Reich Hanna, Zürn Daniela, Mewes Ricarda
Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University of Marburg, Marburg, Germany.
Depression Research Centre of the German Depression Foundation, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, Germany.
Clin Psychol Eur. 2021 Dec 23;3(4):e5583. doi: 10.32872/cpe.5583. eCollection 2021 Dec.
Culturally tailored interventions can increase the engagement and the success rate of psychotherapy in immigrant and ethnic minority patients. In this regard, the integration of the patients' illness beliefs is a key element. Applying principles of Motivational and Ethnographic Interviewing, we developed a culture-tailored, web-based intervention to facilitate engagement of Turkish immigrant inpatients in psychotherapy.
The different aspects of the engagement intervention development are described and its acceptance and usefulness were tested in a proof-of-concept trial with an experimental control group design (active control condition: progressive muscle relaxation) in a sample of Turkish immigrant inpatients in Germany (N = 26). Illness perception, illness-related locus of control, and self-efficacy were assessed pre and post intervention.
The engagement intervention was rated better than the control condition (p = .002) and in particular, participants felt better prepared for therapy after working with it (p = .013). By working with the engagement intervention, self-efficacy increased (p = .034) and external-fatalistic control beliefs diminished (p = .021). However, half of the participants needed assistance in using the computer and web-based interventions.
The developed intervention provides a first step towards feasible culture-tailored psychotherapeutic elements that can be integrated into routine clinical care. The first results regarding acceptance and usefulness are promising.
针对文化背景定制的干预措施可以提高移民和少数族裔患者参与心理治疗的程度及成功率。在这方面，整合患者的疾病观念是一个关键要素。我们运用动机性访谈和人种学访谈的原则，开发了一种针对文化背景定制的、基于网络的干预措施，以促进土耳其移民住院患者参与心理治疗。
描述了参与干预措施开发的不同方面，并在一项概念验证试验中对其可接受性和实用性进行了测试，该试验采用实验对照组设计（积极对照条件：渐进性肌肉松弛），样本为德国的土耳其移民住院患者（N = 26）。在干预前后评估疾病认知、与疾病相关的控制点和自我效能感。
参与干预措施的评分高于对照条件（p = .002），特别是，参与者在使用该措施后感觉对治疗准备得更充分（p = .013）。通过使用参与干预措施，自我效能感有所提高（p = .034），外部宿命论控制信念有所减弱（p = .021）。然而，一半的参与者在使用计算机和基于网络的干预措施时需要帮助。
所开发的干预措施朝着可行的、针对文化背景定制的心理治疗要素迈出了第一步，这些要素可整合到常规临床护理中。关于可接受性和实用性的初步结果很有前景。
