Clinicians' Views on the Need for Cultural Adaptation of Intervention for Children with ADHD from the Ultraorthodox Community.
Anat Golos, Risa Mor, Orit Fisher and 1 others
PMID 34121956WHAT IT FOUND
Therapists treating Ultraorthodox children with ADHD report needing to adapt communication methods and visual materials.
Parents often lack knowledge about the condition's biological basis, and stigma leads to hiding diagnoses. Standard digital contact and culturally mismatched images hinder engagement.
Key findings
01Participants reported a moderate to high need to change the graphic content of intervention materials, such as strategy symbols and pictorial interviews, to reflect culturally appropriate clothing and scenarios.
02Therapists noted that many Ultraorthodox families avoid advanced technology like smartphones and WhatsApp, requiring alternative modes of communication that are not digital.
03Participants described a tendency in the community to hide ADHD diagnoses from schools and sometimes the child, driven by stigma and a lack of understanding about the biological basis of the condition.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study relies entirely on therapist perceptions and does not include the views of UO parents or children. The sample was small (28 participants) and all were female, limiting generalizability. The survey instrument was developed specifically for this study and has not been validated in other contexts. No outcomes were measured; the study reports perceived needs rather than the effectiveness of any adaptations.
Declared interests
The researchers included experts in cultural adaptation and the Cog-Fun intervention, as well as the first author who identifies as Ultraorthodox. No external funding or commercial conflicts of interest are declared in the text.
The easy way to misread this
Do not interpret these findings as evidence that adapted interventions improve patient outcomes. The study reports what therapists believe is necessary based on their experience, but it did not test whether these adaptations actually work.