Cognitive Processing Therapy for Spanish-speaking Latinos: A Formative Study of a Model-Driven Cultural Adaptation of the Manual to Enhance Implementation in a Usual Care Setting

被引：17

作者：

Valentine, Sarah E. ^{[1
,2
]}

Borba, Christina P. C. ^{[1
,2
]}

Dixon, Louise ^{[3
]}

Vaewsorn, Adin S. ^{[1
]}

Guajardo, Julia Gallegos ^{[4
]}

Resick, Patricia A. ^{[5
]}

Stirman, Shannon Wiltsey ^{[6
,7
]}

Marques, Luana ^{[1
,2
]}

机构：

[1] Massachusetts Gen Hosp, Boston, MA 02114 USA

[2] Harvard Med Sch, Boston, MA USA

[3] Univ Calif Los Angeles, Los Angeles, CA 90024 USA

[4] Univ Monterrey, Monterrey, Mexico

[5] Duke Univ, Med Ctr, Durham, NC 27706 USA

[6] Palo Alto Vet Affairs Hlth Care Syst, Palo Alto, CA USA

[7] Stanford Univ, Stanford, CA 94305 USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY | 2017年 / 73卷 / 03期

基金：

美国国家卫生研究院;

关键词：

implementation; cultural adaptation; posttraumatic stress disorder; Latinos; cognitive processing therapy; MENTAL-HEALTH-SERVICES; COST-EFFECTIVENESS; CONTROLLED-TRIAL; PSYCHOTHERAPY; DEPRESSION; LANGUAGE; PTSD; INTERVENTIONS; LITERACY; RESOURCE;

D O I：

10.1002/jclp.22337

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: As part of a larger implementation trial for cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) in a community health center, we used formative evaluation to assess relations between iterative cultural adaption (for Spanish-speaking clients) and implementation outcomes (appropriateness and acceptability) for CPT. Method: Qualitative data for the current study were gathered through multiple sources (providers: N = 6; clients: N = 22), including CPT therapy sessions, provider fieldnotes, weekly consultation team meetings, and researcher fieldnotes. Findings from conventional and directed content analysis of the data informed refinements to the CPT manual. Results: Data-driven refinements included adaptations related to cultural context (i. e., language, regional variation in wording), urban context (e. g., crime/violence), and literacy level. Qualitative findings suggest improved appropriateness and acceptability of CPT for Spanish-speaking clients. Conclusion: Our study reinforces the need for dual application of cultural adaptation and implementation science to address the PTSD treatment needs of Spanish-speaking clients. (C) 2016 Wiley Periodicals, Inc.

引用

页码：239 / 256

页数：18