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Symposia
Treatment - Other
Suzanne Decker, Ph.D. (she/her/hers)
Psychologist / Associate Professor
VA Connecticut Healthcare System / Yale School of Medicine
West Haven, Connecticut, United States
Frances Aunon, Ph.D. (she/her/hers)
Clinical Research Psychologist
Connecticut VA Healthcare System
West Haven, Connecticut, United States
Ethan Spana, B.S.
Health Science Specialist
VA New Mexico Healthcare System
Albuquerque, New Mexico, United States
Neal Doran, Ph.D.
Faculty, Assistant Chief of Psychology
VA San Diego Healthcare System, University of California, San Diego
San Diego, California, United States
Jennifer K. Rielage, Ph.D.
Section Chief, Psychology / Associate Professor
VA New Mexico Healthcare System / University of New Mexico School of Medicine
Albuquerque, New Mexico, United States
Mark Honsberger, M.S.
Health Science Specialist
VA Northeast Ohio Healthcare System
Cleveland, Ohio, United States
Josephine Ridley, Ph.D.
Assistant Chief of Psychology / Adjunct Associate Professor of Psychology
VA Northeast Ohio Healthcare System / Case Western Reserve University
Cleveland, Ohio, United States
Rachel Carretta, PhD
Clinical psychologist
VA Hines Healthcare System
Hines, Illinois, United States
Heather Kacos, Psy.D.
Psychologist
Orlando VA Healthcare System, University of South Florida College of Medicine
Orlando, Florida, United States
Steve Martino, Ph.D.
Chief of Psychology / Professor
VA Connecticut Healthcare System / Yale School of Medicine
West Haven, Connecticut, United States
Thorayya Said Giovannelli, PsyD
Clinical Psychologist
James A. Haley Veterans Hospital / University of South Florida Morsani School of Medicine
Tampa, Florida, United States
Jenny Bannister, Ph.D.
Psychologist
James A. Haley Veterans Hospital / University of South Florida Morsani College of Medicine
Tampa, Florida, United States
Noah R. Wolkowicz, Ph.D.
Research Psychologist
Psychology Service, VA Connecticut Health Care System; Department of Psychiatry, Yale School of Medicine
West Haven, Connecticut, United States
Addie Merians, Ph.D.
Research Psychologist
Psychology Service, VA Connecticut Health Care System; Department of Psychiatry, Yale School of Medicine
West Haven, Connecticut, United States
Brittany Howell, Psy.D.
Psychologist
James A. Haley Veterans Hospital, University of South Florida College of Medicine
Tampa, Florida, United States
Jason G. Smith, Other
VA Boston Healthcare System
VA Boston Healthcare System
Boston, Massachusetts, United States
Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy (EBP) that is implemented across cultures and nations. Adaptations to EBPs can be an implementation strategy to improve the effectiveness or fit of an intervention in context, and may expand the reach of EBPs to individuals who do not share cultural identities with the EBP’s initial trial samples. Following PRISMA guidelines, we conducted a registered systematic scoping review to understand the types and rationale for adaptations to DBT when DBT is provided to individuals who are culturally distinct from the largely white Western women with whom DBT was initially studied.
Articles were identified in PsycINFO, PubMed, and Embase using variations of “dialectical behavior therapy.” We examined articles serving an adult patient population that was culturally distinct from the original trial samples, using an expanded ADDRESSING framework (e.g., race, ethnicity, nation). Two authors screened abstracts and two authors extracted data from full text articles using templates based on FRAME (Stirman et al., 2019). Data were extracted about the sample and treatment, including adaptations to content (e.g., shortening sessions, extending treatment weeks, changing written content) or context (e.g., format, setting, or personnel delivering DBT).
Screening 2,137 abstracts and 327 full text articles yielded 211 articles on any form of DBT in an adult population defined by a cultural identity. Forty percent of these (85/211) studied comprehensive DBT. We will present proportions of articles reporting adaptations to comprehensive DBT content and context, reasons for adaptation, types of adaptations, and recommendations for planning, documenting, evaluating, and disseminating adaptation results to move toward greater access and equity.