Utilizing a directive or non-directive therapeutic approach: A culturally adapted brief intervention for Asian and European Americans with subsyndromal depression

2013 ◽  
Author(s):  
David Pan ◽  
Stanley Huey
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Keneilwe Molebatsi ◽  
Lauren C. Ng ◽  
Bonginkosi Chiliza

Abstract Background Research consistently reports elevated rates of exposure to traumatic events and post-traumatic stress disorder (PTSD) in people with severe mental illness (SMI). PTSD may be adequately managed with psychotherapy; however, there is a gap when it comes to management in culturally diverse settings like Botswana. This paper describes a study protocol whose aim is to culturally adapt the BREATHE intervention, a brief psychological intervention for people living with comorbid PTSD and SMI that was developed and tested in the USA; assess the feasibility and acceptability of the adapted BREATHE intervention and explore its efficacy. Methods The study will be conducted in three phases using a mixed methods approach. The first phase will identify and describe the most common traumatic experiences and responses to traumatic experiences, amongst patients with SMI, and patients’ and mental health care providers’ perceptions about suitable PTSD interventions for Botswana. The second phase will entail cultural adaption of the intervention using findings from phase 1, and the third phase will be a pilot trial to assess the feasibility and acceptability of the culturally adapted intervention and explore its efficacy. Quantitative and qualitative data will be analysed using basic descriptive statistics and thematic analysis, respectively. Discussion Literature highlights cultural variations in the expression and management of mental illness suggesting the need for culturally adapted interventions. The findings of this feasibility study will be used to inform the design of a larger trial to assess the efficacy of an adapted brief intervention for PTSD in patients with SMI in Botswana. Trial registration Clinicaltrials.gov registration: NCT04426448. Date of registration: June 7, 2020.


2020 ◽  
Vol 14 (3) ◽  
pp. 155798832092565
Author(s):  
Vanessa N. Torres ◽  
Emily C. Williams ◽  
Rachel M. Ceballos ◽  
Dennis M. Donovan ◽  
India J. Ornelas

Latino immigrant men are at increased risk for unhealthy alcohol use, yet few interventions have been designed to meet their unique needs. The current study assessed participant satisfaction and acceptability of a culturally adapted brief intervention to reduce unhealthy alcohol use in this population. Adaptations to the brief intervention included delivering it in Spanish by promotores in a community setting. The mixed methods approach included surveys ( N = 73) and in-depth interviews ( N = 20) with participants in a pilot randomized controlled trial. The study drew on Sekhon’s theoretical framework of acceptability to asses affective attitude, burden, and perceived effectiveness of the intervention, along with satisfaction with the content, setting, and promotor. Participants’ survey responses indicated that they were highly satisfied with the content, setting, and delivery of the brief intervention. In interviews participants noted that the brief intervention helped them reflect on their drinking behaviors, that they perceived promotores to be a trusted source of health information, and that they liked receiving personalized feedback via tablets. Some participants found the feedback did not match their own perceptions of their alcohol use and wanted clearer advice on how to reduce their drinking. Men felt they would benefit from more contact with promotores. These findings suggest that Latino immigrant men in this study were receptive to the culturally adapted brief intervention. Future interventions may be more effective if they include multiple contacts with promotores and more directive guidance on strategies to reduce drinking.


2019 ◽  
Vol 9 (6) ◽  
pp. 1233-1243 ◽  
Author(s):  
India J Ornelas ◽  
Suzanne R Doyle ◽  
Vanessa N Torres ◽  
Samantha E Serrano ◽  
Bonnie Duran ◽  
...  

Among Latino day laborers at risk for unhealthy alcohol use, those who received a culturally adapted brief intervention did not reduce their alcohol use more than those not receiving the brief intervention.


2010 ◽  
Vol 9 (3) ◽  
pp. 138-144 ◽  
Author(s):  
Gabriele Oettingen ◽  
Doris Mayer ◽  
Babette Brinkmann

Mental contrasting of a desired future with present reality leads to expectancy-dependent goal commitments, whereas focusing on the desired future only makes people commit to goals regardless of their high or low expectations for success. In the present brief intervention we randomly assigned middle-level managers (N = 52) to two conditions. Participants in one condition were taught to use mental contrasting regarding their everyday concerns, while participants in the other condition were taught to indulge. Two weeks later, participants in the mental-contrasting condition reported to have fared better in managing their time and decision making during everyday life than those in the indulging condition. By helping people to set expectancy-dependent goals, teaching the metacognitive strategy of mental contrasting can be a cost- and time-effective tool to help people manage the demands of their everyday life.


2020 ◽  
Vol 88 (3) ◽  
pp. 212-225
Author(s):  
Nicholas P. Allan ◽  
Brian J. Albanese ◽  
Matt R. Judah ◽  
Caroline V. Gooch ◽  
Norman B. Schmidt

Sign in / Sign up

Export Citation Format

Share Document