Cultural considerations Flashcards
What are some issues that have arisen from cross-cultural research?
- Issues with structural and measurement equivalence: psychological constructs could be different across culture (could be experienced differently or mean different things)
- Hierarchical structure of the data (person within environment and culture): we look at individuals as individuals (driven by individualistic culture)
- Ethical issues for test adaptation and use: international standards and competence vary
- issues with representation: 2021 = 89% of the world’s population continues to be neglected, lack in sample researchers and funding
What is a benefit and limitation of the DASS-21 (Depression, Anxiety, and Stress Scale-21 items)?
Many languages, but few African languages
What is an issue with some measurements and their questions?
- does not take into account context/timing
- using a measure because it is a gold standard not because it is what is clinically best for the client
What did the Kleinman 2004 article use as examples of Depression between Chinese culture and Western culture?
• Chinese Culture ○ Boredom ○ Discomfort ○ Feelings of inner pressure ○ Pain ○ Dizziness ○ Fatigue • U.S. Culture ○ Crying ○ Feeling sad or down ○ Fatigue/decreased energy ○ Change in appetite and sleep ○ Loss of pleasure
What is a common misuse of “culture”?
- It’s not clearly defined and fixed
- A lot of differences within a culture
What are the significant gaps that the Global Mental Health studies have identified?
- The vast majority of people in some countries don’t get mental health treatment they need
- Gaps largest in low and middle-income countries
- Human rights abuses against affected individuals
- Need for scale-up of services
What elements are guiding the Cultural Adaptation process?
- CBO’s: representatives from where the work will be done
- Advisory Committee: ongoing engagement during development, diverse representation
- Research Team: researchers, practitioners, community and experts
What is included in the guidelines for researchers and stakeholders with Aboriginal and Torres Strait Islander Peoples?
Spirit and Integrity
- Responsibility, reciprocity
- Respect
- Equity
- Cultural continuity
What was introduced in the Cultural Adaptation model by Barrera & Castro 2006?
- a top-down approach
- Information gathering
- Preliminary Adaptation Design
- Preliminary Adaptation Tests
- Adaptation Reinforcement
What is meant by Adaptation-language in the Cultural Adaptation model by Barrera & Castro 2006?
Gold Standards for Primary Outcome measures
- Translation, (synthesis,) and back-translation
- Committee review
- Pre-testing
What is important in Adaptation-language in the Cultural Adaptation model by Barrera & Castro 2006?
Reduce - simplify - prioritise
What measure of adaptation-equivalence (Prince, 2014) is the below question?
Is the concept meaningful and recognized within the culture?
Content
What measure of adaptation-equivalence (Prince, 2014) is the below question?
Do the items mean the same things when translated?
Semantic
What measure of adaptation-equivalence (Prince, 2014) is the below question?
Does data collection influence results differentially?
Technical
What measure of adaptation-equivalence (Prince, 2014) is the below question?
How does the measure relate to established criteria for the same experience?
Criterion
