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Cultural adaptations and therapist multicultural competence

Two meta‐analytic reviews

Bibliographic Data

ID23314575
AuthorsAlberto Soto (0000-0002-0744-4494, Department of Counseling and Psychological Services, Brown University Providence Rhode Island, corresponding author), Tony Bagnall Smith (0000-0002-0363-0003, Brown University), Timothy B Smith (Department of Counseling and Psychological Services, Brown University Providence Rhode Island), Derek Griner (0000-0002-0378-6403, Department of Counseling and Psychological Services, Brown University Providence Rhode Island), Melanie M Domenech Rodríguez (0000-0002-6610-6890, Brown University), Melanie Domenech Rodríguez (Department of Counseling and Psychological Services, Brown University Providence Rhode Island), Guillermo Bernal (0000-0001-8855-1314, Department of Counseling and Psychological Services, Brown University Providence Rhode Island)
Year2018
Volume74
Issue11
Pages1907-1923
Publication date2018-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Clinical Psychology (JOURNAL)
Journal identifiersISSN: 0021-9762 • E-ISSN: 1097-4679
PublisherWiley (PUBLISHER • GB)
DOI10.1002/jclp.22679
PMID30091201
OpenAlexW2885196820
LanguageEN
Citations received56
References cited41

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.

Competence (human resources) · Cultural competence · Meta-analysis · Multiculturalism · Pedagogy · Psychiatry · Psychological intervention · Psychotherapist · Clinical Psychology · Counseling Practices and Supervision · Counseling, Therapy, and Family Dynamics · Cultural Competency in Health Care · Medicine · Psychology · Social Psychology

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Unique citing works56
Citations per year9,33
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 51
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