Exploring cultural competence in acceptance and commitment therapy outcomes.

Woidneck, Michelle R.; Pratt, Kimberly M.; Gundy, Jessica M.; Nelson, Casey; Twohig, Michael P.

doi:10.1037/a0026235

Cited by 48 publications

(23 citation statements)

References 57 publications

(43 reference statements)

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“…In terms of qualitative data, the thematic analysis suggested that the group was experienced as enjoyable, useful, and would be an accessible and acceptable format for ongoing therapeutic work for Turkish-speaking communities. Although pilot in nature, these results are consistent with the growing body of research suggesting the efficacy of culturally adapted ACT interventions in both client improvements and the acceptability and accessibility across cultures (Bernal et al ., 2009; Griner and Smith, 2006; Stewart et al ., 2016; White and Ebert; 2014; Woidneck et al ., 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Currently, within the ACT literature there are several types of culturally adapted ACT interventions and successful evaluations facilitating positive outcomes across diverse, non-western populations, such as in Iran, India and South Africa (e.g. Hoseini et al ., 2014; Fuchs et al ., 2013; Woidneck et al ., 2012; Hall et al ., 2011; Lundgren et al ., 2006, 2008). Other research has also found that ACT training workshops in Sierra Leone were both culturally applicable and accessible (White and Ebert, 2014; Stewart et al ., 2016).…”

Section: Introductionmentioning

confidence: 99%

“…ACT is a highly pragmatic, experiential and collaborative therapeutic approach based on connecting people to important values and using this information to guide therapeutic process and promote flexible and purposeful living (Masuda, 2014). The emphasis on values and context are two central tenets of the ACT model that offer potential for cultural adaptability for Turkish-speaking communities given their collectivist structure and many experiences of distress being located in contextual circumstances (Fuchs et al ., 2013; Woidneck et al ., 2012) such as familial relationships (e.g. marital and/or inter-generational conflict) and collective experiences of loss, displacement, being a refugee, war and genocide.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the cultural flexibility of the ACT model as an effective therapeutic group intervention for Turkish speaking communities in East London

Perry¹,

Gardener²,

Oliver

et al. 2019

tCBT

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This study describes a successful community-based partnership project between statutory and third-sector services in East London; The City and Hackney Black and Minority Ethnic (BME) Access Service [East London NHS Foundation Trust (ELFT)] collaborated with Derman, a local community organization supporting the well-being of Turkish-speaking communities, to explore the cultural adaptability of an empirically supported, third-wave cognitive behavioural intervention, Acceptance and Commitment Therapy (ACT). The aim was to develop a culturally acceptable group that was responsive to the therapeutic needs of participants from Turkish-speaking communities. The study implemented a mixed-method analysis with a one group pre/post-test design to examine the effectiveness of a 7-session culturally adapted ACT group intervention and a descriptive approach was implemented to assess usefulness, relevance and acceptability. Results demonstrated an overall positive effect of the culturally adapted ACT intervention in terms of both symptoms and patient-reported outcomes. Participants showed significant improvements on measures of depression (p = 0.014), anxiety (p = 0.041) and psychological distress (p = 0.003). The magnitude of these changes was categorized as large, with effect sizes from 0.90 to 2.03. Qualitative responses indicated that the group was experienced as enjoyable and useful and was considered to be an accessible and acceptable therapeutic format. Although a pilot within clinical practice, the findings provide preliminary support for the clinical utility of ACT as an effective, culturally acceptable therapeutic approach for Turkish-speaking communities living in an urban UK setting. The study highlights the importance of culturally appropriate service development and a need for further research within this area.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the cultural flexibility of the ACT model as an effective therapeutic group intervention for Turkish speaking communities in East London

Perry¹,

Gardener²,

Oliver

et al. 2019

tCBT

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“…Thus, a trend for incorporating Eastern philosophies and practices with Western therapeutic approaches, as for example the growth of Mindfulness practices in therapy, is becoming increasingly commonplace. Many models have been developed based on such premises, such as Acceptance and Commitment Therapy, and their cultural responsiveness has been evidenced through recent research (Woidneck, Pratt, Gundy, Nelson, & Twohig, ). This indicates the potential for more extensive and comprehensive therapeutic adaptations, which include for instance an attempt by practitioners in China to develop a practical model that combines Taoist doctrines with the practices of CBT, and which has shown positive clinical effectiveness in initial evaluations (Y. Zhang et al., ).…”

Section: Resultsmentioning

confidence: 99%

Adapting cognitive behavioral therapy to meet the needs of C hinese clients: Opportunities and challenges

Guo

Hanley

2014

PsyCh Journal

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With the growing influence of China (Chinese people/culture) on the world's politics, economy, and culture, the psychological wellbeing of Chinese people is becoming increasingly important for both researchers and practitioners. Despite this, the cultural responsiveness of many conventional psychotherapeutic models has often been brought into question. In contrast, cognitive behavioral therapy (CBT) is rapidly becoming one of the most popular approaches in the mental health service industry and has been successfully adapted into many different cultural contexts. The current article is a theoretical discussion of the opportunities and challenges that CBT faces with respect to how it might meet the cultural needs and preferences of Chinese clients. Suggestions for successful cultural adaptation are offered based on existing research and practices. It is concluded that many features of CBT appear to match well with the Chinese cultural perspective. However, despite this promising start further work is needed to focus specifically on its practical effectiveness for Chinese clients.

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“…Other literature explores the use of ACT more generally with diverse or multicultural populations [31][32][33]. It is also worth noting that the …”

Section: Poverty: Third Wave Behavioral Approachesmentioning

confidence: 99%

Poverty: third wave behavioral approaches

Thompson

2015

Current Opinion in Psychology

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This article will review the literature related to poverty and third wave behavioral approaches. It will specifically focus on Acceptance and Commitment Therapy (ACT) and the wider field of Contextual Behavioral Science (CBS). Having outlined CBS and poverty, this article will begin by highlighting evidence where people with psychological or physical health problems, who also live in poverty, are treated with ACT. It will then explore the possibility of tackling poverty itself and consider some limitations of traditional therapeutic approaches in this regard. Finally, it will review the potential for the CBS movement to deliver wider cultural change that reduces poverty itself. This article will speak to poverty that occurs in both the developed and developing world, although much of the evidence in relation to ACT and CBS is currently in the former.Keywords: Acceptance and Commitment Therapy (ACT), Contextual Behavioral Science (CBS), Poverty. AbstractThis article will review the literature related to poverty and third wave behavioral approaches. It will specifically focus on Acceptance and Commitment Therapy (ACT) and the wider field of Contextual Behavioral Science (CBS). Having outlined CBS and poverty, this article will begin by highlighting evidence where people with psychological or physical health problems, who also live in poverty, are treated with ACT. It will then explore the possibility of tackling poverty itself and consider some limitations of traditional therapeutic approaches in this regard. Finally, it will review the potential for the CBS movement to deliver wider cultural change that reduces poverty itself. This article will speak to poverty that occurs in both the developed and developing world, although much of the evidence in relation to ACT and CBS is currently in the former.

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Exploring cultural competence in acceptance and commitment therapy outcomes.

Cited by 48 publications

References 57 publications

Exploring the cultural flexibility of the ACT model as an effective therapeutic group intervention for Turkish speaking communities in East London

Exploring the cultural flexibility of the ACT model as an effective therapeutic group intervention for Turkish speaking communities in East London

Adapting cognitive behavioral therapy to meet the needs of C hinese clients: Opportunities and challenges

Poverty: third wave behavioral approaches

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