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Published on: February 13, 2020
Computer-based training for cognitive behavioral therapy for Spanish-speaking substance users: adaptation and
Michelle A Silva1, Luis M Añez1, Kathleen M Carroll1
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT.
Culturally adapted computer-based cognitive behavioral therapy (CBT4CBT) using a telenovela format effectively engaged Spanish-speaking adults in the US. Participants found the substance use intervention highly satisfactory and relevant to their lives.
Area of Science:
- Behavioral Health
- Substance Use Interventions
- Cultural Adaptation in Healthcare
Background:
- Limited availability of culturally and linguistically adapted behavioral health interventions for Spanish-speaking adults with substance use disorders.
- Need for innovative approaches to deliver cognitive behavioral therapy (CBT) to diverse populations.
Purpose of the Study:
- To describe the cultural adaptation of a computer-based cognitive behavioral therapy for substance use program (CBT4CBT) for monolingual Spanish-speaking adults.
- To evaluate participant satisfaction and perceived relevance of the adapted intervention.
Main Methods:
- Cultural adaptation of an existing computer-based CBT program (CBT4CBT).
- Integration of a telenovela format to deliver CBT skills for substance use.
- Delivery of the adapted program to monolingual Spanish-speaking adults who have migrated to the United States.
Main Results:
- Participants reported high levels of satisfaction with the CBT4CBT program content.
- The adapted intervention was perceived as easy to understand and relevant to participants' life experiences.
- The telenovela format facilitated engagement with cognitive-behavioral skills training for substance use.
Conclusions:
- Culturally and linguistically adapted interventions, such as CBT4CBT, are feasible and well-received by Spanish-speaking adults.
- Innovative delivery methods like telenovelas can enhance the effectiveness of behavioral health interventions for substance use.
- Further research should explore the clinical outcomes of this adapted CBT4CBT program.
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