Cultural adaptation of evidence-based practice utilizing an iterative stakeholder process and theoretical framework: problem solving therapy for Chinese older adults
Cultural adaptation of evidence-based practice utilizing an iterative stakeholder process and theoretical framework: problem solving therapy for Chinese older adults
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DOI：
10.1002/gps.2698
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发表时间：
2012-01-01
影响因子：
4
通讯作者：
Arean, Patricia
中科院分区：
文献类型：
--
作者：
Chu, Joyce P.;Loanie Huynh;Arean, Patricia
目的主要目的是让读者熟悉一个理论框架，用于修改文化群体的循证干预措施，并提供一个方法的例子，适应心理治疗的形成方法（Formative Method for Adapting Psychotherapy，FMAP），用于适应一个以拒绝心理健康治疗而闻名的文化群体的循证干预措施。方法：提供者和客户利益相关者的输入结合FMAP框架内的迭代测试过程，用于创建抑郁症问题解决治疗-中国老年人（PSTCOA）手册。从试点测试的数据与临床抑郁症的中国老年妇女的干预reported.Results：PST-COA被归类为“文化适应”的治疗，PST的核心调解机制被保留，但文化主题的测量方法，污名，层次providerclient关系的期望，和文化适应增强的核心组成部分，使PST更容易理解和相关的中国老年人。修改还包括治疗框架和影响接合和保持的外围元素。PST-COA应用于抑郁症的中国老年人表明临床抑郁症的缓解和情绪的改善。忠实与接受的治疗是足够的客户端完成，并报告高满意度PST-COA。结论：PST，作为一个非情绪为重点的，循证干预，是一个很好的适合抑郁症的中国老年人。通过反复的利益相关者文化适应过程，对PST进行了几项文化特定的修改，以创建PST-COA手册。PST-COA保留了PST治疗的核心要素，但在治疗框架和关键管理和内容领域包括文化适应，以确保对中国老年社区的更大适用性和有效性。版权所有（C）2011约翰威利父子有限公司
Objectives Main objectives were to familiarize the reader with a theoretical framework for modifying evidence-based interventions for cultural groups, and to provide an example of one method, Formative Method for Adapting Psychotherapies (FMAP), in the adaptation of an evidence-based intervention for a cultural group notorious for refusing mental health treatment.Methods: Provider and client stakeholder input combined with an iterative testing process within the FMAP framework was utilized to create the Problem Solving Therapy-Chinese Older Adult (PSTCOA) manual for depression. Data from pilot-testing the intervention with a clinically depressed Chinese elderly woman are reported.Results: PST-COA is categorized as a 'culturally-adapted' treatment, where core mediating mechanisms of PST were preserved, but cultural themes of measurement methodology, stigma, hierarchical providerclient relationship expectations, and acculturation enhanced core components to make PST more understandable and relevant for Chinese elderly. Modifications also encompassed therapeutic framework and peripheral elements affecting engagement and retention. PST-COA applied with a depressed Chinese older adult indicated remission of clinical depression and improvement in mood. Fidelity with and acceptability of the treatment was sufficient as the client completed and reported high satisfaction with PST-COA.Conclusions: PST, as a non-emotion-focused, evidence-based intervention, is a good fit for depressed Chinese elderly. Through an iterative stakeholder process of cultural adaptation, several culturallyspecific modifications were applied to PST to create the PST-COA manual. PST-COA preserves core therapeutic PST elements but includes cultural adaptations in therapeutic framework and key administration and content areas that ensure greater applicability and effectiveness for the Chinese elderly community. Copyright (C) 2011 John Wiley & Sons, Ltd.