This research was supported by Grant R40 MC 02497 from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Services Administration, Department of Health and Human Services (PI: Le). Special thanks to Adriana Ortiz, our research staff, and the staff and participants at Mary’s Center for Maternal and Child Care.
Transforming an Evidence-Based Intervention to Prevent Perinatal Depression for Low-Income Latina Immigrants
Article first published online: 9 APR 2010
© 2010 American Orthopsychiatric Association
American Journal of Orthopsychiatry
Volume 80, Issue 1, pages 34–45, January 2010
How to Cite
Le, H.-N., Zmuda, J., Perry, D. F. and Muñoz, R. F. (2010), Transforming an Evidence-Based Intervention to Prevent Perinatal Depression for Low-Income Latina Immigrants. American Journal of Orthopsychiatry, 80: 34–45. doi: 10.1111/j.1939-0025.2010.01005.x
- Issue published online: 9 APR 2010
- Article first published online: 9 APR 2010
- perinatal depression;
- evidence-based treatment;
- cultural adaptation;
- cognitive-behavioral therapy
There is growing interest in examining the extent to which evidence-based interventions, found to be efficacious for majority populations, are effective for low-income, ethnically diverse populations. Yet limited attention has been devoted to documenting the specific steps taken in adapting these interventions to meet the needs of the target ethnic population. This article describes the cultural adaptation of an evidence-based cognitive–behavioral therapy intervention to prevent perinatal depression in 2 different Latina immigrant communities using a 5-step iterative process: (a) identify need; (b) gather information; (c) design adaptation; (d) implement, evaluate, and refine adaptation; and (e) replicate and disseminate. Appropriate adaptations of evidence-based interventions have the potential to reduce disparities in utilization and outcomes for high-risk populations. Researchers should document their efforts to transform services for low-income, ethnically diverse populations.