Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population

摘要: Low literacy and chronic pain have been identified as significant problems in the rural USA. Cognitive behavioral therapy (CBT) is a widely used efficacious psychosocial treatment for pain; adaptations low-literacy populations are lacking. This paper reports on preparatory steps implemented to address this deficit. Adapting an existing group, CBT patient workbook adults with low described, reduce cognitive demand inherent explained via load theory. Adhering health guidelines, readability was lowered fifth grade. Two key informant interviews four focus groups provided impetus structural procedural adaptations. Using guidelines participant feedback, approach were adapted implementation adult populations, setting stage proceeding larger trial using materials.