Adapting pediatric psychology interventions: lessons learned in treating families from the middle East.
ABSTRACT Pediatric psychologists are increasingly called upon to treat children from non-Western countries, whose cultures may contrast with a Western medical setting. Research on cultural adaptations of evidence-based treatments (EBTs), particularly for individuals from the Middle East, is sparse. To address this need, we discuss clinical issues encountered when working with patients from the Middle East.
Synthesis of the literature regarding culturally adapted EBTs and common themes in Middle Eastern culture. Case vignettes illustrate possible EBT adaptations.
Integrating cultural values in treatment is an opportunity to join with patients and families to optimize care. Expectations for medical and psychological treatment vary, and collaborations with cultural liaisons are beneficial.
Critical next steps include systematic development, testing, and training in culturally adapting EBTs in pediatric medical settings. Increased dialogue between clinicians, researchers, and cultural liaisons is needed to share knowledge and experiences to enhance patient care.
- The American Journal of Nursing 07/1981; 81(6):1180-3. · 1.39 Impact Factor
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ABSTRACT: As the number of Arabs living in the United States increases, so does the number of children of Arab descent seeking medical attention. However, despite the sizable and ever increasing number of American Arabs, their health beliefs and practices remain relatively unexplored. When cultural differences exist with regard to beliefs about health and illness, health practices, and health-seeking behavior, the process of health-related interaction becomes difficult and often detrimental to health outcomes. Among Arab immigrants, their children tend to be the least visible population. This article describes the beliefs and practices, both cultural and health-related, of Arab families, with an emphasis on child care and rearing. Nursing considerations, which take these cultural factors into account, are discussed that will accommodate the needs of Arab children receiving professional Western medical treatment.Journal of Pediatric Nursing 01/1999; 13(6):349-55.
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ABSTRACT: We hypothesized that an educational intervention based on a readiness model would lead to improved health outcomes among patients with asthma. Within a randomized control design in an urban Latino and African-American community we conducted an intensive three-month pediatric intervention. A Family Coordinator provided patient education based on a readiness-to-learn model, and facilitated improved interactions between the patient and the doctor. Family education addressed the most basic learning needs of patients with asthma by improving their perception of asthma symptom persistence using asthma diaries and peak flown measures. The physician intervention focused cliniciancs' attention on patients' diary records and peak flow measures, and encouraged physicians to use stepped action plans. Patients were also tested for allergic sensitization and provided strategies to reduce contact with allergens and other asthma triggers. The results showed significant improvements by intervention group families on measures of knowledge, health belief, self-efficacy, self-regulatory skill, and adherence; decreases in symptom persistence and activity restriction; and increased prescription of anti-inflammatory medication by the physicians of the intervention group families.Journal of Asthma 05/2002; 39(2):167-79. · 1.85 Impact Factor