Symposium 127 - Equity-Focused, Community-Engaged, Implementation Minded Intervention Development and Adaptation

Sunday, November 19, 2023

8:30 AM – 10:00 AM PST

Location: Willipa (512), Level 5

CE: 1.5

Keywords: Treatment Development, Culture, Hispanic American/ Latinx
Level of Familiarity: Basic to Moderate
Recommended Readings: Baumann, A. A., & Cabassa, L. J. (2020). Reframing implementation science to address inequities in healthcare delivery. BMC Health Services Research, 20, 1-9., Stafford, A. M., & Draucker, C. B. (2020). Barriers to and facilitators of mental health treatment engagement among Latina adolescents. Community mental health journal, 56, 662-669., Nagy, G. A., Cuervo, C., Ramos Rodríguez, E. Y., Plumb Vilardaga, J., Zerubavel, N., West, J., Falick, M.C., & Parra, D. C. (2022). Building a more diverse and inclusive science: Mindfulness-based approaches for Latinx Individuals. Mindfulness., Puffer, E. S., Johnson, S. L., Quick, K. N., Rieder, A. D., Mansoor, M., Proeschold-Bell, R. J., ... & Boone, W. J. (2022). Family strengthening in the context of COVID-19: Adapting a community-based intervention from Kenya to the United States. Prevention Science,1-12., Cabassa, L. J., & Baumann, A. A. (2013). A two-way street: Bridging implementation science and cultural adaptations of mental health treatments. Implementation Science, 1-14.

Chair(s)

GN

Gabriela Nagy, Ph.D. (she/her/hers)

Assistant professor
University of Wisconsin-Milwaukee
Milwaukee, Wisconsin

Discussant(s)

RG

Rosa Gonzalez-Guarda, M.P.H., Ph.D., RN (she/her/hers)

Associate Professor
Duke University School of Nursing
Durham, North Carolina

Presenter(s)

GN

Gabriela Nagy, Ph.D. (she/her/hers)

Assistant professor
University of Wisconsin-Milwaukee
Milwaukee, Wisconsin
AS

Allison Stafford, Ph.D., RN (she/her/hers)

Duke University
DURHAM, North Carolina
Savannah Johnson, B.S., M.A. (she/her/hers)

Phd Candidate
Duke University
Durham, North Carolina
DP

Diana Parra, B.S., M.P.H., Ph.D. (she/her/hers)

Washington University in St. Louis
St. louis, Missouri

Traditional methods for designing interventions in clinical psychology have neglected to address the social drivers of health equities impacting marginalized communities, have not sufficiently included the perspectives of community partners, and have often not focused on wide-scale dissemination and implementation from the outset. As a result, a great deal of interventions have garnered empirical support under controlled conditions (efficacy trials), yet the translation to real-life settings (effectiveness trials) has been hampered. This has contributed to the science-to-practice gap whereby interventions take an average of 17 years to be available in routine practice, thereby limiting their potential public health impact. In recognition of this reality, the field of clinical psychology in recent years has increased its focus on leveraging community input to inform interventions as a means to increase the representation and inclusion of communities that have been systematically oppressed, disenfranchised, and excluded by academic research, the intensity of which has increased during the COVID-19 pandemic. Moreover, the field of implementation science has rapidly grown and intervention developers are more often incorporating implementation frameworks, theories, and models earlier in the process of designing, refining, and adapting interventions. The present symposium will describe approaches taken by a multidisciplinary group of researchers who are working at the intersection of health equity, community-engagement, intervention development, and implementation science in the development, refinement, adaptation, and testing of interventions for Latinx individuals. To this end, Presentation 1 will focus on the co-development (with community partners) of a psychosocial group for immigrants and refugees from Latin America aimed at reducing acculturative stress that will be tested in Wisconsin. Presentation 2 will report on qualitative themes informing implementation strategies that hold promise for facilitating Latinx parent-child dyads’ connection to depression treatment in North Carolina . Presentation 3 describes a human-centered design approach to cultural adaptation (for Latinx families) of a family-based intervention previously tested in Kenya and North Carolina. Lastly, Presentation 4 will detail a community-engaged approach to developing and pilot testing a mindfulness-based group for Latina immigrants in Missouri.

Learning Objectives:

At the end of the session, the learner will be able to:

Describe ways that psychosocial interventions designed for Latinx individuals hold promise for reducing health inequities.
Communicate the value of leveraging community input in the original development, refinement, and adaptation of psychosocial interventions.
Select and apply implementation science frameworks, theories, and models to intervention design and implementation.
Outline a systematic approach to cultural adaptation of psychosocial interventions.
Report on ways that human-centered design approaches might facilitate the intervention development and refinement process.