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

Sarah E. Valentine, Christina P.C. Borba, Louise Dixon, Adin S. Vaewsorn, Julia Gallegos Guajardo, Patricia A. Resick, Shannon Wiltsey Stirman, Luana Marques

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© 2016 Wiley Periodicals, Inc. 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.
Original languageEnglish
Pages (from-to)239-256
Number of pages18
JournalJournal of Clinical Psychology
Publication statusPublished - 1 Mar 2017


All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

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