Article

Adapting pediatric psychology interventions: lessons learned in treating families from the middle East.

PhD, Center for Treatment Adherence, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7039, Cincinnati, OH 45229, USA. .
Journal of Pediatric Psychology (impact factor: 2.91). 10/2011; 37(8):882-92. DOI:10.1093/jpepsy/jsr084 pp.882-92
Source: PubMed

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.

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Keywords

Case vignettes
 
common themes
 
Critical next steps
 
cultural adaptations
 
cultural liaisons
 
culturally adapting EBTs
 
EBTs
 
evidence-based treatments
 
experiences
 
Integrating cultural values
 
Middle East
 
Middle Eastern culture
 
non-Western countries
 
optimize care
 
patient care
 
pediatric medical settings
 
Pediatric psychologists
 
possible EBT adaptations
 
psychological treatment
 
Western medical