Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 1 of 1
Cultural adaptation of evidence-based practice utilizing an iterative stakeholder process and theoretical framework: problem solving therapy for Chinese older adults
- Authors:
- CHU Joyce P., HUYNH Loanie, AREÁN Patricia
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(1), January 2012, pp.97-106.
- Publisher:
- Wiley
There is a need for culturally-adapted treatments tailored to the specific needs of cultural minority populations. This article describes how an evidence-based practice for depression was adapted for use in Chinese older adults, a cultural minority population notorious for low utilisation of mental health services. The model used for the cultural adaptation process was the Formative Method for Adapting Psychotherapies (FMAP). This framework was utilised to adapt problem-solving therapy (PST), an evidence-based cognitive behavioural approach used to treat late-life depression by teaching skills to address problems in a systematic way. The article describes how provider and client stakeholder input combined with an iterative testing process within the FMAP framework was utilised to create the Problem Solving Therapy—Chinese Older Adult (PST-COA) manual for depression. PST-COA is categorised as a ‘culturally-adapted’ treatment, where the core mediating mechanisms of PST were preserved, but cultural themes of measurement methodology, stigma, hierarchical provider-client relationship expectations, and acculturation enhanced core components to make PST more understandable and relevant for the Chinese elderly. Modifications also encompassed therapeutic framework and peripheral elements affecting engagement and retention. Data from pilot-testing the intervention with a clinically depressed Chinese elderly woman are reported.