A Multinational comparative study to assess what cultural adaptations are made in clinical interactions by clinicians in different settings to ensure appropriate communication with diverse populations


Study ID: 36744
Short Title: Cultural Adaptations in Clinical Interactions
Organisation: Southern Health NHS Foundation Trust
Location: Southern Health NHS Foundation Trust
Condition: Mental Health
Main Specialty: Mental Health
Expected End Date: 30/06/2019
Postcode: SO30 3JB
Contact Name: SHFT Research
Contact Email: research@southernhealth.nhs.uk
Active: Yes

Inclusion Criteria

The inclusion criteria for this survey are broad to capture the views of a range of clinicians and patients involved in different mental health service areas (in NHS in UK).


• Clinicians in mental health services (adult and old age)


• Patients in mental health services (adult and old age) of differing cultural background (non white western background)

Exclusion Criteria

• Those unwilling to participate


• Those who have not experienced an interaction with someone of a different cultural background


• Patients who do not have capacity to consent to participate

Study summary:

With our societies becoming multi-ethnic and poly-cultural in nature worldwide it is now acknowledged that culture influences expression of psychological distress as well as help-seeking behaviours of people who need services. It is therefore imperative for mental health clinicians to be cognisant of the cultural attributes of individuals if they are to develop strategies to improve patient participation with positive outcomes in mental health treatment. Qualitative and quantitative work has indicated a range of appropriate frameworks for cultural adaptations of therapeutic interventions. However it is unclear as to what techniques clinicians use to address this issue, if any.

The current study aims to identify: to what extent are culturally competent and informed interactions used by clinicians in different countries to engage patients and understand their needs within their cultural context. Based on the findings of the study, we aim to develop training packages and evaluate their impact through phase 2 work.


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