Development and Evaluation of Culturally Adapted CBT for South Asian Canadians

NCT04010890 | Completed DMC

• 1 other identifier: CAddictionMH
• Study Type: interventional
• Target: 146
• Locations: 1 country
• Sites: 3

Brief Summary

As CBT was developed for persons from North America and European background it needs to be adapted for persons from non-Western cultures. This mixed methods study proposes a culturally adapted Cognitive Behavioural Therapy (CA-CBT) model for Canadians of South Asian origin. Beginning with a participatory/qualitative research approach, common themes amongst individuals with depression and/or anxiety, caregivers, healthcare professionals, and community leaders, will divulge basic elements needed to develop a culturally adapted model of cognitive behavioural therapy. The information from the adapted model will be taught to participating therapists who will deliver the therapy in a randomized control trial design, with feasibility testing of the intervention using a quantitative approach. Immediate guidelines will then be developed for use by therapists working with South Asian clients.

Conditions

Depression; Anxiety

Keywords

culture; cognitive therapy; Canada

Outcome Measures

Primary Outcomes (1)

• Hospital Anxiety and Depression Scale

  HADS is a 14-item, self-assessment scale designed to measure anxiety and depression. The maximum score is 21 for depression and 21 for anxiety. A score of 8 - 10 suggests the presence of the borderline cases, while a score of 11 - 21 indicates abnormal cases.

  36 weeks

Secondary Outcomes (2)

• WHO DAS 2 (World Health Organization, Disability Assessment Scale, 2nd version)

  36 weeks

• Bradford Somatic Inventory

  36 weeks

Study Arms (2)

Culturally adapted CBT

EXPERIMENTAL

Ca\_CBT will be delivered to the experimental group using the newly developed manual . The intervention will be delivered over 8-12 sessions. The Control group will receive standard CBT

Behavioral: Culturally adapted CBT

Standard CBT

ACTIVE COMPARATOR

Participants in this group will receive standard CBT

Behavioral: Culturally adapted CBT

Interventions

Culturally adapted CBT BEHAVIORAL

Culturally adapted CBT for South Asian Canadians

Also known as: CaCBT

Culturally adapted CBT; Standard CBT

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants, between the ages of 18 - 64
• who score 8 or more on the Hospital Anxiety and Depression Scale (HADS) Depression Subscale Or on Anxiety Subscale, will be included in the study.

You may not qualify if:

• Participants who are dependent on alcohol or drugs (using DSM V criteria) 2. Those with significant cognitive impairment (e.g. intellectual disability or dementia) 3. With active psychosis 4. Participants who have received CBT during the previous 12 months

Sponsors & Collaborators

• Centre for Addiction and Mental Health: lead

Study Sites (3)

Somerset West Mental Health Services

Ottawa, Canada

Location

Punjabi Health

Toronto, Canada

Location

Moving Forward

Vancouver, Canada

Location

Related Publications (1)

• Naeem F, Tuck A, Mutta B, Dhillon P, Thandi G, Kassam A, Farah N, Ashraf A, Husain MI, Husain MO, Vasiliadis HM, Sanches M, Munshi T, Abbott M, Watters N, Kidd SA, Ayub M, McKenzie K. Protocol for a multi-phase, mixed methods study to develop and evaluate culturally adapted CBT to improve community mental health services for Canadians of south Asian origin. Trials. 2021 Sep 6;22(1):600. doi: 10.1186/s13063-021-05547-4.

  PMID: 34488853 DERIVED

MeSH Terms

Conditions

Depression; Anxiety Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders

Study Officials

• Bruce Pollock

  Center for Addiction and Mental Health

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Participants, investigator and outcomes assessor were not informed of or aware of the allocation to intervention arm.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This mixed study will be conducted in 3 phases 1. Development of culturally adapted CBT for Canadian South Asians through a qualitative study 2. Testing culturally adapted CBT against standard CBT for efficacy through RCT and economic evaluation 3. Evaluation of training of therapists in culturally adapted CBT

Study Record Dates

• First Submitted: July 1, 2019
• First Posted: July 8, 2019
• Study Start: June 4, 2021
• Primary Completion: October 6, 2022
• Study Completion: October 6, 2022
• Last Updated: April 27, 2026

Record last verified: 2021-07

Locations

CA (3)