TY - JOUR
T1 - Cultural adaptation of INDIGO mental health stigma reduction interventions using an ecological validity model in north India
AU - Daniel, Mercian
AU - Kallakuri, Sudha
AU - Gronholm, Petra C
AU - Wahid, Syed Shabab
AU - Kohrt, Brandon
AU - Thornicroft, Graham
AU - Maulik, Pallab K
N1 - Funding Information:
The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This research is funded by the UK Medical Research Council (MRC) [MR/R023697/1]. The funding body had no role in the design of the study, its data collection, analysis, and interpretation, or the writing of this manuscript. For the purpose of open access, the author has applied a Creative Commons Attribution (CC BY) licence (where permitted by UKRI, ‘Open Government Licence’ or ‘Creative Commons Attribution No-derivatives (CC BY-ND) licence’ may be stated instead) to any Author Accepted Author Manuscript version arising from this submission. MD and PCG are supported by the UK Medical Research Council (UKRI) for the Indigo Partnership (MR/R023697/1) award. PKM and SK are partially or wholly supported by the UKRI/MRC grant (MR/S023224/1) Adolescents’ Resilience and Treatment Needs for Mental health in Indian Slums (ARTEMIS) grant and NHMRC/GACD SMART Mental Health grant (APP1143911). GT is supported by the National Institute for Health and Care Research (NIHR) Applied Research Collaboration South London (NIHR ARC South London) at King’s College Hospital NHS Foundation Trust. GT is also supported by the UK Medical Research Council (UKRI) for the Indigo Partnership (MR/R023697/1) awards.
Publisher Copyright:
Copyright © 2024 Daniel, Kallakuri, Gronholm, Wahid, Kohrt, Thornicroft and Maulik.
PY - 2024/1/31
Y1 - 2024/1/31
N2 - BACKGROUND: The International Study of Discrimination and Stigma Outcomes (INDIGO) Partnership is a multi-country international research program in seven sites across five low- and middle-income countries (LMICs) in Africa and Asia to develop, contextually adapt mental health stigma reduction interventions and pilot these among a variety of target populations. The aim of this paper is to report on the process of culturally adapting these interventions in India using an established framework.METHODS: As part of this larger program, we have contextualized and implemented these interventions from March 2022 to August 2023 in a site in north India. The Ecological Validity Model (EVM) was used to guide the adaptation and contextualization process comprising eight dimensions.FINDINGS: Six dimensions of the Ecological Validity Model were adapted, namely language, persons, metaphors, content, methods, and context; and two dimensions, namely concepts and goals, were retained.CONCLUSION: Stigma reduction strategies with varied target groups, based on culturally appropriate adaptations, are more likely to be acceptable to the stakeholders involved in the intervention, and to be effective in terms of the program impact.
AB - BACKGROUND: The International Study of Discrimination and Stigma Outcomes (INDIGO) Partnership is a multi-country international research program in seven sites across five low- and middle-income countries (LMICs) in Africa and Asia to develop, contextually adapt mental health stigma reduction interventions and pilot these among a variety of target populations. The aim of this paper is to report on the process of culturally adapting these interventions in India using an established framework.METHODS: As part of this larger program, we have contextualized and implemented these interventions from March 2022 to August 2023 in a site in north India. The Ecological Validity Model (EVM) was used to guide the adaptation and contextualization process comprising eight dimensions.FINDINGS: Six dimensions of the Ecological Validity Model were adapted, namely language, persons, metaphors, content, methods, and context; and two dimensions, namely concepts and goals, were retained.CONCLUSION: Stigma reduction strategies with varied target groups, based on culturally appropriate adaptations, are more likely to be acceptable to the stakeholders involved in the intervention, and to be effective in terms of the program impact.
UR - http://www.scopus.com/inward/record.url?scp=85185277914&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2024.1337662
DO - 10.3389/fpsyt.2024.1337662
M3 - Article
C2 - 38356906
SN - 1664-0640
VL - 15
SP - 1337662
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
M1 - 1337662
ER -
