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.
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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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