title: Adapting pediatric psychology interventions: lessons learned in treating families from the Middle East.
abstract: OBJECTIVE
  Pediatric psychologists are increasingly called upon to treat children from non-Western countries, whose cultures may contrast with a Western medical setting. Research on cultural adaptations of evidence-based treatments (EBTs), particularly for individuals from the Middle East, is sparse. To address this need, we discuss clinical issues encountered when working with patients from the Middle East.
  
  
  METHODS
  Synthesis of the literature regarding culturally adapted EBTs and common themes in Middle Eastern culture. Case vignettes illustrate possible EBT adaptations.
  
  
  RESULTS
  Integrating cultural values in treatment is an opportunity to join with patients and families to optimize care. Expectations for medical and psychological treatment vary, and collaborations with cultural liaisons are beneficial.
  
  
  CONCLUSIONS
  Critical next steps include systematic development, testing, and training in culturally adapting EBTs in pediatric medical settings. Increased dialogue between clinicians, researchers, and cultural liaisons is needed to share knowledge and experiences to enhance patient care.
authors: Center for Treatment Adherence, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7039, Cincinnati, OH 45229, USA. Marisa.Hilliard@cchmc.org
authors: Marisa E
authors: ME
authors: Hilliard
authors: Michelle M
authors: MM
authors: Ernst
authors: Wendy N
authors: WN
authors: Gray
authors: Shehzad A
authors: SA
authors: Saeed
authors: Sandra
authors: S
authors: Cortina
mesh_terms: D002648:Child; D003142:Communication; D003469:Culture; D055317:Evidence-Based Practice; D005190:Family / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008603:Mental Health; D008877:Middle East; D002666:Psychology, Child