Trial reportInternational journal of environmental research and public health2025
Mirrors for Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy.
Trial report in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pacific Islander youth face disproportionately high rates of suicide and mental health challenges, yet culturally appropriate interventions remain scarce. This study investigated whether culturally adapted bibliotherapy could effectively promote resilience in American Samoan children by incorporating culturally relevant stories and coping strategies. Through collaboration with on-island Samoan cultural brokers, we developed and implemented culturally adapted stories and lessons designed to resonate with the experiences of children in American Samoa. The study employed a mixed-methods approach with 34 American Samoan children aged 5-13 years, using observations, adapted card sorts, and forced-choice procedures to measure responses to the intervention. The results demonstrated that participants showed strong identification with the culturally adapted stories and characters, actively engaged with the embedded coping strategies, and reported increased confidence in applying resilience techniques. These findings suggest that culturally adapted bibliotherapy holds promise as an effective method for promoting resilience in Pacific Islander children while highlighting the importance of cultural authenticity in mental health interventions.
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