Evidence map›Paper›PMID 28056967›Full record

SynthesisBMC health services research2017

Cultural adaptations to augment health and mental health services: a systematic review.

Priscilla Healey, Megan L Stager, Kyler Woodmass, Alan J Dettlaff, Andrew Vergara, Robert Janke, Susan J Wells

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
13.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Representation of race and ethnicity among cancer survivors in trials of cognitive behavioral therapy for insomnia (CBT-I): A systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  7. Scaling Out the SafeCare Parenting Program: Comparing Task-Shifted and Standard Implementation in a Refugee Community.Prevention science : the official journal of the Society for Prevention Research · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Priscilla HealeyCentre for the Study of Services to Children and Families, University of British Columbia, ASC 453, 3187 University Way, Kelowna, BC, V1V 1V7, Canada.
Megan L StagerCentre for the Study of Services to Children and Families, University of British Columbia, ASC 453, 3187 University Way, Kelowna, BC, V1V 1V7, Canada.
Kyler WoodmassCentre for the Study of Services to Children and Families, University of British Columbia, ASC 453, 3187 University Way, Kelowna, BC, V1V 1V7, Canada.
Alan J DettlaffUniversity of Houston Graduate College of Social Work, 3511 Cullen Blvd Room 110HA, Houston, TX, 77204-4013, USA.
Andrew VergaraCentre for the Study of Services to Children and Families, University of British Columbia, ASC 453, 3187 University Way, Kelowna, BC, V1V 1V7, Canada.
Robert JankeUniversity of British Columbia, Okanagan Campus Library, LIB 241, 3287 University Way, Kelowna, BC, V1V 1V7, Canada.
Susan J WellsCentre for the Study of Services to Children and Families, University of British Columbia, ASC 453, 3187 University Way, Kelowna, BC, V1V 1V7, Canada. susan.wells@ubc.ca.ORCID 0000-0001-5914-9350
University of British Columbia · CAUniversity of Houston · US

Funding

CIHR 111609-1CIHR KIM-111609
6 · The paper itself

Abstract

backgroundMembership in diverse racial, ethnic, and cultural groups is often associated with inequitable health and mental health outcomes for diverse populations. Yet, little is known about how cultural adaptations of standard services affect health and mental health outcomes for service recipients. This systematic review identified extant themes in the research regarding cultural adaptations across a broad range of health and mental health services and synthesized the most rigorous experimental research available to isolate and evaluate potential efficacy gains of cultural adaptations to service delivery.

methodsMEDLINE, PsycINFO, CINAHL, EMBASE, and grey literature sources were searched for English-language studies published between January 1955 and January 2015. Cultural adaptations to any aspect of a service delivery were considered. Outcomes of interest included changes in service provider behavior or changes in the behavioral, medical, or self-reported experience of recipients.

resultsThirty-one studies met the inclusion criteria. The most frequently tested adaptation occurred in preventive services and consisted of modifying the content of materials or services delivered. None of the included studies focused on making changes in the provider's behavior. Many different populations were studied but most research was concerned with the experiences and outcomes of African Americans. Seventeen of the 31 retained studies observed at least one significant effect in favor of a culturally adapted service. However there were also findings that favored the control group or showed no difference. Researchers did not find consistent evidence supporting implementation of any specific type of adaptation nor increased efficacy with any particular cultural group.

conclusionsConceptual frameworks to classify cultural adaptations and their resultant health/mental health outcomes were developed and applied in a variety of ways. This review synthesizes the most rigorous research in the field and identifies implications for policy, practice, and research, including individualization, cost considerations, and patient or client satisfaction, among others.

Indexed as

Cultural CompetencyBlack or African AmericanCounselingCultureEthnicityHumansMental DisordersMental Health ServicesPatient SatisfactionRacial GroupsCultural appropriatenessCultural competenceCultural safetyEthnicityHealthMental healthRacial disparities

Identifiers

PMID28056967
PMCPMC5217593
OpenAlexW2569218236

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.