Reporting Cultural Adaptation in Psychological Trials – The RECAPT criteria
Background: There is a lack of empirical evidence on the level of cultural adaptation required for psychological interventions developed in Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies to be effective for the treatment of common mental disorders among culturally and ethnically diverse groups. This lack of evidence is partly due to insufficient documentation of cultural adaptation in psychological trials. Standardised documentation is needed in order to enhance empirical and meta-analytic evidence.
Process: A “Task force for cultural adaptation of mental health interventions for refugees” was established to harmonise and document the cultural adaptation process across several randomised controlled trials testing psychological interventions for mental health among refugee populations in Germany. Based on the collected experiences, a sub-group of the task force developed the reporting criteria presented in this paper. Thereafter, an online survey with international experts in cultural adaptation of psychological interventions was conducted, including two rounds of feedback.
Results: The consolidation process resulted in eleven reporting criteria to guide and document the process of cultural adaptation of psychological interventions in clinical trials. A template for documenting this process is provided. The eleven criteria are structured along A) Set-up; B) Formative research methods; C) Intervention adaptation; D) Measuring outcomes and implementation.
Conclusions: Reporting on cultural adaptation more consistently in future psychological trials will hopefully improve the quality of evidence and contribute to examining the effect of cultural adaptation on treatment efficacy, feasibility, and acceptability.
Most read articles by the same author(s)
- Schahryar Kananian, Annabelle Starck, Ulrich Stangier, Cultural Adaptation of CBT for Afghan Refugees in Europe: A Retrospective Evaluation , Clinical Psychology in Europe: Vol. 3 (2021): Special Issue: Cultural Adaptation of Psychological Interventions
- Winfried Rief, Melina Kopp, Roya Awarzamani, Cornelia Weise, Selected Trends in Psychotherapy Research: An Index Analysis of RCTs , Clinical Psychology in Europe: Vol. 4 No. 2 (2022)
- Eva Heim, Christine Knaevelsrud, Standardised Research Methods and Documentation in Cultural Adaptation: The Need, the Potential and Future Steps , Clinical Psychology in Europe: Vol. 3 (2021): Special Issue: Cultural Adaptation of Psychological Interventions
- Ricarda Mewes, Julia Giesebrecht, Cornelia Weise, Freyja Grupp, Description of a Culture-Sensitive, Low-Threshold Psychoeducation Intervention for Asylum Seekers (Tea Garden) , Clinical Psychology in Europe: Vol. 3 (2021): Special Issue: Cultural Adaptation of Psychological Interventions
- Winfried Rief, Cornelia Weise, Make a Wish – What Are the Wishes for Clinical Psychology and Psychological Treatment? , Clinical Psychology in Europe: Vol. 3 No. 4 (2021)
- Eva Heim, Sebastian Burchert, Mirëlinda Shala, Marco Kaufmann, Arlinda Cerga Pashoja, Naser Morina, Michael P. Schaub, Christine Knaevelsrud, Andreas Maercker, Announcement of the Registered Report "Effect of Cultural Adaptation of a Smartphone-Based Self-Help Programme on its Acceptability and Efficacy" , Clinical Psychology in Europe: Vol. 2 No. 3 (2020)
- Eva Heim, Cornelia Weise, Special Issue Editorial: Cultural Adaption of Psychological Interventions , Clinical Psychology in Europe: Vol. 3 (2021): Special Issue: Cultural Adaptation of Psychological Interventions