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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

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

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

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.

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