Journal Article

A Model for Translating Ethnography and Theory into Culturally Constructed Clinical Practices

Nastasi, Bonnie Kaul, Saggurti, Niranjan, Maitra, Shubhada, Schensul, Stephen L., Schensul, Jean J., Pelto, Pertti J., Mekki-Berrada, Abelwahed, Verma, Ravi

2015

نظرة عامة

This article describes the development of a dynamic culturally constructed clinical practice model for HIV/STI prevention, the Narrative Intervention Model (NIM), and illustrates its application in practice, within the context of a 6-year transdisciplinary research program in Mumbai, India. Theory and research from anthropology, psychology, and public health, and mixed-method ethnographic research with practitioners, patients, and community members, contributed to the articulation of the NIM for HIV/STI risk reduction and prevention among married men living in low-income communities. The NIM involves a process of negotiation of patient narratives regarding their sexual health problems and related risk factors to facilitate risk reduction. The goal of the NIM is to facilitate cognitive-behavioral change through a three-stage process of co-construction (eliciting patient narrative), deconstruction (articulating discrepancies between current and desired narrative), and reconstruction (proposing alternative narratives that facilitate risk reduction). The NIM process extends the traditional clinical approach through the integration of biological, psychological, interpersonal, and cultural factors as depicted in the patient narrative. Our work demonstrates the use of a recursive integration of research and practice to address limitations of current evidence-based intervention approaches that fail to address the diversity of cultural constructions across populations and contexts.

• الناشر: Springer US,Springer Nature B.V
• موضوع: Acquired Immune Deficiency Syndrome / AIDS / Anthropology / Anthropology, Cultural - methods / Articulation / Behavior / Clinical medicine / Clinical Psychology / Collaboration / Community / Cultural Competency / Cultural differences / Cultural factors / Cultural Pluralism / Culture / Deconstruction / Development / Disease prevention / Ethnography / Evidence / Evidence based practice / Health problems / Health research / HIV / HIV Infections - prevention & control / HIV Infections - psychology / Human immunodeficiency virus / Humans / India / Intervention / Low income areas / Low income groups / Male / Mental disorders / Mental health / Multiculturalism & pluralism / Narrative Therapy - methods / Narrative Therapy - organization & administration / Narratives / Negotiation / Original Paper / Patient Care Team - organization & administration / Patients / Poverty / Prevention / Psychiatry / Psychological factors / Psychology / Public Health / Qualitative Research / Recursion / Risk / Risk Factors / Risk Reduction Behavior / Sexual Behavior / Sexually transmitted diseases / Social Integration / Social Sciences / Society / Sociology / STD / Theory / Translation methods and strategies / Venereal Diseases / White, Michael