Cristin-prosjekt-ID: 2574269
Sist endret: 14. mars 2023, 12:55

Cristin-prosjekt-ID: 2574269
Sist endret: 14. mars 2023, 12:55
Prosjekt

Evaluation and Efficacy study for using the Cultural Formulation Interview (CFI) in palliative healthcare contexts

prosjektleder

Lars Johan Danbolt
ved Div Psykisk helsevern ved Sykehuset Innlandet HF

prosjekteier / koordinerende forskningsansvarlig enhet

  • Div Psykisk helsevern ved Sykehuset Innlandet HF

Finansiering

  • Sykehuset Innlandet HF
    Prosjektkode: 150640

Klassifisering

Vitenskapsdisipliner

Andre psykologiske fag

HRCS-helsekategori

  • Mental helse

HRCS-forskningsaktivitet

  • 6 Evaluering av behandlinger og terapeutiske intervensjoner
  • 2.3 Psykologiske, sosiale og økonomiske faktorer
  • 7.2 Omsorg ved livets slutt

Kategorier

Prosjektkategori

  • Doktorgradsprosjekt

Tidsramme

Aktivt
Start: 1. september 2020 Slutt: 8. november 2024

Beskrivelse Beskrivelse

Tittel

Evaluation and Efficacy study for using the Cultural Formulation Interview (CFI) in palliative healthcare contexts

Populærvitenskapelig sammendrag

The CFI has been used in DSM-5 international field trials to test its efficacy, operationalized here as feasibility (can it be done?), acceptability (do people like it?) and clinical utility (is it helpful?) among patients and clinicians (Aggarwal et al., 2016). Primarily, though not exclusively, the field trials have included patients with minority ethnic backgrounds (Adeponle, Groleau, & Kirmayer, 2015; Aggarwal, Nicasio, DeSilva, Boiler, & Lewis-Fernández, 2013; van Loon, van Schaik, Dekker, & Beekman, 2011). The main conclusion of the field trials is that CFI is feasible, acceptable, and useful (Aggarwal et al., 2016).

Our project adds to and expands upon the current knowledge about the efficacy of the CFI, by extending into a previously unexplored context - palliative medicine. We seek to investigate whether the CFI can be a useful tool to enhance medical communication also in this context. Our patient population is a majority population, thus we seek also to explore whether the CFI is deemed useful also when used with persons from a majority population. 

Metode

The following nine stages will be followed at each of the clinical sites:

Stage 1: An initial inventory of instruments, measures, and process guidelines currently used at the clinic  Method: Text analysis of planning and process documents, instruments and measures analysis for culture-related, person-centered robing, as well as analysis of cultural environment at each clinical site.

Stage 2: An initial interview with participating staff and directors to discuss the current system and its incorporation. Method: Semi-structured interview, audio-recorded, based on findings in stage 1.

Stage 3: Training with clinical staff in CFI method. Method: CFI training in Norway is under development through a national network in Norway, based at the Innlandet Hospital Trust, and in cooperation with the CFI international mental health center based in New York under direction of Professor Roberto Lewis-Fernández.

Stage 4: Clinical staff conducts CFI interviews with patients, audio-recorded. Method: Debriefing Instrument for patients (DIP) after completion of the CFI interview and Debriefing Instrument for clinicians (DIC) and debriefing with clinical staff after initial interview (Axelsson et al., 2020) . 

Stage 5: Transcribing and analysis of CFI interviews. Method: Content analysis of all interviews through established methods. Content analysis is a systematic, objective method to describe and quantify phenomena through replicable, valid inferences from data to context (Krippendorff, 2013). 

Stage 6: Semi-structured interviews with staff clinicians and patients to assess the Medical Communication areas in relation to the CFI, audio-recorded.

6a). Individual Interviews with clinical staff on interview process and interview content. Method: CFI initial assessment semi-structured interview.

6b). Two individual interviews with patients on interview process and interview content, the first 4-7 days after the CFI interview and the second in the final week of the treatment. Method: CFI initial assessment semi-structured interview

Stage 7: Monitoring of use of CFI information in Treatment Process and Efficacy evaluation for each patient case. Method: Case assessment: 1. Analysis of clinical staff notes, 2, CFI efficacy assessment with attention to feasibility, acceptability, and clinical utility with same semi-structured interview focused on actual use of information gained from CFI in therapeutic case application. Analysis: Content analysis of each case (see Step 5) in relation to assessment of CFI information’s efficacy (feasibility, acceptability, and clinical utility) in relation to actual application in treatment and coordinated therapeutic activities in relation to the categories and sub-categories of the Medical Communication Framework.

Stage 8: Group processing with clinical staff on Efficacy assessment for CFI based on Stage 7 results. Method: Audio-recording of group discussion. Analysis: The efficacy findings of Stage 7 will be augmented with information from group discussion. Both deductive and inductive analyses.

Stage 9: Final group meeting with clinical staff and directors to discuss project findings and CFI inclusion, as whole instrument or specific parts in clinic's process. Method: Audio-recording of group discussion.  Both deductive and inductive analyses.

prosjektdeltakere

prosjektleder

Lars Johan Danbolt

  • Tilknyttet:
    Prosjektleder
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF

Sigrid Helene Kjørven Haug

  • Tilknyttet:
    Prosjektdeltaker
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF

Valerie de Marinis

  • Tilknyttet:
    Prosjektdeltaker
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF

Yvonne Aarestrup

  • Tilknyttet:
    Prosjektdeltaker
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF

Tatjana Schnell

  • Tilknyttet:
    Prosjektdeltaker
    ved MF vitenskapelig høyskole for teologi, religion og samfunn
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