Meaning-Centered Psychotherapy for Latino Patients with Advanced Cancer: Cultural Adaptation Process
Meaning-Centered Psychotherapy for Latino Patients with Advanced Cancer: Cultural Adaptation Process
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DOI：
10.1089/jpm.2019.0423
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发表时间：
2019-10-30
影响因子：
2.8
通讯作者：
Gany, Francesca
中科院分区：
文献类型：
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作者：
Costas-Muniz, Rosario;Torres-Blasco, Normarie;Gany, Francesca
背景资料：拉丁美洲晚期癌症患者需要文化上敏感的，有效的心理治疗干预，可以帮助他们应对他们的诊断，改善精神和存在的福祉和心理调整。目的：本研究描述了拉丁美洲晚期癌症患者的个体意义中心心理治疗的文化和语言适应。设计图：本研究采用混合方法、并行整合的研究方法，以生态效度和文化适应过程模型作为文化适应的框架。设置/受试者和测量：定量和定性数据收集通过（1）心理健康专业人员（n = 70）谁提供服务，拉丁美洲癌症患者的调查;（2）拉丁美洲晚期癌症患者的问卷（n = 54），测量相关的干预概念;和（3）与24名拉丁美洲患者的深入访谈。结果：定量研究结果显示，大多数的目标和概念是高度接受的病人和供应商。定性研究结果支持调整，包括使用更简单的定义;改变短语，具有挑战性的翻译和理解;使用的话是共同的所有拉丁美洲文化，提供一个以上的选项，如果需要的话;简化问题/思考，根据需要;改变隐喻是文化一致的;和修改内容，使其响应拉丁美洲文化的价值观和规范。结论：调查结果表明，需要适应，以实现干预措施的目标，占语言和文化的考虑，强调有关识字，文化和语言多样性，文化价值观，文化一致的内容的问题。混合方法的方法被描述为临床医生，研究人员和程序开发人员提供建议。
Background: Latino patients with advanced cancer need culturally responsive, effective psychotherapeutic interventions that can assist them in coping with their diagnosis and improve spiritual and existential well-being and psychological adjustment. Objective: This study describes the cultural and linguistic adaptation of individual meaning-centered psychotherapy for Latinos with advanced cancer. Design: A mixed-methods, concurrent integrative approach was used for this study, using the ecological validity and cultural adaptation process models as frameworks for cultural adaptation. Setting/Subjects and Measurements: Quantitative and qualitative data were collected through (1) a survey of mental health professionals (n = 70) who offer services to Latino cancer patients; (2) a questionnaire for Latino patients with advanced cancer (n = 54), measuring relevant intervention concepts; and (3) in-depth interviews with 24 Latino patients. Results: Quantitative findings showed that most of the goals and concepts were highly acceptable for patients and providers. The qualitative findings supported adaptations to include using more simple definitions; changing phrases that are challenging to translate and comprehend; using words that are common to all Latino cultures, providing more than one option if needed; simplifying the questions/reflections, as needed; changing the metaphors to be culturally congruent; and modifying content to make it responsive to Latino cultural values and norms. Conclusions: Findings demonstrate the need for adaptation to achieve the aims of the intervention, accounting for both linguistic and cultural considerations, emphasizing issues related to literacy, cultural and linguistic diversity, cultural values, and culturally congruent content. The mixed-methods approach is described to provide recommendations for clinicians, researchers, and program developers.