Abstract
There has been an increase in the implementation of evidence-based parenting programs from high-income countries to several African countries. In this review, we systematically evaluated intervention studies of culturally adapted parenting programs in nine African countries with the objective of examining the quality of training for interventionists and cultural adaptation procedures. A total of 18 studies, obtained from an electronic search of 6 databases, met the inclusion criteria and were evaluated following PRISMA guidelines. The Ecological Validity Model was adopted to organize data on cultural adaptation procedures. Sixteen of the 18 studies reported information regarding the clinical training of interventionists and the cultural adaptations undertaken. Live and interactive workshops were the most common format used to train interventionists in the focal intervention. Overall, cultural adaptations in most studies included translation of intervention protocols into the local language. However, studies varied in the way cultural adaptation procedures were reported with some studies failing to report on cultural adaptation procedures. Concurring with previous literature, attending to issues of culture, power, privilege, access, sustainability, and other relevant concepts to increase the cultural relevance is highly encouraged in parent intervention studies in Africa. This review provides a baseline upon which future training and adaptation procedures can be built.
摘要
就高收入国家到几个非洲国家来看，循证育儿计划的实施有所增加。本文献综述中，笔者系统地评估了九个非洲国家的文化适应性父母育儿项目的干预研究，目的是研究干预人员和文化适应方面做法的培训质量。从六个数据库的电子检索中搜索到符合纳入标准的研究18项，并按照PRISMA准则进行了评估。采用生态效度模型来组织文化适应过程的数据。18项研究中的16项报告了有关干预医生的临床培训和所进行的文化适应的信息。现场和互动研讨会是重点干预方面培训干预人员最常用的形式。总的来说，大多数研究中的文化适应包括将干预方案翻译成当地语言。然而，在文化适应做法的报道方式上各研究不尽相同，一些研究没有报道文化适应做法。与以前的文献一样，在关于非洲国家的父母干预研究中，本研究结果表明需要强烈鼓励关注文化、权力、特权、获取、可持续性和其他相关概念，以增加文化相关性。今后的培训和文化适应性程序可以以本文提供的结果为基础。