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The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology.

Arundell, L-L; Barnett, P; Buckman, JEJ; Saunders, R; Pilling, S; (2021) The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology. Clinical Psychology Review , 88 , Article 102063. 10.1016/j.cpr.2021.102063. Green open access

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Abstract

This review assessed the efficacy of adapted psychological interventions for Black and minority ethnic (BME) groups. A conceptual typology was developed based on adaptations reported in the literature, drawing on the common factors model, competence frameworks and distinctions between types of cultural adaptations. These distinctions were used to explore the efficacy of different adaptations in improving symptoms of a range of mental health problems for minority groups. Bibliographic searches of MEDLINE, Embase, PsycINFO, HMIC, ASSIA, CENTRAL, CDSR and CINAHL spanned the period from 1965 to December 2020. Adaptations to interventions were categorised: i) treatment specific: therapist-related, ii) treatment-specific: content-related and iii) organisation-specific. Meta-analyses of RCTs found a significant effect on symptom reduction when adapted interventions were compared to non-adapted active treatments (K = 30, Hedge's g = -0.43 [95% CI: -0.61, -0.25], p < .001). Studies often incorporated multiple adaptations, limiting the exploration of the comparative effectiveness of different adaptation types, although inclusion of organisation-specific adaptations may be associated with greater benefits. Future research, practitioner training and treatment and service development pertaining to adapted care for minority groups may benefit from adopting the conceptual typology described.

Type: Article
Title: The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.cpr.2021.102063
Publisher version: https://doi.org/10.1016/j.cpr.2021.102063
Language: English
Additional information: © 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Ethnic minorities, Mental health, Psychological interventions, Racial minorities, Refugee, Systematic review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10131835
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