Table 1.

Application of Ecological Validity Framework in development of Siempre Sale el Sol

Domain	Definition	Application
1. Language	Appropriate and culturally systonic.	Offering intervention in either English or Spanish. Appropriate informal (tú) language choice.
2. Person	Ethnic/racial similarities and differences between client and therapist in shaping therapy relationship.	Use of text and visuals depicting Latino adolescents and culture.
3. Metaphors	Symbols and concepts shared by cultural group.	Use of dichos (popular sayings) to present and reinforce educational material.
4. Content	Cultural knowledge including values, customs and traditions.	Integration of cultural values (e.g., familismo, personalismo, espiritismo, respeto).
5. Concepts	Consonance with the culture and context within the intervention model.	Addressing cultural rationales for onset of depression; utilization of services; use of traditional and mainstream treatments.
6. Goals	Support of positive and adaptive values from the culture of origin.	Adherence to cultural values as informing, influencing, and managing symptoms.
7. Methods	Consideration of culturally sensitive treatment methods.	Incorporation of values throughout session components to increase relevance and engagement; addressing pertinent factors such as barriers to treatment and life stressors in the presentation and management of depression.
8. Context	Consideration of social and economic context.	Presentation of process including immigration, acculturation and enculturation, barriers to treatment, and economic and social stressors.