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Cultural adaptation in translational research: field experiences
Jessy G Dévieux1, Robert M Malow, Rhonda Rosenberg
1Florida International University, AIDS Prevention Program, College of Health and Urban Affairs/Public Health, North Miami, Florida 33136, USA. devieuxj@fiu.edu
Summary
Adapting HIV/AIDS interventions for diverse populations requires careful cultural translation and consideration of literacy levels. Ensuring fidelity and protecting participant rights are crucial for effective public health strategies.
Area of Science:
- Public Health
- Health Disparities
- Behavioral Science
Background:
- Rising HIV/AIDS incidence among minority and diverse populations necessitates tailored prevention strategies.
- Effective HIV/AIDS interventions require cultural adaptation for marginalized communities globally.
- Ecological validity in intervention research emphasizes real-world applicability and cultural relevance.
Purpose of the Study:
- To detail the process of culturally adapting HIV/AIDS prevention interventions for multicultural populations.
- To share strategies for maintaining intervention fidelity during cultural adaptation.
- To address challenges in adapting interventions for low-literacy participants and protect research participants.
Main Methods:
- Iterative translation (forward and backward) and a cultural linguistic committee.
- Focus group discussions and consultations with researchers.
- Documentation of procedures to ensure fidelity and ethical considerations.
Main Results:
- Cultural adaptation requires attention to language nuance and participant literacy levels.
- Strategies were developed to maintain core components of evidence-based HIV prevention.
- Ethical considerations, including informed consent for vulnerable populations, were addressed.
Conclusions:
- Culturally relevant materials and appropriate literacy levels are essential for effective HIV/AIDS interventions.
- Adapting interventions demands a rigorous process to ensure fidelity and participant protection.
- Successful adaptation enhances the ecological validity and impact of public health initiatives.