Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population

Kuhajda, M. C., Thorn, B. E., Gaskins, S. W., Day, M. A. and Cabbil, C. M. (2011) Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population. Translational Behavioral Medicine, 1 2: 216-223. doi:10.1007/s13142-011-0026-2


Author Kuhajda, M. C.
Thorn, B. E.
Gaskins, S. W.
Day, M. A.
Cabbil, C. M.
Title Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population
Journal name Translational Behavioral Medicine   Check publisher's open access policy
ISSN 1869-6716
1613-9860
Publication date 2011
Sub-type Article (original research)
DOI 10.1007/s13142-011-0026-2
Open Access Status
Volume 1
Issue 2
Start page 216
End page 223
Total pages 8
Place of publication New York, NY United States
Publisher Springer New York LLC
Language eng
Abstract Low literacy and chronic pain have been identified as significant problems in the rural USA. Cognitive behavioral therapy (CBT) is a widely used efficacious psychosocial treatment for chronic pain; adaptations for low-literacy rural populations are lacking. This paper reports on preparatory steps implemented to address this deficit. Adapting an existing group, CBT patient workbook for rural adults with low literacy is described, and adaptations to reduce cognitive demand inherent in CBT are explained via cognitive load theory. Adhering to health literacy guidelines, the patient workbook readability was lowered to the fifth grade. Two key informant interviews and four focus groups provided the impetus for structural and procedural adaptations. Using health literacy guidelines and participant feedback, the patient workbook and treatment approach were adapted for implementation in low-literacy rural adult chronic pain populations, setting the stage for proceeding with a larger trial using the adapted materials.
Keyword Chronic pain
Focus groups
Group cognitive behavioral therapy
Health literacy
Key informant interviews
Low literacy
Rural population
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Psychology Publications
 
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Created: Thu, 30 Apr 2015, 12:03:45 EST by Melissa Day on behalf of School of Psychology