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Feasibility, acceptability, and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial

Lewis-Fernández, R; Aggarwal, NK; Lam, PC; Galfalvy, H; Weiss, MG; Kirmayer, LJ; Paralikar, V; ... Vega-Dienstmaier, JM; + view all (2017) Feasibility, acceptability, and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial. British Journal of Psychiatry , 210 (4) pp. 290-297. 10.1192/bjp.bp.116.193862. Green open access

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Abstract

Background: There is a need for clinical tools to identify cultural issues in diagnostic assessment. / Aims: Assess feasibility, acceptability, and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice. / Method: Mixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric outpatients during a diagnostic interview. Post-evaluation session, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. Durations of CFI administration and full diagnostic session were monitored. / Results: Mixed-methods data from 318 patients and 75 clinicians found the CFI feasible, acceptable, and useful. Clinician feasibility ratings were significantly lower than patient ratings and other clinician-assessed outcomes. After administering one CFI, however, clinician feasibility ratings improved significantly and subsequent interviews required less time. / Conclusions: The CFI was included in DSM-5 as a feasible, acceptable, and useful cultural assessment tool. / Declaration of interest: Three co-authors receive royalties from the CFI Handbook.

Type: Article
Title: Feasibility, acceptability, and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bjp.bp.116.193862
Publisher version: https://doi.org/10.1192/bjp.bp.116.193862
Language: English
Additional information: This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.org.
Keywords: Cultural assessment, diagnostic interview, implementation science, transcultural psychiatry
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1527445
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