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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
Author(s) -
Valentine Sarah E.,
Borba Christina P. C.,
Dixon Louise,
Vaewsorn Adin S.,
Guajardo Julia Gallegos,
Resick Patricia A.,
Wiltsey Stirman Shan,
Marques Luana
Publication year - 2017
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22337
Subject(s) - fieldnotes , psychology , formative assessment , context (archaeology) , cognition , qualitative research , applied psychology , medical education , clinical psychology , medicine , psychiatry , pedagogy , ethnography , paleontology , social science , archaeology , sociology , biology , history
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.