Title: 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
Abstract: Journal of Clinical PsychologyVolume 73, Issue 3 p. 239-256 Research Article 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, Sarah E. Valentine Massachusetts General Hospital Harvard Medical SchoolSearch for more papers by this authorChristina P. C. Borba, Christina P. C. Borba Massachusetts General Hospital Harvard Medical SchoolSearch for more papers by this authorLouise Dixon, Louise Dixon University of California Los AngelesSearch for more papers by this authorAdin S. Vaewsorn, Adin S. Vaewsorn Massachusetts General HospitalSearch for more papers by this authorJulia Gallegos Guajardo, Julia Gallegos Guajardo University of MonterreySearch for more papers by this authorPatricia A. Resick, Patricia A. Resick Duke University Medical CenterSearch for more papers by this authorShannon Wiltsey Stirman, Shannon Wiltsey Stirman Palo Alto Veterans Affairs Health Care System Stanford UniversitySearch for more papers by this authorLuana Marques, Corresponding Author Luana Marques [email protected] Massachusetts General Hospital Harvard Medical SchoolPlease address correspondence to: Luana Marques, Community Psychiatry Program for Research in Implementation and Dissemination of Evidence-Based Treatments, Massachusetts General Hospital, 70 Everett Ave, Suite 516, Chelsea, MA 02150. E-mail: [email protected] for more papers by this author Sarah E. Valentine, Sarah E. Valentine Massachusetts General Hospital Harvard Medical SchoolSearch for more papers by this authorChristina P. C. Borba, Christina P. C. Borba Massachusetts General Hospital Harvard Medical SchoolSearch for more papers by this authorLouise Dixon, Louise Dixon University of California Los AngelesSearch for more papers by this authorAdin S. Vaewsorn, Adin S. Vaewsorn Massachusetts General HospitalSearch for more papers by this authorJulia Gallegos Guajardo, Julia Gallegos Guajardo University of MonterreySearch for more papers by this authorPatricia A. Resick, Patricia A. Resick Duke University Medical CenterSearch for more papers by this authorShannon Wiltsey Stirman, Shannon Wiltsey Stirman Palo Alto Veterans Affairs Health Care System Stanford UniversitySearch for more papers by this authorLuana Marques, Corresponding Author Luana Marques [email protected] Massachusetts General Hospital Harvard Medical SchoolPlease address correspondence to: Luana Marques, Community Psychiatry Program for Research in Implementation and Dissemination of Evidence-Based Treatments, Massachusetts General Hospital, 70 Everett Ave, Suite 516, Chelsea, MA 02150. E-mail: [email protected] for more papers by this author First published: 05 July 2016 https://doi.org/10.1002/jclp.22337Citations: 21 This study was funded by a grant through the National Institutes of Health (NIMH K23 MH096029-01A1), awarded to Luana Marques. We thank the hospital administration, the providers, and the patients who participated in this trial and provided invaluable feedback necessary for this manuscript. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract 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. Citing Literature Volume73, Issue3March 2017Pages 239-256 RelatedInformation