Brand Alma M, Groen Simon P N, Destoop Nathalie, Jongsma Hannah E, Ghane Samrad, Sabbe Bernard G C, van Velsen Harry, van Houten Kurt, Becan Özlem, Al Alyan Dhiya, Braakman Mario H
Tilburg Law School, Tilburg University, Tilburg, Netherlands.
De Evenaar, Center for Transcultural Psychiatry, GGZ Drenthe, Beilen, Netherlands.
Front Psychiatry. 2024 Mar 4;15:1322356. doi: 10.3389/fpsyt.2024.1322356. eCollection 2024.
The Cultural Formulation Interview (CFI) is designed to improve understanding of patients' mental health care needs. The lack of empirical evidence on the impact and effectiveness of CFI use in clarifying people's perspectives, experiences, context, and identity, and in preventing cultural misunderstandings between migrant patients and clinicians, inspired this study. The objective is to examine the effect of the CFI on the strength of therapeutic working alliances, and the potential mediating or moderating role of perceived empathy.
A multicenter randomized controlled trial will be conducted, involving migrant patients, their confidants, and clinicians. The CFI will be administered in the intervention group, but not in the control group. Validated questionnaires will be used to assess therapeutic working alliances and perceived empathy. T-tests and linear regression analyses will be conducted to investigate between-group differences and possible mediating or moderating effects.
This study will indicate whether or not the CFI strengthens the therapeutic working alliance between patients and clinicians, as moderated and/or mediated by perceived empathy.
Research on the effect and impact of using the CFI in mental health care for migrant patients is important to clarify whether its use strengthens the therapeutic working alliance with clinicians. This can lead to a reduction in cultural misunderstandings and improve mental health care for migrant patients. The results may also be important for the implementation of the CFI as a standard of care.
This research protocol was tailored to the needs of patients in collaboration with experts by experience. It was approved by the Ethical Review Board of the Tilburg Law School and registered in the Clinical Trials Register under number NCT05788315. Positive results may stimulate further implementation of the CFI in clinical practice, and contribute to improving the impact of the CFI on the therapeutic working alliances.
文化定式访谈（CFI）旨在增进对患者心理健康护理需求的理解。由于缺乏关于CFI在阐明人们的观点、经历、背景和身份以及预防移民患者与临床医生之间的文化误解方面的影响和有效性的实证证据，因此开展了本研究。目的是检验CFI对治疗性工作联盟强度的影响，以及感知同理心的潜在中介或调节作用。
将进行一项多中心随机对照试验，纳入移民患者、他们的知己和临床医生。干预组将实施CFI，而对照组不实施。将使用经过验证的问卷来评估治疗性工作联盟和感知同理心。将进行t检验和线性回归分析，以调查组间差异以及可能的中介或调节作用。
本研究将表明CFI是否能加强患者与临床医生之间的治疗性工作联盟，并由感知同理心进行调节和/或介导。
研究CFI在移民患者心理健康护理中的效果和影响，对于阐明其使用是否能加强与临床医生的治疗性工作联盟很重要。这可以减少文化误解，改善移民患者的心理健康护理。研究结果对于将CFI作为护理标准的实施也可能很重要。
本研究方案是与有经验的专家合作，根据患者的需求量身定制的。它已获得蒂尔堡法学院伦理审查委员会的批准，并在临床试验注册中心注册，注册号为NCT05788315。积极的结果可能会刺激CFI在临床实践中的进一步实施，并有助于提高CFI对治疗性工作联盟的影响。
