Cultural Adaptation of Evidence-Based Treatments: An Example From Aphasia Few evidence-based treatments (EBTs) for impairments of speech, language, cognition, or swallowing have been designed or evaluated scientifically for effectiveness with culturally and linguistically diverse (CLD) individuals. As a result, speech-language pathologists (SLPs) must rely on their own experience and judgement, with input from the patient and family, when implementing ... Article
Article  |   March 16, 2017
Cultural Adaptation of Evidence-Based Treatments: An Example From Aphasia
Author Affiliations & Notes
  • Maria L. Muñoz
    Department of Communication Sciences and Disorders, University of Redlands, Redlands, CA
  • Disclosures
    Disclosures ×
  • Financial: Maria L. Muñoz has no relevant financial interests to disclose.
    Financial: Maria L. Muñoz has no relevant financial interests to disclose.×
  • Nonfinancial: Maria L. Muñoz has no relevant nonfinancial interests to disclose.
    Nonfinancial: Maria L. Muñoz has no relevant nonfinancial interests to disclose.×
Article Information
Cultural & Linguistic Diversity / Research Issues, Methods & Evidence-Based Practice / Language Disorders / Aphasia / Part 1
Article   |   March 16, 2017
Cultural Adaptation of Evidence-Based Treatments: An Example From Aphasia
Perspectives of the ASHA Special Interest Groups, March 2017, Vol. 2, 5-14. doi:10.1044/persp2.SIG14.5
History: Received October 12, 2016 , Revised January 24, 2017 , Accepted February 6, 2017
Perspectives of the ASHA Special Interest Groups, March 2017, Vol. 2, 5-14. doi:10.1044/persp2.SIG14.5
History: Received October 12, 2016; Revised January 24, 2017; Accepted February 6, 2017

Few evidence-based treatments (EBTs) for impairments of speech, language, cognition, or swallowing have been designed or evaluated scientifically for effectiveness with culturally and linguistically diverse (CLD) individuals. As a result, speech-language pathologists (SLPs) must rely on their own experience and judgement, with input from the patient and family, when implementing an evidence-based treatment with a CLD client. Cultural adaptation research, developed in psychology, studies the systematic modification of EBTs to enhance compatibility with the client's language, culture, values, and meaning. The purpose of this paper is to review the basic principles and frameworks of cultural adaptation research in the context of how they might be of use to SLPs. A case illustration of a bilingual Spanish-speaker with aphasia will be used to demonstrate how the Heuristic Framework can be applied when using the Anagram and Copy Treatment (ACT) to facilitate functional communication.

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