Ethnic minority community therapists' acculturation and reported adaptations to children's evidence-based practices.

Abstract

This study examined associations between ethnic minority therapists' reports of acculturation and adaptations made to multiple evidence-based practices (EBPs) in children's community mental health services. Multilevel modeling was used to analyze therapist- and practice-level predictors of Augmenting and Reducing/Reordering adaptations, the two subscales of the Adaptations to Evidence-Based Practices Scale (AES; Lau et al., 2017). An online survey was completed by 235 therapists (86% women, Mage = 34.82 years, 68.1% Hispanic/Latino) as part of a larger study examining EBP sustainment in Los Angeles County, California. Acculturation was measured through therapist reports of cultural identity and language use using the Abbreviated Multidimensional Acculturation Scale (Zea, Asner-Self, Birman, & Buki, 2003). Analyses showed that the effect of Heritage Cultural Identity on Augmenting adaptations was moderated by Heritage Language Use. There was a significant interaction between Heritage and United States Cultural Identity dimensions in predicting Reducing/Reordering adaptations. Therapists who reported higher levels of Heritage Cultural Identity and lower levels of United States Cultural Identity reported the fewest Reducing/Reordering adaptations, whereas therapists who reported higher levels of affiliation with both their Heritage Culture and United States Culture reported making the most Reducing/Reordering adaptations. Language acculturation and other cultural factors such as Ethnicity and Generational Status did not predict either adaptation type. Therapists who reported more favorable perceptions of the EBP reported making fewer Reducing/Reordering adaptations. Findings suggest that cultural identity is linked to the likelihood that ethnic minority therapists may adapt EBPs. (PsycINFO Database Record (c) 2018 APA, all rights reserved).