Training of interventionists and cultural adaptation procedures: A systematic review of culturally adapted evidence-based parenting programs in Africa

Ronald Asiimwe, Lekie Dwanyen, Saila Subramaniam, Rosco Kasujja, Adrian J. Blow

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

There has been an increase in the implementation of evidence-based parenting programs from high-income countries to several African countries. In this review, we systematically evaluated intervention studies of culturally adapted parenting programs in nine African countries with the objective of examining the quality of training for interventionists and cultural adaptation procedures. A total of 18 studies, obtained from an electronic search of 6 databases, met the inclusion criteria and were evaluated following PRISMA guidelines. The Ecological Validity Model was adopted to organize data on cultural adaptation procedures. Sixteen of the 18 studies reported information regarding the clinical training of interventionists and the cultural adaptations undertaken. Live and interactive workshops were the most common format used to train interventionists in the focal intervention. Overall, cultural adaptations in most studies included translation of intervention protocols into the local language. However, studies varied in the way cultural adaptation procedures were reported with some studies failing to report on cultural adaptation procedures. Concurring with previous literature, attending to issues of culture, power, privilege, access, sustainability, and other relevant concepts to increase the cultural relevance is highly encouraged in parent intervention studies in Africa. This review provides a baseline upon which future training and adaptation procedures can be built.

Original languageEnglish (US)
Pages (from-to)160-181
Number of pages22
JournalFamily process
Volume62
Issue number1
DOIs
StatePublished - Mar 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022 The Authors. Family Process published by Wiley Periodicals LLC on behalf of Family Process Institute.

Keywords

  • Africa
  • cultural adaptation
  • parenting programs
  • systematic review
  • training

PubMed: MeSH publication types

  • Systematic Review
  • Journal Article

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