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Research Article

Cultural and linguistic adaptation of a telephone-based cognitive-behavioral therapy (CBT) intervention to treat depression and anxiety in Hispanic cancer survivors

Suzanne C. Danhauera Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-2003-9805View further author information
, Ph.DORCID Icon,
Gretchen A. Brenesa Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA;b Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
, Ph.D,
Janet A. Toozec Department of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
, Ph.D,
Tebianne Abubakera Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
, BA,
Alexandra Thomasd Department of Internal Medicine, Section on Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
, MD,
Dianna S. Howardd Department of Internal Medicine, Section on Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
, MD,
Nicole Puccinelli-Ortegaa Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
, MS,
Karolina Jimeneza Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USAView further author information
&
Kristi D. Gravese Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USAView further author information
, Ph.D show all
Published online: 21 Dec 2023
 
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Abstract

Purpose/Objectives

The purpose of this study was to transcreate a manualized cognitive-behavioral therapy (CBT) intervention to address depression and anxiety among Hispanic cancer survivors.

Design/Research Approach

Stakeholders reviewed the CBT workbook for language, content, and cultural relevance. We designed semi-structured interview guides to elicit intervention feedback.

Sample/Participants

Stakeholder participants were Hispanic cancer survivors (n = 4), bilingual mental health providers (n = 2), and oncology professionals (n = 4).

Methods

Transcreation was conducted by initial translation of the workbook followed by incorporation of stakeholder feedback. A bilingual (Spanish and English) interviewer conducted stakeholder interviews. The study team discussed themes/suggestions before refining the workbook.

Findings

Stakeholders reported enthusiasm for the intervention. We gathered significant feedback regarding wording, images, and resources for the workbook.

Conclusion

Development of culturally appropriate mental health resources for Hispanic cancer survivors is critical.

Implications for Psychosocial Providers or Policy

By broadening research on psychosocial care to the Hispanic population, we increase the reach of evidence-based psychological care. Future research should fully evaluate the adapted CBT intervention among Hispanic survivors.

Acknowledgements

This research was supported in part by a pilot grant and both the Biostatistics Shared Resource and the Qualitative and Patient-Reported Outcomes (Q-PRO) Developing Shared Resource of the Wake Forest Baptist Comprehensive Cancer Center’s NCI Cancer Center Support Grant P30CA012197 and the Wake Forest Clinical and Translational Science Institute’s NCATS Grant UL1TR001420.

Disclosure statement

The authors report that there are no competing interests to declare.

Additional information

Funding

Internal pilot award.

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