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Table 1 A four-step process to culturally adapt low-intensity psychological interventions in humanitarian contexts

From: No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

Steps Description Tools
Step 1: information gathering Conduct a rapid desk review to gather relevant pre-existing information (e.g., demographic, socio-economic, help-seeking patterns, coping mechanisms) Desk review guidance on MHPSS [31]
Additional file 1
Step 2: adaptation hypotheses Revise PM+ protocols to identify components for adaptation based on the Ecological Validity Model. Eight-dimension matrix of the Ecological Validity Model [11]
Table 2
Step 3: local consultations Develop a focus group discussion guide based on Step 2 and use it to interview local specialists, community members and implementers to elaborate and/or validate previous findings. A step-by-step guide to thematic analysis [32]
Focus Group Discussion guide
Additional files 2 and 3
Step 4: external evaluation Engage two external reviewers in the evaluation of the PM+ intervention protocol using the Cultural Relevance Questionnaire to determine the protocol’s level of functional, conceptual and linguistic equivalence. Cultural Relevance Questionnaire (CRQ)
Additional file 4