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<p>This study presents the systematic cultural adaptation of the Mentalization-Based Treatment (MBT) Lighthouse Parenting Programme, a child maltreatment prevention intervention, for the Chilean context. Initially developed in the UK, the program was modified to enhance cultural relevance while maintaining fidelity to its theoretical framework. The adaptation process incorporated stakeholder recommendations, expert panel consultations, and guidance from the program developers to ensure consistency with core principles. Key adaptations included modifying intervention materials, addressing community distrust, enhancing facilitator motivation, adjusting module terminology for literacy levels, and considering material hardship in program implementation. The study involved two phases of data collection, with 8 stakeholders (government officials, NGO representatives, and social service professionals) participating in semi-structured interviews, followed by a survey of 12 MBT-trained experts specializing in psychosocial interventions for families. Thematic analysis identified central themes for adaptation, and modifications were synthesized using the Ecological Validity Model. The adapted program preserves the intervention’s core mechanisms while improving accessibility and engagement. As part of a larger project, it will be evaluated in a feasibility trial to assess its preliminary effectiveness and potential for broader implementation. Findings underscore the importance of cultural adaptation in sustaining evidence-based interventions and offer insights for adapting psychosocial programs in diverse global contexts.</p>

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Cultural Adaptation of the Lighthouse Parenting Programme: Mentalization-Based Treatment to Address Child Maltreatment

  • 期刊论文

  • 发表日期：

    2025年8月23日

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  • Stefanella Costa-Cordella,
  • Catalina Sieverson,
  • Alejandra Rossi,
  • Aitana Grasso-Cladera,
  • María Victoria Díaz,
  • Gerry Byrne

摘要

This study presents the systematic cultural adaptation of the Mentalization-Based Treatment (MBT) Lighthouse Parenting Programme, a child maltreatment prevention intervention, for the Chilean context. Initially developed in the UK, the program was modified to enhance cultural relevance while maintaining fidelity to its theoretical framework. The adaptation process incorporated stakeholder recommendations, expert panel consultations, and guidance from the program developers to ensure consistency with core principles. Key adaptations included modifying intervention materials, addressing community distrust, enhancing facilitator motivation, adjusting module terminology for literacy levels, and considering material hardship in program implementation. The study involved two phases of data collection, with 8 stakeholders (government officials, NGO representatives, and social service professionals) participating in semi-structured interviews, followed by a survey of 12 MBT-trained experts specializing in psychosocial interventions for families. Thematic analysis identified central themes for adaptation, and modifications were synthesized using the Ecological Validity Model. The adapted program preserves the intervention’s core mechanisms while improving accessibility and engagement. As part of a larger project, it will be evaluated in a feasibility trial to assess its preliminary effectiveness and potential for broader implementation. Findings underscore the importance of cultural adaptation in sustaining evidence-based interventions and offer insights for adapting psychosocial programs in diverse global contexts.