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Hacer adaptaciones estructurales profundas: un estudio cualitativo de participación comunitaria para adaptar
Sonyia C Richardson1, Margaret Phipps-Bennett1, Kim Gryglewicz2
1School of Social Work, University of North Carolina at Chapel Hill.
Cultural diversity & ethnic minority psychology
|September 2, 2025
Resumen
La adaptación cultural de las intervenciones de prevención del suicidio para los jóvenes negros requiere la participación de la comunidad y cambios profundos en la estructura. Dar prioridad a la socialización racial y validar las fortalezas es clave para las estrategias efectivas de salud mental juvenil.
Área de la Ciencia:
- Psiquiatría y salud mental
- Salud pública
- Adaptación cultural de las intervenciones
Sus antecedentes:
- Abordando las críticas tasas de suicidio entre los jóvenes negros.
- Destacando la necesidad de intervenciones de salud mental adaptadas a la cultura.
- Reconociendo las limitaciones de los modelos genéricos de prevención del suicidio.
Objetivo del estudio:
- Recopilar información de las partes interesadas de la comunidad para adaptar culturalmente las intervenciones de prevención del suicidio para los jóvenes negros.
- Informar sobre la adaptación de la intervención de vinculación de las personas que necesitan atención.
- Asegurar que las intervenciones satisfagan las necesidades culturales específicas de los jóvenes negros.
Principales métodos:
- Empleado un diseño cualitativo culturalmente adaptativo.
- Se llevaron a cabo grupos focales de participación comunitaria durante seis meses con diversos participantes (jóvenes, cuidadores, miembros de la comunidad, proveedores).
- Utilizó un proceso iterativo alineado con el Modelo de Validez Ecológica con 58 participantes.
Principales resultados:
- Necesidad identificada de adaptaciones culturales profundas sobre los cambios de nivel superficial.
- Temas clave: lenguaje centrado en el bienestar, confianza mutua, reformulación de mitos, integración de contenido centrado en los negros, afirmación de fortalezas, objetivos relevantes, planificación de crisis culturales y atención centrada en los negros.
- Enfatizó la socialización racial y validó las fortalezas de los jóvenes para la prevención del suicidio.
Conclusiones:
- La retroalimentación de la comunidad es esencial para diseñar intervenciones efectivas de prevención del suicidio para los jóvenes negros.
- Las adaptaciones de estructura profunda y la incorporación de contenido de socialización racial son cruciales.
- Las fortalezas validadas, no solo las luchas, son vitales para el éxito de la intervención.
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