Mexican cultural adaptation of the CASCAdE intervention program for parents of childhood cancer survivors

Abstract

Objective: Describe the process of the cultural adaptation of the CASCAdE intervention program for parents of childhood cancer survivors in Mexico. Method: The Ecological Validation Model (EVM) was used in two stages. The first consisted of the translation (from English to Spanish) and cultural adaptation of the program content while second involved the evaluation of the treatment content and integrity. Results. Changes were made in the wording of the text; the second person singular was changed to the third person singular “usted,” the formal way to say “you” in Spanish. The following were chosen from the EVM for the adaptation of materials: language, people, metaphors, or sayings, narrative and concepts. Among the most relevant changes are the use of the third person singular (acceptability) and the adaptation of metaphors to make them understandable in this context (relevance). The following aspects were adapted for the intervention: methods, context, and objectives, which resulted in individual application, changes in graphic design and the inclusion of attractive images for parents (acceptability). In the content evaluation by expert judges, 50% of agreement was obtained in the writing of the introductory sessions of the facilitator’s manual and 75% in the wording of session four of the parents’ manual. Conclusions. This study shows the process of cultural adaptation based on the EVM to obtain the necessary materials for the implementation of the CASCAdE program in a Mexican context.