Melissa C. Kuhajda|Beverly E. Thorn|Susan Gaskins|Melissa A. Day|Chalanda M Cabbil
Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population
University of Alabama|University of Alabama|University of Alabama|University of Alabama|University of Alabama
low literacy chronic pain identified significant problems rural usa cognitive behavioral therapy cbt widely used efficacious psychosocial treatment chronic pain adaptations lowliteracy rural populations lacking paper reports preparatory steps implemented address deficit adapting existing group cbt patient workbook rural adults low literacy described adaptations reduce cognitive demand inherent cbt explained via cognitive load theory adhering health literacy guidelines patient workbook readability lowered fifth grade two key informant interviews four focus groups provided impetus structural procedural adaptations using health literacy guidelines participant feedback patient workbook treatment approach adapted implementation lowliteracy rural adult chronic pain populations setting stage proceeding larger trial using adapted materials