The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya.
The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya.
复制标题
在坦桑尼亚和肯尼亚提供文化响应式、以创伤为中心的认知行为疗法的艺术和技能。
DOI：
10.1037/tra0000170
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Dorsey,Shannon
中科院分区：
文献类型：
--
作者：
Woods-Jaeger,BrianaA;Kava,ChristineM;Akiba,ChristopherF;Lucid,Leah;Dorsey,Shannon
ObjectiveThis study explored the facilitators, barriers, and strategies used to deliver a child mental health evidence-based treatment (EBT), trauma-focused cognitive behavioral therapy (TF-CBT), in a culturally responsive manner. In low-and middle-income countries most individuals with mental health problems do not receive treatment due to a shortage of mental health professionals. One approach to addressing this problem is task-sharing, in which lay counselors are trained to deliver mental health treatment. Combining this approach with a focus on EBT provides a strategy for bridging the mental health treatment gap. However, little is known about how western-developed EBTs are delivered in a culturally responsive manner.MethodSemistructured qualitative interviews were conducted with 12 TF-CBT lay counselors involved in a large randomized controlled trial of TF-CBT in Kenya and Tanzania. An inductive approach was used to analyze the data.ResultsLay counselors described the importance of being responsive to TF-CBT participants’ customs, beliefs, and socioeconomic conditions and highlighted the value of TF-CBT for their community. They also discussed the importance of partnering with other organizations to address unmet socioeconomic needs.ConclusionThe findings from this study provide support for the acceptability and appropriateness of TF-CBT as a treatment approach for improving child mental health. Having a better understanding of the strategies used by lay counselors to ensure that treatment is relevant to the cultural and socioeconomic context of participants can help to inform the implementation of future EBTs.(PsycInfo Database Record (c) 2023 APA, all rights reserved)
