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Translational Behavioral Medicine
Published in: Translational Behavioral Medicine 2/2011

01-06-2011

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

Authors: Melissa C Kuhajda, PhD, Beverly E Thorn, PhD, ABPP, Susan W Gaskins, MPH, DSN, ACRN, Melissa A Day, MA, Chalanda M Cabbil, BA

Published in: Translational Behavioral Medicine | Issue 2/2011

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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.
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Metadata
Title
Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population
Authors
Melissa C Kuhajda, PhD
Beverly E Thorn, PhD, ABPP
Susan W Gaskins, MPH, DSN, ACRN
Melissa A Day, MA
Chalanda M Cabbil, BA
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Translational Behavioral Medicine / Issue 2/2011
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-011-0026-2

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