Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Identification, modification, and implementation of an evidence-based psychotherapy for children in a low-income country: The use of TF-CBT in Zambia
International Journal of Mental Health Systems, Volume 7, No. 1, Article 24, Year 2013
Notification
URL copied to clipboard!
Description
Background: The need to address the treatment gap in mental health services in low- and middle-income countries (LMIC) is well recognized and particularly neglected among children and adolescents. Recent literature with adult populations suggests that evidence-based mental health treatments are effective, feasible, and cross-culturally modifiable for use in LMIC. This paper addresses a gap in the literature documenting pre-trial processes. We describe the process of selecting an intervention to meet the needs of a particular population and the process of cross-cultural adaptation. Methods: Community-based participatory research principles were implemented for intervention selection, including joint meetings with stakeholders, review of qualitative research, and review of the literature. Trauma-focused Cognitive Behavioral Therapy (TF-CBT) was chosen as the evidence-based practice for modification and feasibility testing. The TF-CBT adaptation process, rooted within an apprenticeship model of training and supervision, is presented. Clinical case notes were reviewed to document modifications. Results: Choosing an intervention can work as a collaborative process with community involvement. Results also show that modifications were focused primarily on implementation techniques rather than changes in TF-CBT core elements. Conclusions: Studies documenting implementation processes are critical to understanding why intervention choices are made and how the adaptations are generated in global mental health. More articles are needed on how to implement evidence-based treatments in LMIC. © 2013 Murray et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Murray, Laura K.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Dorsey, Shannon
United States, Seattle
University of Washington
Skavenski, Stephanie
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Kasoma, Margaret
Zambia, Lusaka
Sharpz Organization
Imasiku, Mwiya Liamunga
Zambia, Lusaka
University Teaching Hospital Lusaka
Bolton, Paul A.
United States, Baltimore
Jhsph
Bass, Judith K.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Cohen, Judith A.
United States, Philadelphia
Lewis Katz School of Medicine
Statistics
Citations: 8
Authors: 8
Affiliations: 6
Identifiers
Doi:
10.1186/1752-4458-7-24
e-ISSN:
17524458
Research Areas
Maternal And Child Health
Mental Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Qualitative
Study Locations
Zambia