Providing evidence-based practice to ethnically diverse youths: examples from the Cognitive Behavioral Intervention for Trauma in Schools (CBITS) program.
Providing evidence-based practice to ethnically diverse youths: examples from the Cognitive Behavioral Intervention for Trauma in Schools (CBITS) program.
复制标题
为不同种族的青少年提供循证实践：学校创伤认知行为干预 (CBITS) 计划的示例。
DOI：
10.1097/chi.0b013e3181799f19
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发表时间：
2008
影响因子：
13.3
通讯作者：
Stein,BradleyD
中科院分区：
文献类型：
--
作者：
Ngo,Victoria;Langley,Audra;Kataoka,SherylH;Nadeem,Erum;Escudero,Pia;Stein,BradleyD
乍一看，对种族多样化的年轻人实施循证治疗似乎会引起一些担忧。手动治疗对我们在社区中看到的多样化的年轻人有用吗？临床医生应该只使用文化特异性治疗吗？不幸的是，文献并不确定。一些研究发现，针对特定人群的干预措施可以提高其有效性1 -5，而另一些研究发现，干预措施的文化适应实际上可能会削弱原始治疗的有效性，即使保留率有所提高。6似乎是重要的是要达到之间的平衡，忠实于循证治疗和文化知情的careers.This本文提供了插图从学校社区学术伙伴关系的传播的认知行为干预创伤在学校7计划全国不同种族的社区。CBITS是一个以证据为基础的干预计划，最初是为少数民族和移民青年暴露于创伤。CBITS的创建是为了减少创伤暴露在一个种族和语言多样化的群体，主要是低收入儿童的负面影响，同时在现实世界的学校环境中交付。8，9在一项随机对照研究中，墨西哥和中美洲青年的创伤后应激和抑郁症状显着减少。10、11在其他社区12，包括城市非裔美国人13、土著美国人14和农村社区的CBITS传播评估中也发现了类似的积极影响。15.尽管我们的CBITS伙伴关系建议进行项目评估，但我们认识到，每个社区对CBITS的每次调整或修改进行系统评估并不总是可行的。
At first glance, implementing evidence-based treatments for ethnically diverse youth may appear to raise some concerns. Do manualized treatments work for the diverse youth we see in our communities? Should clinicians only use culturally-specific treatments? Unfortunately, the literature is not definitive. Several studies have found that tailoring interventions for specific populations can increase their effectiveness1–5 while others have found that cultural adaptations of an intervention may actually dilute the effectiveness of the original treatment even though retention is improved. 6 What appears to be important is to strike a balance between fidelity to evidence-based treatment and culturally-informed care.This paper provides illustrations from a school-community-academic partnership’s dissemination of the Cognitive-Behavioral Intervention for Trauma in Schools7 program to ethnically diverse communities nationwide. CBITS is an evidence-based intervention program initially developed for ethnic minority and immigrant youth exposed to trauma. CBITS was created to decrease the negative effects of trauma exposure in an ethnically and linguistically diverse group of primarily low-income children while being delivered in the real-world setting of schools. 8, 9 In a randomized controlled study, Mexican and Central American youth showed significant reduction in post-traumatic stress and depressive symptoms. 10, 11 Similar positive effects have been found in dissemination evaluations of CBITS in other communities12, including urban African American13, Native American14, and rural communities. 15 Although our CBITS partnership recommends program evaluations, we recognize that it is not always feasible for each community to do systematic evaluation for each adaptation or modification of CBITS.