Applying a Process-Oriented Model of Cultural Competence to Behavioral Activation for Depression

Santos, María M.; Nagy, Gabriela A.; Kanter, Jonathan W.; López, Steven R.

doi:10.1016/j.cbpra.2020.11.007

Cited by 6 publications

(10 citation statements)

References 32 publications

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“…These models take into account how cultural meaning is ascribed to treatment contexts rather than how culture matters for different groups (López et al, 2020). For example, in his “shifting cultural lens” model, López et al (2020) suggest that cultural competency involves the ability of the therapist to move between two cultural perspectives in understanding the culturally based meaning of clients from diverse cultural backgrounds (López et al, 2020; Santos et al, 2021). From this perspective, BA aligns with the construct of intersectional cultural humility , which recognizes the need for ongoing learning with the understanding that a person’s subjective experience is shaped by their social context, including their race, gender, and social class, and within their larger sociopolitical contexts (Buchanan et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…A key BA-specific principle involves teaching both participants and providers to act according to their values rather than their emotions. As a contextual approach, BA conceptualizes depression as a complex interplay between negative life events and physical and emotional responses to those life events stuck in the situation and resulting in further problems over time (Santos et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

“…Our results highlight the need for BA providers to facilitate cultural opportunities with cultural comfort-explicitly assessing and exploring patients' cultural identity and incorporating questions into both the assessment phase and the provision of specific BA tools, with humility and curiosity. Based on the recommendation of Santos et al (2021) and our results, we have tailored the training, supervision, and provision of BA within the trial to increase cultural sensitivity (Table 3).…”

Section: Recommendations For Culturally Sensitive Psychotherapymentioning

confidence: 99%

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Culturally sensitive psychotherapy for perinatal women: A mixed methods study.

Singla

Hossain

Andrejek

et al. 2022

Journal of Consulting and Clinical Psychology

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Objective: There is a critical need to better understand psychological treatments from a culturally sensitive lens. Using a process-oriented model, we examined treatment satisfaction among perinatal patients who received behavioral activation (BA) within a large psychotherapy trial for perinatal depression and anxiety, and explored how to optimize culturally sensitive delivery through a multistakeholder perspective. Method: In this mixed methods study, we estimated treatment satisfaction through mean client satisfaction scores (Client Satisfaction Questionnaire [CSQ]-8) among perinatal participants (N = 417) using one-way analysis of variance. We also conducted semistructured interviews with 20 ethnically diverse perinatal participants, 19 treatment providers, and five clinical leads. We employed content analysis to identify barriers, facilitators, and strategies for delivering culturally sensitive treatment. Results: CSQ-8 scores were similar across ethnic groups, F(7, 409) = 0.70, p = .67. Most participant interviewees reported that topics of race, ethnicity, and culture were raised during treatment sessions and that providers were able to address these topics in a culturally sensitive way. Despite this, almost all providers and clinical leads reported insufficient training to deliver culturally sensitive psychotherapy. The most-endorsed challenge for participants and providers was apprehension to bring up issues of race and ethnicity during treatment. Key facilitators included provider style, previous training, ongoing training resources, and supervision. Conclusion: BA offers one psychotherapeutic This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Recommendations For Culturally Sensitive Psychotherapymentioning

confidence: 99%

See 1 more Smart Citation

Culturally sensitive psychotherapy for perinatal women: A mixed methods study.

Singla

Hossain

Andrejek

et al. 2022

Journal of Consulting and Clinical Psychology

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“…In addition, process oriented models emphasize the dynamics of the interaction occurring between the provider and the patient ( 15 ). These models take into account how cultural meaning is ascribed to treatment contexts rather than how culture matters for different groups ( 23 , 24 ). For example, in his “shifting cultural lens” model, Lopez et al ( 23 ) suggests that cultural competency involves the ability of the provider to move between two cultural perspectives in understanding the culturally-based meaning of clients from diverse cultural backgrounds ( 24 ).…”

Section: Introductionmentioning

confidence: 99%

“…These models take into account how cultural meaning is ascribed to treatment contexts rather than how culture matters for different groups ( 23 , 24 ). For example, in his “shifting cultural lens” model, Lopez et al ( 23 ) suggests that cultural competency involves the ability of the provider to move between two cultural perspectives in understanding the culturally-based meaning of clients from diverse cultural backgrounds ( 24 ). Promoting a process-based approach to culturally-sensitive psychotherapy may be key to facilitating a health equity model.…”

Section: Introductionmentioning

confidence: 99%

Scaling Up Patient-Centered Psychological Treatments for Perinatal Depression in the Wake of a Global Pandemic

et al. 2022

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There is a call to action to reduce the public health burden of perinatal depression worldwide. The COVID-19 pandemic has further highlighted significant gaps in perinatal mental health care, especially among women who identify as Black, Indigenous, People of Color (BIPOC). While psychotherapeutic (cognitive, behavioral and interpersonal) interventions are endorsed for perinatal mood disorders, barriers to access and uptake contribute to inequitable access to treatment at the population level. To effectively address these barriers and increase the scalability of psychotherapy among perinatal women, we suggest four pragmatic questions to be answered from a patient-centered lens; namely, “who,” “what,” “how,” and “when.” Promising avenues include task-sharing among mental health non-specialists, an emphasis on culturally sensitive care, web-based delivery of psychotherapy with some caveats, and a lifespan approach to perinatal mental health. Innovative research efforts are seeking to validate these approaches in diverse contexts across North America and the UK, lending optimism toward scalable and long-term solutions for equitable perinatal mental health care.

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Putting conceptions and considerations of culture into practice: A qualitative evaluation of a cultural competence training.

López,

Hale

2024

Journal of Latinx Psychology

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Applying a Process-Oriented Model of Cultural Competence to Behavioral Activation for Depression

Cited by 6 publications

References 32 publications

Culturally sensitive psychotherapy for perinatal women: A mixed methods study.

Culturally sensitive psychotherapy for perinatal women: A mixed methods study.

Scaling Up Patient-Centered Psychological Treatments for Perinatal Depression in the Wake of a Global Pandemic

Putting conceptions and considerations of culture into practice: A qualitative evaluation of a cultural competence training.

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