Adaptation models, barriers, and facilitators for cultural safety in telepsychiatry: A systematic scoping review

Introduction: Indigenous peoples, and racial and ethnic minorities around the world experience significant mental health inequities. Telepsychiatry can contribute to addressing these inequities among these populations. However, it is first crucial to ensure the cultural safety of this tool as a critical step toward health equity. This review aimed to collate evidence regarding cultural adaptations, barriers, opportunities, and facilitators for telepsychiatry services supporting minority groups. Method: Using the PRISMA extension for scoping reviews (PRISMA-ScR) guideline, we conducted a systematic scoping review and thematic analysis. Six databases were searched using the PICO framework, i.e., population, intervention, comparison, and outcomes.. Additional literature was identified through reference lists screening. We developed a table for data extraction, and the extracted data were further analyzed following Braun and Clarke's approach for thematic analysis. Results: A total of 1514 citations were screened with a final total of 58 articles included in the review. The themes related to telepsychiatry cultural adaptations emphasize the crucial role of community involvement and quality service delivery. Identified barriers were associated with service and infrastructure, and service users’ socioeconomic and cultural contexts. Opportunities and facilitators for telepsychiatry were enhanced access and rapport, and multi-organizational collaborations and partnerships. Discussion: This review identified factors that can guide the adaptation of telepsychiatry evidence-based interventions to meet the needs of Indigenous peoples and racial and ethnic minorities. Telepsychiatry programs must be specifically designed for the population they seek to serve, and this review offers emerging insights into critical factors to consider in their development.

Dynamics of Human Resource Strategies and Cultural Orientations in Multinational Corporations

The search for new market opportunities in order to expand operations has been on the increase globally, and organizations are progressively pouring their resources into these expansions probably because of the huge turnover and return on investment derived from new market explorations. Multinational corporations (MNCs) that seek the market expansions in other developing countries transfer specific advantages and benefits to the emerging markets in order to operate effectively. The MNCs are required by law to comply with the legal obligations, local regulations, and cultural adaptations in the bid to transfer specific advantages. The situation becomes more complex because of the different cultures in different countries. New strategies are introduced to resolve the new challenges that each new market entrance offers. These strategies pose tremendous risk to expanding markets and their operations, especially to developing markets. Recommendations are suggested to HRM practitioners and scholars, and issues are considers for future research.

Cultural Adaptations in Maintaining Religious Harmony in the Labor Community at PT Satya Krisma Usaha Factory in Tebo Ilir Jambi

<p>This study describes the cultural adaptation carried out by the factory worker community consisting of various ethnicities and religions at PT Satya Krisma in Tebo Ilir Jambi, in maintaining religious harmony. This research uses qualitative research that emphasizes the depth of information obtained through interviews and is also supported by field observation methods. The results of the study show that first, the reality of life that occurs in the community of factory workers in the village of Betung Bedarah Barat is very harmonious and harmonious until now, because the community always respects and respects, and always prioritizes mutual assistance and cooperation. Second, factors that influence the occurrence of harmony are internal and external factors, internal factors are tolerance, dialogue between communities and there is also awareness of diversity. The external factor is that there are institutions that support religious harmony, namely the involvement of the government, traditional leaders and religious leaders. Third, in maintaining harmony, they have strategies including strengthening brotherhood, the role of traditional leaders, religious leaders, and maximizing regulations and the role of local governments.</p><p><em>Penelitian ini menjelaskan tentang adaptasi budaya komunitas buruh pabrik dalam menjaga kerukunan umat beragama di PT Satya Krisma di Tebo Ilir Jambi. P</em><em>eneliti</em><em>an ini</em><em> menggunakan jenis penelitian kualitatif yang menekankan pada aspek kedalaman informasi yang diperoleh melalui wawancara dan didukung pula oleh metode observasi lapangan.</em><em> Hasil penelitian menunjukkan bahwa pertama, realita kehidupan yang terjadi pada komunitas buruh pabrik di desa Betung Bedarah Barat sangat rukun dan harmonis sampai saat ini, karena masyarakat selalu menghargai dan menghormati, dan selalu mengedepankan sikap saling bantu dan bekerja sama. Kedua, </em><em>faktor yang mempengaruhi terjadinya keharmonisan yaitu faktor internal dan eksternal, faktor internal yaitu adanya sikap toleransi, dialog antar masyarakat dan juga terdapat kesadaran. Faktor eksternal yaitu terdapat lembaga yang menjadi pendukung dalam kerukunan umat beragama yaitu adanya keterlibatan pemerintah, tokoh adat dan tokoh agama. </em><em>Ketiga, </em><em>dalam mempertahankan kerukunan, mereka mempunyai strategi di antaranya memperkuat tali persaudaraan, melibatkan tokoh adat, tokoh agama, dan memaksimalkan peran regulasi pemerintah daerah</em>.</p>

Cultural Adaptations to Recruitment Strategies and Community-Based Interventions for Dementia Caregivers

Nearly 30 years after the 1993 National Institute of Health Revitalization Act, minority groups’ low participation in research remains (which required the inclusion of women and racial/ethnic minority groups into government-funded clinical trials). This is particularly the case for participation in research on Alzheimer’s Disease and related dementias (ADRD). Deeply rooted historical race-based mistreatment in research and in the health care system at large persist as barriers to low-participation of minorities (i.e. Black/African American, Hispanic/Latino) and immigrants in research studies, who remain at disparate risk for adverse ADRD health outcomes and expedited mortality. The use of culturally adapted approaches in recruitment strategies and community-based interventions might be helpful to encourage the participation of underrepresented groups into research. As such, this presentation highlights three studies that seek to use cultural adaptation to inform recruitment strategies and community-based interventions. First, Dr. Parker will present how tenets from Critical Race Theory can be used to inform culturally-adapted recruitment strategies of Black/African American caregivers into community-based research by drawing upon two ongoing studies: a randomized trial providing caregiver support through Adult Day Services (ADS) and the evaluation of impact of ADS on stress levels of Black/African American using biomarker measures. Next, Ms. Johnson will present results on cultural adaptions to the ADS-Plus Program for Spanish-speaking populations. Finally, Dr. Nkimbeng will present on the process of culturally-tailoring dementia education for African immigrants in Minnesota. Findings from this presentation identify opportunities for researchers to use cultural adaptations to encourage participation of underrepresented populations into ADRD research.

Thinking global health from the perspective of anthropology

COVID-19 has brought about political, economic, cultural, and interspecies problems far from medical areas, which challenges academia to rethink global health. For holism principle, anthropology offers valuable insights into these health issues, including the political economy of inequality, cultural diversity, and cultural adaptations, as well as the study of multispecies ethnography. These perspectives indicate that unequal political and economic systems contribute to health problems when people acknowledge disease and illness mechanisms. Moreover, cultural diversity and cultural adaptation are essential for providing appropriate medical solutions. Lastly, as a research method of studying interspecies relationships, multispecies ethnography promotes one health and planetary health from the ultimate perspective of holism. In conclusion, global health is not only a bio-medical concept but also involves political economy, culture, and multispecies factors, for which anthropology proffers inspiring theories and methods.

Standardised research methods and documentation in cultural adaptation: The need, the potential and future steps

Background Refugees and asylum seekers in Europe are affected by high prevalence of common mental disorders. Under the call ‘mental health of refugee populations’, the German Federal Ministry of Education and Research (FMER) funded a series of research projects to test evidence-based psychological interventions among refugee populations in Germany. In addition, the “Task force for cultural adaptation of mental health interventions for refugees” was established to develop a structured procedure for harmonising and documenting cultural adaptations across the FMER-funded research projects. Method A template for documenting cultural adaptations in a standardised manner was developed and completed by researchers in their respective projects. Documentation contained original data from formative research, as well as references and other sources that had been used during the adaptation process. All submitted templates and additional materials were analysed using qualitative content analysis. Results Research projects under the FMER call include minors, adults, and families from different origins with common mental disorders. Two studies used and adapted existing manuals for the treatment of PTSD. Four studies adapted existing transdiagnostic manuals, three of which had already been developed with a culture-sensitive focus. Four other studies developed new intervention manuals using evidence-based treatment components. The levels of cultural adaptation varied across studies, ranging from surface adaptations of existing manuals to the development of new, culture-sensitive interventions for refugees. Conclusions Cultural adaptation is often an iterative process of piloting, feedback, and further adaptation. Having a documentation system in place from start helps structuring this process and increases transparency.