la investigación sobre la adaptación cultural. Los temas incluyeron la nacesidad de: (a) una mejor comprensión del enlace entre la cultura y el contexto; (b) enfoques centrados en la comunidad para abordar las dificultades de implementación; y (c) cambios estructurales dentro de los niveles institucionales, gubernamentales y políticos. Debatimos las implicancias para los investigadores y los profesionales que trabajan con familias latinas. 针对特定文化族群的家庭层面干预来解决处于美国社会边缘的人群心理健康差距问题的做法越来越多,但是在其发展过程中也会遇到一些障碍,比如文化适应程度方面的困难,如何让病人配合和治疗措施持续性的问题等等。我们对12名顶级的心理健康学者进行了现象学的访谈,这些学者均参与过针对很多在美国境内和境外的拉丁美洲社群家庭进行预防和干预的家庭研究。他们都谈到了他们在研究过程中克服障碍的经历。我们使用主题分析法来解码和分析参与者的访谈内容,我们的结果显示在以前的文献中此类研究选题确实存在空白,并指出了克服这些文化调适研究中的障碍的可能路径。主题包括有必要:(a)更好地理解文化和具体生活环境共同的相互作用;(b)以社群为中心的方法来讨论实施过程中的困难;(c)在体制、政府和政治层面进行结构化变革。我们给出了研究者和从业者在跟拉丁美洲家庭打交道时的一些建议。</description><subject>Adaptation</subject><subject>Barriers</subject><subject>Cultural and Ethnic Diversity</subject><subject>difusión e implementación</subject><subject>Dissemination &amp; Implementation</subject><subject>diversidad cultural y étnica</subject><subject>Elite Interviews</subject><subject>Evidence Based Interventions</subject><subject>Family research</subject><subject>Family Studies</subject><subject>fenomenología</subject><subject>Health disparities</subject><subject>Hispanic Americans</subject><subject>intervención de base fáctica</subject><subject>Intervention</subject><subject>investigación cualitativa</subject><subject>Latin American cultural groups</subject><subject>Marginality</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Phenomenology</subject><subject>Prevention programs</subject><subject>Preventive medicine</subject><subject>Psychology</subject><subject>Psychology, Clinical</subject><subject>Qualitative Research</subject><subject>salud mental</subject><subject>Social Sciences</subject><subject>宣传和实施</subject><subject>心理健康</subject><subject>文化和种族多样性</subject><subject>有实证基础的干预</subject><subject>现象学</subject><subject>质的研究</subject><issn>0014-7370</issn><issn>1545-5300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ARHDP</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkU9v1DAQxS0EokvhwgdAljiAilLs-E-S4yrqtittBVLhbHmdiZrKiYPtdLvfHu9m6YEDwpexZn7vaTQPofeUXNL0vra6Hy9pzhl7gRZUcJEJRshLtCCE8qxgBTlDb0J4IITwqixeozNGSkZkVSzQbqNjNzzhWxiitvgGtI33-M7cO6t9-ISvnkbwHQwGAt51aVRPNk4-octGjzGJ3YD10OB1P1roDy7Hlmvx3T5E6DuDV7rv7B6vhwj-MRFpHt6iV622Ad6d6jn6ubr6Ud9km2_X63q5yQwTBctyzVIlBEqtARgFsxWGNHkOUjPJC1GA3lJRNZyD5NIAgGzyqpJaGk60ZOfo8-w7evdrghBV3wUD1uoB3BRUTsuiEkIUIqEf_0If3OSHtJ3KOSUi52XJE3UxU8a7EDy0avRdr_1eUaIOcahDHOoYR4I_nCynbQ_NM_rn_gkoZ2AHW9cGc7z0M5YCE6yUpeDpR1ndzcet3TTEJP3y_9JE0xPdWdj_Y2e1Wt5-n7f_DcrZtso</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Cooper, Daniel K.</creator><creator>Wieling, Elizabeth</creator><creator>Domenech Rodríguez, Melanie M.</creator><creator>Garcia‐Huidobro, Diego</creator><creator>Baumann, Ana</creator><creator>Mejia, Anilena</creator><creator>Le, Huynh‐Nhu</creator><creator>Cardemil, Esteban V.</creator><creator>Acevedo‐Polakovich, Ignacio D.</creator><general>Wiley</general><general>Blackwell Publishing Ltd</general><scope>17B</scope><scope>ARHDP</scope><scope>BLEPL</scope><scope>DVR</scope><scope>EGQ</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4523-0147</orcidid><orcidid>https://orcid.org/0000-0002-7144-8406</orcidid></search><sort><creationdate>202006</creationdate><title>Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions</title><author>Cooper, Daniel K. ; Wieling, Elizabeth ; Domenech Rodríguez, Melanie M. ; Garcia‐Huidobro, Diego ; Baumann, Ana ; Mejia, Anilena ; Le, Huynh‐Nhu ; Cardemil, Esteban V. ; Acevedo‐Polakovich, Ignacio D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3573-2a335700e8aaee31ecb5c0d22e6a364757eab159d44e646ceee6d2996a6c40a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adaptation</topic><topic>Barriers</topic><topic>Cultural and Ethnic Diversity</topic><topic>difusión e implementación</topic><topic>Dissemination &amp; Implementation</topic><topic>diversidad cultural y étnica</topic><topic>Elite Interviews</topic><topic>Evidence Based Interventions</topic><topic>Family research</topic><topic>Family Studies</topic><topic>fenomenología</topic><topic>Health disparities</topic><topic>Hispanic Americans</topic><topic>intervención de base fáctica</topic><topic>Intervention</topic><topic>investigación cualitativa</topic><topic>Latin American cultural groups</topic><topic>Marginality</topic><topic>Mental health</topic><topic>Mental health services</topic><topic>Phenomenology</topic><topic>Prevention programs</topic><topic>Preventive medicine</topic><topic>Psychology</topic><topic>Psychology, Clinical</topic><topic>Qualitative Research</topic><topic>salud mental</topic><topic>Social Sciences</topic><topic>宣传和实施</topic><topic>心理健康</topic><topic>文化和种族多样性</topic><topic>有实证基础的干预</topic><topic>现象学</topic><topic>质的研究</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cooper, Daniel K.</creatorcontrib><creatorcontrib>Wieling, Elizabeth</creatorcontrib><creatorcontrib>Domenech Rodríguez, Melanie M.</creatorcontrib><creatorcontrib>Garcia‐Huidobro, Diego</creatorcontrib><creatorcontrib>Baumann, Ana</creatorcontrib><creatorcontrib>Mejia, Anilena</creatorcontrib><creatorcontrib>Le, Huynh‐Nhu</creatorcontrib><creatorcontrib>Cardemil, Esteban V.</creatorcontrib><creatorcontrib>Acevedo‐Polakovich, Ignacio D.</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core Collection</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI &amp; 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However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We conducted 12 elite phenomenological interviews with mental health scholars involved in prevention and intervention family research with various Latinx communities within and outside of the United States. These scholars discussed their experiences of overcoming barriers in their research. We used thematic analysis to code and analyze participant responses, and our findings support the gaps in previous literature and highlight potential pathways to overcoming barriers in cultural adaptation research. Themes included the need for: (a) better understanding of the intersection between culture and context; (b) community‐centered approaches to addressing implementation challenges; and (c) structural changes within institutional, governmental, and political levels. We discuss implications for researchers and practitioners working with Latinx families. Un número cada vez mayor de intervenciones adaptadas culturalmente a nivel familiar abordan las desigualdades en la salud mental con poblaciones marginadas en los Estados Unidos. Sin embargo, con estos avances han surgido muchos obstáculos, como las dificultades con el grado de integración cultural, la participación y la sostenibilidad. Realizamos veinte entrevistas fenomenológicas selectas con investigadores de la salud mental dedicados a la investigación familiar en materia de prevención e intervenciones con varias comunidades latinas dentro y fuera de los Estados Unidos. Estos investigadores comentaron sus experiencias de superación de los obstáculos en su investigación. Utilizamos el análisis temático para decodificar y analizar las respuestas de los participantes; nuestros resultados respaldan la falta de datos en publicaciones previas y destacan las posibles vías para superar los obstáculos en la investigación sobre la adaptación cultural. Los temas incluyeron la nacesidad de: (a) una mejor comprensión del enlace entre la cultura y el contexto; (b) enfoques centrados en la comunidad para abordar las dificultades de implementación; y (c) cambios estructurales dentro de los niveles institucionales, gubernamentales y políticos. Debatimos las implicancias para los investigadores y los profesionales que trabajan con familias latinas. 针对特定文化族群的家庭层面干预来解决处于美国社会边缘的人群心理健康差距问题的做法越来越多,但是在其发展过程中也会遇到一些障碍,比如文化适应程度方面的困难,如何让病人配合和治疗措施持续性的问题等等。我们对12名顶级的心理健康学者进行了现象学的访谈,这些学者均参与过针对很多在美国境内和境外的拉丁美洲社群家庭进行预防和干预的家庭研究。他们都谈到了他们在研究过程中克服障碍的经历。我们使用主题分析法来解码和分析参与者的访谈内容,我们的结果显示在以前的文献中此类研究选题确实存在空白,并指出了克服这些文化调适研究中的障碍的可能路径。主题包括有必要:(a)更好地理解文化和具体生活环境共同的相互作用;(b)以社群为中心的方法来讨论实施过程中的困难;(c)在体制、政府和政治层面进行结构化变革。我们给出了研究者和从业者在跟拉丁美洲家庭打交道时的一些建议。</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>30830697</pmid><doi>10.1111/famp.12433</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0002-4523-0147</orcidid><orcidid>https://orcid.org/0000-0002-7144-8406</orcidid></addata></record>
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ispartof Family process, 2020-06, Vol.59 (2), p.492-508
issn 0014-7370
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language eng
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source Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals; Web of Science - Social Sciences Citation Index – 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />
subjects Adaptation
Barriers
Cultural and Ethnic Diversity
difusión e implementación
Dissemination & Implementation
diversidad cultural y étnica
Elite Interviews
Evidence Based Interventions
Family research
Family Studies
fenomenología
Health disparities
Hispanic Americans
intervención de base fáctica
Intervention
investigación cualitativa
Latin American cultural groups
Marginality
Mental health
Mental health services
Phenomenology
Prevention programs
Preventive medicine
Psychology
Psychology, Clinical
Qualitative Research
salud mental
Social Sciences
宣传和实施
心理健康
文化和种族多样性
有实证基础的干预
现象学
质的研究
title Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions
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