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

Resultado de la investigación

12 Citas (Scopus)

Resumen

© 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.
Idioma originalEnglish
Páginas (desde-hasta)239-256
Número de páginas18
PublicaciónJournal of Clinical Psychology
DOI
EstadoPublished - 1 mar 2017

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

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