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Table 1 The dimensions to consider for culturally centering a program in the Ecological Validity Model (EVM)

From: Cultural adaptation of ‘Healthy Dads, Healthy Kids’ for Hispanic families: applying the ecological validity model

Culturally Centering ElementsBernal and Sáez-Santiago’s EVM definitiona
GoalsAgreement between the intervention’s intended goals and participant’s understanding of the goals of the program. Consideration should be made of participants’ values, customs, and traditions.
ConceptsHow theoretical constructs of the program are conceptualized and communicated to participants.
MethodsThe procedures and activities to follow for the achievement of the program goals.
ContentThe values, customs, and traditions held by a cultural group to be considered when delivering and assessing a program.
PersonsThe cultural understanding of the participant-facilitator relationship in a program.
MetaphorsThe cultural understanding of certain symbols, sayings and concepts that could affect recruitment and engagement in the program.
LanguageA mechanical translation of the program with consideration of the dialect and word choice by country of origin and current living environment. The emotional expression of language and mannerisms should also be considered.
ContextThe overarching socio-economic background of the participant, social support and relationship to their culture of origin.
  1. aDimension descriptions were adapted from [21]