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Introduction: To contribute to the reduction and elimination of cancer‐related local and global health disparities, interventions must be culturally adapted to reach diverse cultural groups and demonstrate success in improving clinical and psychosocial outcomes. We provide step‐by‐step information on the conceptual and methodological challenges involved in culturally adapting interventions and provide guidelines, suggestions, tools, and concrete steps for implementing the process. Methods: This article provides information, guidelines, suggestions, tools, and concrete steps, based on three rigorous models of cultural adaptations, for implementing this process, followed with examples from the field, to illustrate the conceptual and methodological challenges involved in culturally adapting interventions. Conclusion: Our systematic step‐by‐step approach recommends (1) the guidance of well‐established research models; (2) use of multiple data sources and input from various stakeholders (i.e., from patients and providers); (3) qualitative and quantitative data usage and integration; (4) a steering committee with multiple perspectives, stakeholders assessments, and qualitative analyses; (5) consensus meetings; and (6) diverse representation on the steering committee and/or research team. Key points: Culturally adapting (CA) original evidence‐based interventions is necessary to reach diverse cultural groups and to improve clinical and psychosocial outcomesWe present a step‐by‐step guide based on well‐established models and frameworks for the cultural adaptation of interventionsWe recommend using established research models and qualitative and quantitative data sources that incorporate multiple stakeholder perspectivesOur systematic approach aims to improve the validity and rigor of CA of interventions in patients with cancer [ABSTRACT FROM AUTHOR]

Abstract: Aim: Studies suggest strong ethnic identity generally protects against negative mental health outcomes associated with racial discrimination. In light of evidence suggesting racial discrimination may enhance psychosis risk in racial and ethnic minority (REM) populations, the present study explored the relationship between ethnic identity and attenuated positive psychotic symptoms (APPS) and whether ethnic identity moderates the association between racial discrimination and these symptoms. Methods: A sample of 644 non‐help‐seeking REM emerging adults was administered self‐report inventories for psychosis risk, experiences of discrimination and ethnic identity. Latent class analysis was applied to determine the nature and number of ethnic identity types in this population. The direct association between ethnic identity and APPS and the interaction between ethnic identity and racial discrimination on APPS were determined in linear regression analyses. Results: Results indicated three ethnic identity classes (very low, moderate to high and very high). Ethnic identity was not directly related to APPS; however, it was related to APPS under racially discriminating conditions. Specifically, participants who experienced discrimination in the moderate to high or very high ethnic identity classes reported fewer symptoms than participants who experienced discrimination in the very low ethnic identity class. Conclusions: Strong ethnic group affiliation and connection may serve a protective function for psychosis risk in racially discriminating environments and contexts among REM young adults. The possible social benefits of strong ethnic identification among REM youth who face racial discrimination should be explored further in clinical high‐risk studies. [ABSTRACT FROM AUTHOR]

The Chinese immigrant community faces multiple barriers to quality cancer care and cancer survivorship. Meaning-centered psychotherapy (MCP) is an empirically-based treatment shown to significantly reduce psychological distress while increasing spiritual well-being and a sense of meaning and purpose in life in advanced cancer patients. However, it has not yet been adapted for racial and ethnic minority populations for whom the concept of “meaning” may likely differ from that of westernized White populations. In this study, we conducted a community needs assessment to inform the cultural adaptation of MCP for Chinese patients with advanced cancer, in accordance with Bernal et al. ecological validity model and the cultural adaptation process model of Domenech-Rodriquez and Weiling. We conducted interviews until saturation with 11 key Chinese-serving community leaders and health professionals with a range of areas of expertise (i.e. oncology, psychology, palliative care, cancer support services), to examine community needs, priorities, and preferences within the context of the MCP intervention. Sessions were audio recorded and transcribed. The research team analyzed the transcripts using Atlas.ti. Six frequently occurring themes were identified. Interviewees described the role of the family, traditional Chinese values, cancer stigma, and social norms (e.g. saving face) in adapting MCP. Researchers and clinicians should consider the role of the family in treatment, as well as specific social and cultural values and beliefs in adapting and delivering MCP for Chinese patients with advanced cancer. [ABSTRACT FROM AUTHOR]

Trust in media representations of environmental problems is essential for public education and action. The attitudes of 1,207 undergraduates regarding the accuracy and slant of media coverage of environmental threats and climate change were measured over a three-year period. Overall, students believed the media inaccurately portrays and understates the seriousness of environmental threats. When asked about climate change, nearly half were uncertain of the media’s accuracy, over a third felt the reporting was inaccurate and less than one in five thought it was accurate. Similar feelings of uncertainty or inaccuracy were reported for representations of water and food shortage. Males were more skeptical than females of the media’s portrayal of the seriousness of environmental challenges, but were less convinced that the media underplays their seriousness. Asian students, in comparison to other ethnicities, most believed the media’s accuracy. Findings were stable over the three years and suggest that the urban college student does not trust the media’s accounts or is unaware of environmental threats and the media’s reporting of them. More accurate and compelling environmental reporting, as well as more frequent reporting of valuable information by the media may help to shift these attitudes. [ABSTRACT FROM AUTHOR]