# Cultural and linguistic adaptation of a digital clinic for Spanish-speaking populations

- URL: https://alisanburak.com/en/wcp-2026-posterler/ev0438
- Language: en
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- Page title: Cultural and linguistic adaptation of a digital clinic for Spanish-speaking populations | WCP 2026 Summary

> All eight domains of the Ecological Validity Framework required adaptation while the treatment model remained intact; translation alone is not enough.

This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/ev0438)

This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0438

E-PosterMigration and Transcultural PsychiatryCultural adaptation study

# Cultural and linguistic adaptation of a digital clinic for Spanish-speaking populations

CULTURAL AND LINGUISTIC ADAPTATION OF A DIGITAL CLINIC FOR SPANISH-SPEAKING POPULATIONS

Presenter: Yoelkys Morales

Country: United States of America

Institution: Beth Israel Deaconess Medical Center, Harvard Medical School

All eight domains of the Ecological Validity Framework required adaptation while the treatment model remained intact; translation alone is not enough.

The aim is to adapt the Digital Clinic manual and implementation resources for brief hybrid care into neutral Spanish while maintaining fidelity to the clinical model. The poster notes that Spanish-speaking patients face barriers related to language, stigma, limited access to bilingual care, and cultural mismatch, and that digital interventions can expand access, yet very few have been culturally and linguistically adapted. As part of the methodology, two native Spanish-speaking translators translated the manual and reviewed each other's work; therapy modules, clinician tools, worksheets, and mindLAMP content were adapted together. Terminology was cross-checked against the Spanish Unified Protocol, the clinical literature, and Royal Spanish Academy (RAE) standards; the adaptation was guided by the Ecological Validity Framework (EVF) and followed a six-stage workflow. The main finding is that all eight EVF domains (language, persons, metaphors, content, concepts, goals, methods, and context) required adaptation while the treatment model remained intact. Examples of adaptations include atención plena for mindfulness, sentirse estancado/a for feeling stuck, and malestar for discomfort. The authors emphasize that translation alone is insufficient, that cultural adaptation should be embedded in intervention design from the outset rather than added later, that digital equity and digital literacy must also be addressed during implementation, and that feasibility, acceptability, and clinical outcomes require prospective evaluation.

[View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2252)

How to cite this study

APA 7: Morales, Y., Zambrano, S., & Torous, J. (2026, September 23-26). Cultural and linguistic adaptation of a digital clinic for spanish-speaking populations [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2252

Vancouver: Morales Y, Zambrano S, Torous J. Cultural and linguistic adaptation of a digital clinic for spanish-speaking populations [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2252

Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use.

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Kaynak / Source: https://alisanburak.com/en/wcp-2026-posterler/ev0438

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