Cultural adaptations and therapist multicultural competence: Two meta‐analytic reviews

2018/08/08 by Alberto Soto, Timothy B. Smith, Derek Griner +3 · 31 citations
Psychology · Social Sciences · #Counseling Practices and Supervision #Cultural Competency in Health Care #Counseling, Therapy, and Family Dynamics

paper · doi:10.1002/jclp.22679

Abstract

Mental health treatments can be more effective when they align with the culture of the client and when therapists demonstrate multicultural competence. We summarize relevant research findings in two meta-analyses. In the meta-analysis examining culturally adapted interventions, the average effect size across 99 studies was d = 0.50 (0.35 after accounting for publication bias). In the second meta-analysis on 15 studies of therapist cultural competence, the results differed by rating source: Client-rated measures of therapist cultural competence correlated strongly (r = 0.38) with treatment outcomes but therapists' self-rated competency did not (r = 0.06). We describe patient considerations and research limitations. We conclude with research supported therapeutic practices that help clients benefit from modifications to treatment related to culture.

Citations

• Trim and Fill: A Simple Funnel‐Plot–Based Method of Testing and Adjusting for Publication Bias in Meta‐Analysis
• A Meta-Analysis of Cultural Adaptations of Psychological Interventions
• Culture

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