title: Cross-cultural adaptation of the Window to Hope: a psychological intervention to reduce hopelessness among U.S. veterans with traumatic brain injury.
abstract: OBJECTIVE
  To conduct a cross-cultural adaptation of Window to Hope (WtoH), a treatment to reduce hopelessness after traumatic brain injury (TBI), from the Australian civilian context to that of U.S. Veterans.
  
  
  METHODS
  Three-stage mixed-methods approach.
  
  
  METHODS
  Stage 1: Consensus conference with stakeholders to revise the manual. Stage 2: Pilot study of the revised manual with US Veterans to examine acceptability, feasibility and fidelity. Stage 3: Review of results with consensus conference attendees and further revisions.
  
  
  RESULTS
  Stage 1: Conference attendees reached 100% consensus regarding changes made to the manual. Stage 2: Qualitative results yielded themes that suggest that participants benefitted from the intervention and that multiple factors contributed to successful implementation (Narrative Evaluation of Intervention Interview, User Feedback Survey-Modified, Post-Treatment Interviews). Therapists achieved 100% treatment fidelity. Quantitative results from the Client Satisfaction Questionnaire-8 suggest that the intervention was acceptable. Stage 3: The culturally adapted manual was finalized.
  
  
  CONCLUSIONS
  RESULTS of this study suggest that the revised WtoH manual is acceptable and feasible. US therapists exhibited adherence to the protocol. The three-stage methodology was successfully employed to cross-culturally adapt an intervention that is well-suited for a Phase II randomized controlled trial among US military Veterans.
authors.affiliation: Veterans Integrated Service Network (VISN) 19 Mental Illness Research, Education and Clinical Center (MIRECC) , Denver, CO , USA .
authors.forename: Bridget B
authors.initials: BB
authors.lastname: Matarazzo
authors.forename: Adam S
authors.initials: AS
authors.lastname: Hoffberg
authors.forename: Tracy A
authors.initials: TA
authors.lastname: Clemans
authors.forename: Gina M
authors.initials: GM
authors.lastname: Signoracci
authors.forename: Grahame K
authors.initials: GK
authors.lastname: Simpson
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Brenner
mesh_terms: D000328:Adult; D001315:Australia; D001930:Brain Injuries / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003431:Cross-Cultural Comparison; D019317:Evidence-Based Medicine; D005240:Feasibility Studies; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010865:Pilot Projects; D016728:Self-Injurious Behavior / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D059020:Suicidal Ideation; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States; D014728:Veterans / Q000523:psychology*; D000092864:Suicide Prevention
keywords: Cognitive behaviour therapy; mental health; suicide prevention