Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols

Abstract Background In Colombia, over 9 million people have been impacted by armed conflict, creating a significant need for mental health services. This study aimed to culturally adapt and pilot test the Youth Readiness Intervention (YRI), an evidence-based transdiagnostic mental health intervent...

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Main Authors: María Pineros-Leano, Alethea Desrosiers, Natalia Piñeros-Leaño, Andrés Moya, Catalina Canizares-Escobar, Lyann Tam, Theresa S. Betancourt
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Cambridge Prisms: Global Mental Health
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Online Access:https://www.cambridge.org/core/product/identifier/S2054425124001067/type/journal_article
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author María Pineros-Leano
Alethea Desrosiers
Natalia Piñeros-Leaño
Andrés Moya
Catalina Canizares-Escobar
Lyann Tam
Theresa S. Betancourt
author_facet María Pineros-Leano
Alethea Desrosiers
Natalia Piñeros-Leaño
Andrés Moya
Catalina Canizares-Escobar
Lyann Tam
Theresa S. Betancourt
author_sort María Pineros-Leano
collection DOAJ
description Abstract Background In Colombia, over 9 million people have been impacted by armed conflict, creating a significant need for mental health services. This study aimed to culturally adapt and pilot test the Youth Readiness Intervention (YRI), an evidence-based transdiagnostic mental health intervention, for conflict-affected Colombian youth aged 18-28 years. Methods The eight phases of the Assessment, Decision, Administration, Production, Topical Experts, Integration, Training, and Testing (ADAPT-ITT) framework were used to culturally adapt the YRI for conflict-affected Colombian youth. The Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) was used to track the adaptations made. Qualitative and quantitative data were gathered and analyzed throughout the adaptation process. Results Data from the Assessment phase demonstrated a high need for mental health interventions among conflict-affected youth. The Testing phase revealed significant improvements in emotion regulation and functional impairment, suggesting the YRI is a promising intervention among conflict-affected Colombian youth. Qualitative data confirmed the intervention’s acceptability among youth and mental health providers. Conclusions The YRI was successfully adapted for conflict-affected Colombian youth. Future studies using randomized designs are needed to test the effectiveness of the YRI for improving mental health among larger samples of Colombian conflict-affected youth.
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spelling doaj-art-2ca9fdd671fd418fa579e3d726fd89af2024-11-28T08:00:13ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512024-01-011110.1017/gmh.2024.106Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocolsMaría Pineros-Leano0https://orcid.org/0000-0001-7057-8316Alethea Desrosiers1https://orcid.org/0000-0003-2392-0371Natalia Piñeros-Leaño2https://orcid.org/0009-0002-2869-0608Andrés Moya3Catalina Canizares-Escobar4Lyann Tam5Theresa S. Betancourt6Boston College, School of Social Work, Chestnut Hill, MA, USABrown University, Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Providence, RI, USAUniversidad de Los Andes, Department of Economics, Bogotá, ColombiaUniversidad de Los Andes, Department of Economics, Bogotá, ColombiaFlorida International University, Robert Stempel College of Public Health and Social Work, Miami, FL, USABoston College, Connell School of Nursing, Chestnut Hill, MA, USABoston College, School of Social Work, Chestnut Hill, MA, USA Abstract Background In Colombia, over 9 million people have been impacted by armed conflict, creating a significant need for mental health services. This study aimed to culturally adapt and pilot test the Youth Readiness Intervention (YRI), an evidence-based transdiagnostic mental health intervention, for conflict-affected Colombian youth aged 18-28 years. Methods The eight phases of the Assessment, Decision, Administration, Production, Topical Experts, Integration, Training, and Testing (ADAPT-ITT) framework were used to culturally adapt the YRI for conflict-affected Colombian youth. The Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) was used to track the adaptations made. Qualitative and quantitative data were gathered and analyzed throughout the adaptation process. Results Data from the Assessment phase demonstrated a high need for mental health interventions among conflict-affected youth. The Testing phase revealed significant improvements in emotion regulation and functional impairment, suggesting the YRI is a promising intervention among conflict-affected Colombian youth. Qualitative data confirmed the intervention’s acceptability among youth and mental health providers. Conclusions The YRI was successfully adapted for conflict-affected Colombian youth. Future studies using randomized designs are needed to test the effectiveness of the YRI for improving mental health among larger samples of Colombian conflict-affected youth. https://www.cambridge.org/core/product/identifier/S2054425124001067/type/journal_articleevidence-based interventioncultural adaptationconflict-affected youthmental health
spellingShingle María Pineros-Leano
Alethea Desrosiers
Natalia Piñeros-Leaño
Andrés Moya
Catalina Canizares-Escobar
Lyann Tam
Theresa S. Betancourt
Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols
Cambridge Prisms: Global Mental Health
evidence-based intervention
cultural adaptation
conflict-affected youth
mental health
title Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols
title_full Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols
title_fullStr Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols
title_full_unstemmed Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols
title_short Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols
title_sort cultural adaptation of an evidence based intervention to address mental health among youth affected by armed conflict in colombia an application of the adapt itt approach and frame is reporting protocols
topic evidence-based intervention
cultural adaptation
conflict-affected youth
mental health
url https://www.cambridge.org/core/product/identifier/S2054425124001067/type/journal_article
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