Article Accepted Manuscript

Engaging Turkish Immigrants in Psychotherapy: Development and Proof-of-Concept Study of a Culture-Tailored, Web-Based Intervention

Author(s) / Creator(s)

Reich, Hanna
Zürn, Daniela
Mewes, Ricarda

Abstract / Description

Background. Culturally tailored interventions can increase the engagement and the success rate of psychotherapy in immigrant and ethnic minority patients. In this regard, the integration of the patients’ illness beliefs is a key element. Applying principles of Motivational and Ethnographic Interviewing, we developed a culture-tailored, web-based intervention to facilitate engagement of Turkish immigrant inpatients in psychotherapy. Method. The different aspects of the engagement intervention development are described and its acceptance and usefulness were tested in a proof-of-concept trial with an experimental control group design (active control condition: progressive muscle relaxation) in a sample of Turkish immigrant inpatients in Germany (N = 26). Illness perception, illness-related locus of control, and self-efficacy were assessed pre and post intervention. Results. The engagement intervention was rated better than the control condition (p=.002) and in particular, participants felt better prepared for therapy after working with it (p=.013). By working with the engagement intervention, self-efficacy increased (p=.034) and external-fatalistic control beliefs diminished (p=.021). However, half of the participants needed assistance in using the computer and web-based interventions. Conclusion. The developed intervention provides a first step towards feasible culture-tailored psychotherapeutic elements that can be integrated into routine clinical care. The first results regarding acceptance and usefulness are promising.

Keyword(s)

engagement motivational interviewing psycho-education web-intervention cultural tailoring

Persistent Identifier

Date of first publication

2021-10-19

Journal title

Clinical Psychology in Europe

Publisher

PsychArchives

Publication status

acceptedVersion

Review status

reviewed

Is version of

Citation

Reich, H., Zürn, D., & Mewes, R. (in press). Engaging Turkish immigrants in psychotherapy: Development and proof-of-concept study of a culture-tailored, web-based intervention [Accepted manuscript]. Clinical Psychology in Europe. http://dx.doi.org/10.23668/psycharchives.5167
  • Author(s) / Creator(s)
    Reich, Hanna
  • Author(s) / Creator(s)
    Zürn, Daniela
  • Author(s) / Creator(s)
    Mewes, Ricarda
  • PsychArchives acquisition timestamp
    2021-10-19T11:07:51Z
  • Made available on
    2021-10-19T11:07:51Z
  • Date of first publication
    2021-10-19
  • Abstract / Description
    Background. Culturally tailored interventions can increase the engagement and the success rate of psychotherapy in immigrant and ethnic minority patients. In this regard, the integration of the patients’ illness beliefs is a key element. Applying principles of Motivational and Ethnographic Interviewing, we developed a culture-tailored, web-based intervention to facilitate engagement of Turkish immigrant inpatients in psychotherapy. Method. The different aspects of the engagement intervention development are described and its acceptance and usefulness were tested in a proof-of-concept trial with an experimental control group design (active control condition: progressive muscle relaxation) in a sample of Turkish immigrant inpatients in Germany (N = 26). Illness perception, illness-related locus of control, and self-efficacy were assessed pre and post intervention. Results. The engagement intervention was rated better than the control condition (p=.002) and in particular, participants felt better prepared for therapy after working with it (p=.013). By working with the engagement intervention, self-efficacy increased (p=.034) and external-fatalistic control beliefs diminished (p=.021). However, half of the participants needed assistance in using the computer and web-based interventions. Conclusion. The developed intervention provides a first step towards feasible culture-tailored psychotherapeutic elements that can be integrated into routine clinical care. The first results regarding acceptance and usefulness are promising.
    en_US
  • Publication status
    acceptedVersion
  • Review status
    reviewed
  • Citation
    Reich, H., Zürn, D., & Mewes, R. (in press). Engaging Turkish immigrants in psychotherapy: Development and proof-of-concept study of a culture-tailored, web-based intervention [Accepted manuscript]. Clinical Psychology in Europe. http://dx.doi.org/10.23668/psycharchives.5167
    en_US
  • ISSN
    2625-3410
  • Persistent Identifier
    https://hdl.handle.net/20.500.12034/4585
  • Persistent Identifier
    https://doi.org/10.23668/psycharchives.5167
  • Language of content
    eng
    en_US
  • Publisher
    PsychArchives
    en_US
  • Is version of
    https://doi.org/10.32872/cpe.5583
  • Is version of
    https://doi.org/10.23668/psycharchives.5790
  • Is related to
    https://doi.org/10.23668/psycharchives.5155
  • Is related to
    https://doi.org/10.23668/psycharchives.5156
  • Is related to
    https://doi.org/10.23668/psycharchives.5790
  • Keyword(s)
    engagement
    en_US
  • Keyword(s)
    motivational interviewing
    en_US
  • Keyword(s)
    psycho-education
    en_US
  • Keyword(s)
    web-intervention
    en_US
  • Keyword(s)
    cultural tailoring
    en_US
  • Dewey Decimal Classification number(s)
    150
  • Title
    Engaging Turkish Immigrants in Psychotherapy: Development and Proof-of-Concept Study of a Culture-Tailored, Web-Based Intervention
    en_US
  • DRO type
    article
    en_US
  • Journal title
    Clinical Psychology in Europe
  • Visible tag(s)
    PsychOpen GOLD
    en_US
  • Visible tag(s)
    Accepted Manuscript
    en_US