PMID- 34121956
OWN - NLM
STAT- MEDLINE
DCOM- 20210615
LR  - 20240402
IS  - 1557-0703 (Electronic)
IS  - 0966-7903 (Print)
IS  - 0966-7903 (Linking)
VI  - 2021
DP  - 2021
TI  - Clinicians' Views on the Need for Cultural Adaptation of Intervention for 
      Children with ADHD from the Ultraorthodox Community.
PG  - 5564364
LID - 10.1155/2021/5564364 [doi]
LID - 5564364
AB  - Culture is a core context within occupational therapy, with a recent literature 
      emphasizing the importance of cultural competence, as well as culturally 
      sensitive assessment and intervention. The recent literature has indicated the 
      efficacy of the Cognitive-Functional intervention (Cog-Fun) for children with 
      ADHD among the general Israeli population, yet no studies to date have examined 
      the necessity of cultural adaptations for minority groups. The current study 
      examines the necessity of adapting the intervention protocol and process to the 
      Ultraorthodox (UO) population, as perceived by occupational therapists. The study 
      included 28 occupational therapists certified to use the Cog-Fun intervention, 
      who reported using this approach with UO children. Participants responded to an 
      online questionnaire developed for this study, regarding characteristics of the 
      UO population and necessary adaptions to the Cog-Fun intervention process and 
      protocol. Findings were analyzed using descriptive statistics and qualitative 
      content analysis. Results of the study point to the necessity of addressing 
      various features of the UO community, including daily routines and habits, 
      cultural values, knowledge regarding ADHD, and accessibility of information. 
      Participants also reported a need to adapt the graphic content of the 
      intervention materials. The qualitative data expanded on the perceptions of the 
      participants through four main themes: (a) knowledge regarding ADHD diagnosis and 
      intervention; (b) perceptions and attitudes regarding ADHD diagnosis and 
      medication; (c) factors affecting communication between the OT, parents, and 
      teachers; and (d) adapting the intervention protocol to habits, routines, and 
      lifestyle of UO families. This study has direct implications for therapists 
      utilizing the Cog-Fun with UO children and may also provide insights relevant to 
      occupational therapists using other treatment approaches with children from this 
      culture, as well as other minority or traditional groups. Furthermore, this study 
      may serve as an important addition to the limited literature describing cultural 
      adaptations of evidence-based interventions.
CI  - Copyright (c) 2021 Anat Golos et al.
FAU - Golos, Anat
AU  - Golos A
AUID- ORCID: 0000-0003-3653-615X
AD  - School of Occupational Therapy, Faculty of Medicine of the Hebrew University, 
      Jerusalem, Israel.
FAU - Mor, Risa
AU  - Mor R
AD  - School of Occupational Therapy, Faculty of Medicine of the Hebrew University, 
      Jerusalem, Israel.
FAU - Fisher, Orit
AU  - Fisher O
AUID- ORCID: 0000-0003-3522-6221
AD  - School of Occupational Therapy, Faculty of Medicine of the Hebrew University, 
      Jerusalem, Israel.
FAU - Finkelstein, Adi
AU  - Finkelstein A
AUID- ORCID: 0000-0002-4345-5254
AD  - Department of Nursing, Jerusalem College of Technology (Campus Tal), Jerusalem, 
      Israel.
LA  - eng
PT  - Journal Article
DEP - 20210524
PL  - England
TA  - Occup Ther Int
JT  - Occupational therapy international
JID - 9433361
SB  - IM
MH  - *Attention Deficit Disorder with Hyperactivity/therapy
MH  - Attitude
MH  - Child
MH  - Cultural Competency
MH  - Humans
MH  - *Occupational Therapy
MH  - Parents
PMC - PMC8169278
COIS- The authors declare that there is no conflict of interest regarding publication 
      of this paper.
EDAT- 2021/06/15 06:00
MHDA- 2021/06/16 06:00
PMCR- 2021/05/24
CRDT- 2021/06/14 09:34
PHST- 2021/01/18 00:00 [received]
PHST- 2021/03/08 00:00 [revised]
PHST- 2021/05/06 00:00 [accepted]
PHST- 2021/06/14 09:34 [entrez]
PHST- 2021/06/15 06:00 [pubmed]
PHST- 2021/06/16 06:00 [medline]
PHST- 2021/05/24 00:00 [pmc-release]
AID - 10.1155/2021/5564364 [doi]
PST - epublish
SO  - Occup Ther Int. 2021 May 24;2021:5564364. doi: 10.1155/2021/5564364. eCollection 
      2021.