ArticleFrontiers in psychiatry2020
The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression Among Chinese Young Adults.
Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022Pooled it
- A Systematic Review on Sexual Health and Drug Use Prevention Interventions for Black Girls.International journal of environmental research and public health · 2022Pooled it
- Mobile intervention to address cannabis use disorder among black adults: A proof-of-concept randomized controlled trial.Behaviour research and therapy · 2025Trial
- Effects of a self-guided digital mental health self-help intervention for Syrian refugees in Egypt: A pragmatic randomized controlled trial.PLoS medicine · 2024Trial
- A WHO digital intervention to address depression among young Chinese adults: a type 1 effectiveness-implementation randomized controlled trial.Translational psychiatry · 2024Trial
- Effects of an African Circle Dance Programme on Internally Displaced Persons with Depressive Symptoms: A Quasi-Experimental Study.International journal of environmental research and public health · 2021Trial
- Meaning-centered psychotherapy for Chinese caregivers of patients with advanced cancer: Cultural and linguistic adaptation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Cultural adaptation of the fear of cancer recurrence therapy (FORT) for Turkish breast cancer survivors.BMC psychology · 2026Article
- Cultural Adaptations of Healthcare Interventions: A Step-by-Step Guide.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Outcomes of the Sustainable Culturally Adapted Nutrition Program (SCAN) and food supplement program to improve engagement with the National Diabetes Prevention Program (NDPP).Frontiers in clinical diabetes and healthcare · 2026Article
- An Ubuntu-guided large language model framework for cognitive behavioral mental health dialogue.Frontiers in digital health · 2026Article
- A Proposed Taxonomy to Holistically Classify Employee Mental Health Programs: Qualitative Taxonomy Development Study.Interactive journal of medical research · 2025Article
- Exploring Desired Features of Mobile Health Apps for Patients With Diabetes to Enhance Engagement and Self-Management: Qualitative Study.JMIR diabetes · 2025Article
- Advancing health equity and the role of digital health technologies: a scoping review.BMJ open · 2025Article
- Health Care Professionals' Engagement With Digital Mental Health Interventions in the United Kingdom and China: Mixed Methods Study on Engagement Factors and Design Implications.JMIR mental health · 2025Article
- Optimizing Nursing Communication for Symptom Management in Hemodialysis: Development of an Artificial Intelligence-Based Web Predictive Model for Burden Classification and Evidence Navigation.Journal of nursing management · 2025Article
- Article
- Community-based adaptation of early adolescent skills for emotions for urban adolescents and caregivers in New York City.Global mental health (Cambridge, England) · 2025Article
- Cultural adaptation of the facial emotion perception test for use in Zimbabwe: A pilot study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Reliability and validity of mental health measurement of young people in a Chinese urban context.PloS one · 2025Article
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6 authors.
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Abstract
backgroundDigital mental health interventions leverage digital communication technology to address the mental health needs of populations. Culturally adapting interventions can lead to a successful, scalable mental health intervention implementation, and cultural adaptation of digital mental health interventions is a critical component to implementing interventions at scale within contexts where mental health services are not well supported.
objectiveThe study aims to describe the cultural adaptation of a digital mental health intervention Step-by-Step in order to address depression among Chinese young adults.
methodsCultural adaptation was carried out in four phases following Ecological Validity Model: (1) stage setting and expert consultation; (2) preliminary content adaptation; (3) iterative content adaptation with community members; (4) finalized adaptation with community feedback meetings. Cognitive interviewing was applied to probe for relevance, acceptability, comprehensibility, and completeness of illustrations and text. Six mental health experts and 34 Chinese young adults were recruited for key informant interviews and focus group discussions.
resultsWe adapted the text and illustrations to fit the culture among Chinese young adults. Eight elements of the intervention were chosen as the targets of cultural adaptation (e.g., language, metaphors, content). Samples of major adaptations included: adding scenarios related to university life (
conclusionThis study showed the utility of using Ecological Validity Model and a four-point procedure framework for cultural adaptation and achieved a culturally appropriate version of the Step-by-Step program for Chinese young adults.
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