The psychotherapy adaptation and modification framework: Application to Asian Americans.

Abstract

Although effective treatments for many mental disorders have been developed, little research has been conducted to determine whether these interventions are effective in treating those from diverse backgrounds. Recent reports have suggested that ethnic minorities are less likely to receive quality health services and that they evidence worse treatment outcomes when compared with other groups. To improve care for those from diverse backgrounds, Western-developed psychotherapies may need to be culturally modified or adapted to become more effective in treating ethnic minorities. This article addresses the need for adapting psychotherapy and provides a conceptual framework for making such modifications. The psychotherapy adaptation and modification framework model is applied to recent Asian American immigrants as an illustrative example. However, it may also serve as a point of departure to adapt therapies for other ethnocultural groups.

Cultural and Contextual Adaptation of an eHealth Intervention for Youth Receiving Services for First-Episode Psychosis: Adaptation Framework and Protocol for Horyzons-Canada Phase 1 (Preprint)

“…We identified several models on the adaptation process developed across a range of different fields (e.g., psychology, education); for example, in relation to psychotherapy and evidencebased health interventions [4,[15][16][17][18][19][20][21][22][23]. We also identified frameworks evaluating online tools [24,25], implementation research models (e.g., Revised Ottawa Model of Research Use) [26], and technology and innovation models (e.g., Technology Acceptance Model) [27].…”

Spiritual reminiscence therapy for older people with loneliness, anxiety and depression living in a residential aged care facility, Malaysia: The effectiveness and older people’s experiences

“…In this domain also, the group facilitator should have some prerequisite knowledge about the different cultures and religions of the participants so that nuances can be identified and responded to appropriately. Such an approach takes account of Hwang's (2006) assertion that multiple identities contribute to cultural complexities.…”

“…Existing SRT programs were developed in the United States of America and Australia; therefore, adaptation of the SRT program used in this study was needed to ensure its relevance to the population under study and so that participation is encouraged and the program is accepted (Hwang, 2006). Adaptation is preferred as development of a new program would be costly and time-consuming (Hwang, 2006).…”

“…For the second step of adapting SRT to suit a Malaysian population, the Psychotherapy Adaptation and Modification Framework (PAMF) was used (Hwang (2006). PAMF consists of six therapeutic domains ( Figure 5.2).…”

“…The adaptation process involves identifying the unique characteristics of the new population and integrating those criteria in the program without affecting the program effectiveness (Chen, Reid, the Psychotherapy Adaptation and Modification Framework (PAMF) (Hwang, 2006). The adapted program was then piloted with the pilot participants living in the community.…”