A QUALITATIVE STUDY TO EXPLORE STAKEHOLDER'S VIEWS TO INFORM CULTURAL ADAPTATION OF A SELF-HELP CBTP MANUAL FOR PSYCHOSIS IN PAKISTAN

Abstract

A substantial evidence base supports Cognitive Behavior Therapy (CBT) delivered as Guided Self-help. National organizations in both the United Kingdom and the United States endorse it. CBT originated in the West, and there are suggestions that Western values influence it. Consequently, it is essential to adapt the guided self-help CBT manual to align with the specific cultural context of non-western clients to ensure its accessibility. The objective of this project was to develop guidelines for the cultural adaptation of a CBT for psychosis (CBTp) self-help manual for the local population in Pakistan, integrating insights from patients and their caregivers. Method: A series of qualitative studies were conducted with stakeholders, including patients and caregivers. The data was analyzed using thematic analysis. The investigation began with the identification of developing themes and categories. The themes that emerged from each interviewer's analysis of interviews were systematically compared and contrasted with those of other interviewers. Themes and concepts were triangulated to facilitate comparison and contrast of the data collected from the participating groups. Results: The findings from these studies underscored that patients and their caregivers in Pakistan adopt a bio-psycho-social-spiritual model to explain illness, emphasizing symptom elaboration for the client and strengthening their social networks. Conclusions: The findings from this study will be used to adapt a CBTP self-help manual for schizophrenia in Pakistan culturally. Once adopted, the manual will be evaluated for its clinical efficacy.