PRIMARY OBJECTIVE: To conduct a cross-cultural adaptation of Window to Hope (WtoH), a treatment to reduce hopelessness after traumatic brain injury (TBI), from the Australian civilian context to that of U.S. Veterans. RESEARCH DESIGN: Three-stage mixed-methods approach. METHODS: Stage 1: Consensus conference with stakeholders to revise the manual. Stage 2: Pilot study of the revised manual with US Veterans to examine acceptability, feasibility and fidelity. Stage 3: Review of results with consensus conference attendees and further revisions. RESULTS: Stage 1: Conference attendees reached 100% consensus regarding changes made to the manual. Stage 2: Qualitative results yielded themes that suggest that participants benefitted from the intervention and that multiple factors contributed to successful implementation (Narrative Evaluation of Intervention Interview, User Feedback Survey-Modified, Post-Treatment Interviews). Therapists achieved 100% treatment fidelity. Quantitative results from the Client Satisfaction Questionnaire-8 suggest that the intervention was acceptable. Stage 3: The culturally adapted manual was finalized. CONCLUSIONS: RESULTS of this study suggest that the revised WtoH manual is acceptable and feasible. US therapists exhibited adherence to the protocol. The three-stage methodology was successfully employed to cross-culturally adapt an intervention that is well-suited for a Phase II randomized controlled trial among US military Veterans.
RCT Entities:
PRIMARY OBJECTIVE: To conduct a cross-cultural adaptation of Window to Hope (WtoH), a treatment to reduce hopelessness after traumatic brain injury (TBI), from the Australian civilian context to that of U.S. Veterans. RESEARCH DESIGN: Three-stage mixed-methods approach. METHODS: Stage 1: Consensus conference with stakeholders to revise the manual. Stage 2: Pilot study of the revised manual with US Veterans to examine acceptability, feasibility and fidelity. Stage 3: Review of results with consensus conference attendees and further revisions. RESULTS: Stage 1: Conference attendees reached 100% consensus regarding changes made to the manual. Stage 2: Qualitative results yielded themes that suggest that participants benefitted from the intervention and that multiple factors contributed to successful implementation (Narrative Evaluation of Intervention Interview, User Feedback Survey-Modified, Post-Treatment Interviews). Therapists achieved 100% treatment fidelity. Quantitative results from the Client Satisfaction Questionnaire-8 suggest that the intervention was acceptable. Stage 3: The culturally adapted manual was finalized. CONCLUSIONS: RESULTS of this study suggest that the revised WtoH manual is acceptable and feasible. US therapists exhibited adherence to the protocol. The three-stage methodology was successfully employed to cross-culturally adapt an intervention that is well-suited for a Phase II randomized controlled trial among US military Veterans.
Authors: A Movsisyan; L Arnold; L Copeland; R Evans; H Littlecott; G Moore; A O'Cathain; L Pfadenhauer; J Segrott; E Rehfuess Journal: Health Res Policy Syst Date: 2021-02-05
Authors: Charlotte R Stoner; Monisha Lakshminarayanan; Daniel C Mograbi; Sridhar Vaitheswaran; Elodie Bertrand; Paula Schimidt Brum; Helen Durgante; Cleusa P Ferri; Sarah Mkenda; Richard Walker; Catherine Dotchin; Stella-Maria Paddick; Mina Chandra; Murali Krishna; Bharath Du; Kunnukattil S Shaji; Emily Fisher; Aimee Spector Journal: Dementia (London) Date: 2021-12-09