Mutual capacity building model for adaptation(MCB-MA):a seven-step procedure for bidirectional learning and support during intervention adaptation  

作　　者：Helen E.Jack Ali Giusto Alexandra L.Rose Rukudzo Mwamuka Imani Brown Tarisai Bere Ruth Verhey Milton Wainberg Bronwyn Myers Brandon Kohrt Gina Wingood Ralph DiClemente Jessica F.Magidson 

机构地区：[1]Division of General Internal Medicine,Department of Medicine,University of Washington,Harborview Medical Center,Box 359780,Seattle,Washington 3259th Ave98104,USA [2]Department of Psychiatry,Columbia University Irving Medical Center,New York State Psychiatric Institute,1051 Riverside Dr,New York,NY 10032,USA [3]Department of Psychology,University of Maryland,4094 Campus Dr,College Park,MD 20742,USA [4]Graduate School for Health Sciences,University of Bern,Uni Mittelstrasse,Mittelstrasse 43,Bern 3012,Switzerland [5]Mental Health Department,Faculty of Medicine,University of Zimbabwe,Mazowe Street,Avondale,Harare,Zimbabwe [6]Friendship Bench Zimbabwe,4 Weale Rd,Harare,Zimbabwe [7]Mental Health,Alcohol,Substance Use,and Tobacco Research Unit,South African Medical Research Council,Parow,South Africa [8]Department of Psychiatry and Mental Health,University of Cape Town,Neuroscience Institute,Groote Schuur Hospital,Observatory,Anzio Road,1st Floor,Cape Town,South Africa [9]Curtin enAble Institute,Faculty of Health Sciences,Curtin University,GPO Box U1987,Perth,WA 6845,Australia [10]Center for Global Mental Health Equity,The George Washington University School of Medicine and Health Sciences,2120 L Street NW,6th Floor,Washington,DC 20037,USA [11]Mailman School of Public Health,Columbia University,722 West 168th Street,New York,NY 10032,USA [12]School of Global Public Health,New York University,708 Broadway,New York,NY 10003,USA [13]Center for Substance Use,Addiction&Health Research(CESAR),University of Maryland College Park,1114 Chincoteague Hall,7401 Preinkert Drive,College Park,MD 20742,USA

出　　处：《Global Health Research and Policy》2024年第1期345-355,共11页全球健康研究与政策(英文)

基　　金：National Institutes of Health,specifically National Institute on Drug Abuse(R01DA057443,PI:Magidson,R33DA057747,PI:Magidson,R01DA056102,PI:Magidson,R61AT010799,PI:Magidson,R21DA053212,PI:Magdison);National Institutes of Health HEAL Initiative(R61AT010799,PI:Magidson);National Institute of Mental Health(K23MH129420,PI:Jack,R34MH122268,PI:Myers,Magidson,R34MH122268,PI:Magidson,T32MH096724,PI:Wainberg,U19MH113203,PI:Wainberg,Oquendo);National Institute on Alcohol Abuse and Alcoholism(R01AA025947,PI:Wainberg);Substance Abuse and Mental Health Services Administration(1H79FG000751-01,PI:Wainberg);National Instute of Mental Health/Fogarty(D43TW011302,PI:Sohn,Wainberg,D43TW009675,PI:Wainberg,Oquendo,Moormahomed).

摘　　要：Global health reciprocal innovation emphasizes the movement of technologies or interventions between high-and low-income countries to address a shared public health problem,in contrast to unidirectional models of“development aid”or“reverse innovation”.Evidence-based interventions are frequently adapted from the setting in which they were developed and applied in a new setting,presenting an opportunity for learning and partnership across high-and low-income contexts.However,few clear procedures exist to guide researchers and implement-ers on how to incorporate equitable and learning-oriented approaches into intervention adaptation across settings.We integrated theories from pedagogy,implementation science,and public health with examples from experience adapting behavioral health interventions across diverse settings to develop a procedure for a bidirectional,equita-ble process of intervention adaptation across high-and low-income contexts.The Mutual capacity building model for adaptation(MCB-MA)is made up of seven steps:1)Exploring:A dialogue about the scope of the proposed adaptation and situational appraisal in the new setting;2)Developing a shared vision:Agreeing on common goals for the adaptation;3)Formalizing:Developing agreements around resource and data sharing;4)Sharing comple-mentary expertise:Group originating the intervention supporting the adapting group to learn about the intervention and develop adaptations,while gleaning new strategies for intervention implementation from the adapting group;5)Reciprocal training:Originating and adapting groups collaborate to train the individuals who will be implementing the adapted intervention;6)Mutual feedback:Originating and adapting groups share data and feedback on the out-comes of the adapted intervention and lessons learned;and 7)Consideration of next steps:Discuss future collabora-tions.This evidence-informed procedure may provide researchers with specific actions to approach the often ambigu-ous and challenging task of equitable partnership buildin

关 键 词：Intervention adaptation Cultural consciousness Global health PARTNERSHIP Bidirectional learning Capacity building 

分 类 号：H31[语言文字—英语]