scholarly journals The Development of the DSM-5 Cultural Formulation Interview-Fidelity Instrument (CFI-FI): A Pilot Study

2014 ◽  
Vol 25 (3) ◽  
pp. 1397-1417 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
Andrew Glass ◽  
Amilcar Tirado ◽  
Marit Boiler ◽  
Andel Nicasio ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
Cultural Formulation Interview

The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

2020 ◽  
Vol 57 (4) ◽  
pp. 496-514 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
G. Eric Jarvis ◽  
Ana Gómez-Carrillo ◽  
Laurence J. Kirmayer ◽  
Roberto Lewis-Fernández
Keyword(s):  
Clinical Practice ◽  
Social Science Research ◽  
Science Research ◽  
Cultural Dimensions ◽  
Cultural Formulation ◽  
Simplified Approach ◽  
Clinician Training ◽  
Dsm 5 ◽  
Training Research ◽  
Cultural Formulation Interview

While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ranging from 1 to 460 participants. In all pilot CFI studies 960 unique subjects were enrolled, and in final CFI studies 739 were enrolled. Studies focused on how the CFI affects clinical practice; explored the CFI through research paradigms in medical communication, implementation science, and family psychiatry; and examined clinician training. In most studies, patients and clinicians reported that using the CFI improved clinical rapport. This evidence base offers an opportunity to consider implications for training, research, and clinical practice and to identify crucial areas for further research.

scholarly journals How Do Clinicians Prefer Cultural Competence Training? Findings from the DSM-5 Cultural Formulation Interview Field Trial

2015 ◽  
Vol 40 (4) ◽  
pp. 584-591 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
Peter Lam ◽  
Enrico G. Castillo ◽  
Mitchell G. Weiss ◽  
Esperanza Diaz ◽  
...  
Keyword(s):  
Cultural Competence ◽  
Field Trial ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
Competence Training ◽  
Cultural Formulation Interview

scholarly journals The Cultural Formulation Interview: Progress to date and future directions

2020 ◽  
Vol 57 (4) ◽  
pp. 487-496
Author(s):  
Roberto Lewis-Fernández ◽  
Neil Krishan Aggarwal ◽  
Laurence J. Kirmayer
Keyword(s):  
Cultural Context ◽  
Help Seeking ◽  
Scale Up ◽  
Implementation Strategies ◽  
Transcultural Psychiatry ◽  
Cultural Formulation ◽  
Treatment Expectations ◽  
Future Directions ◽  
Dsm 5 ◽  
Cultural Formulation Interview

The Cultural Formulation Interview (CFI) developed for DSM-5 provides a way to collect information on patients’ illness experience, social and cultural context, help-seeking, and treatment expectations relevant to psychiatric diagnosis and assessment. This thematic issue of Transcultural Psychiatry brings together articles examining the implementation and impact of the CFI in diverse settings. In this editorial introduction we discuss key areas raised by these and other studies, including: (1) the potential of the CFI for transforming current psychiatric assessment models; (2) training and implementation strategies for wider application and scale-up; and (3) refining the CFI by developing new modules and alternative protocols based on further research and clinical experience.

DSM-5® Handbook on the Cultural Formulation Interview

2015 ◽  
Author(s):  
Roberto Lewis-Fernández ◽  
Neil Krishan Aggarwal ◽  
Ladson Hinton ◽  
Devon E. Hinton ◽  
Laurence J. Kirmayer
Keyword(s):  
Cultural Formulation ◽  
Dsm 5 ◽  
Cultural Formulation Interview

Training on the DSM-5 Cultural Formulation Interview improves cultural competence in general psychiatry residents: A pilot study

2017 ◽  
Vol 54 (2) ◽  
pp. 179-191 ◽  
Author(s):  
Stacia Mills ◽  
Anna Q. Xiao ◽  
Kate Wolitzky-Taylor ◽  
Russell Lim ◽  
Francis G. Lu
Keyword(s):  
Cultural Competence ◽  
Cultural Diversity ◽  
Assessment Tool ◽  
Cultural Knowledge ◽  
Psychiatry Residents ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
General Psychiatry ◽  
The Mean ◽  
Cultural Formulation Interview

The objective of this study was to assess whether a 1-hour didactic session on the DSM-5 Cultural Formulation Interview (CFI) improves the cultural competence of general psychiatry residents. The main hypothesis was that teaching adult psychiatry residents a 1-hour session on the CFI would improve cultural competence. The exploratory hypothesis was that trainees with more experience in cultural diversity would have a greater increase in cultural competency scores. Psychiatry residents at a metropolitan, county hospital completed demographics and preintervention questionnaires, were exposed to a 1-hour session on the CFI, and were given a postintervention questionnaire. The questionnaire was an adapted version of the validated Cultural Competence Assessment Tool . Paired samples t tests compared pre- to posttest change. Hierarchical linear regression assessed whether pretraining characteristics predicted posttest scores. The mean change of total pre- and posttest scores was significant ( p = .002), as was the mean change in subscales Nonverbal Communications ( p < .001) and Cultural Knowledge ( p = .002). Demographic characteristics did not predict higher posttest scores (when covarying for pretest scores). Psychiatry residents’ cultural competence scores improved irrespective of previous experience in cultural diversity. More research is needed to further explore the implications of the improved scores in clinical practice.

scholarly journals The Content Validity of the Cultural Formulation Interview (CFI)

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Behnam Shariati ◽  
Amir-Abbas Keshavarz-Akhlaghi ◽  
Arash Mohammadzadeh ◽  
Ruohollah Seddigh
Keyword(s):  
Content Validity ◽  
Help Seeking ◽  
The United States ◽  
Cultural Factors ◽  
Cultural Formulation ◽  
Factors Affecting ◽  
Cultural Perception ◽  
Dsm 5 ◽  
Back Translation ◽  
Cultural Formulation Interview

Aims. The present study investigates content validity of the open-ended items in Cultural Formulation Interview in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Methods. After translating into Persian and assessing the content validity of the items and their modification by psychiatrists, the questionnaire was translated back into English by two translators and then retranslated into Persian. The final Persian version and its back-translation were submitted for approval to the DSM-5 design workshop in the United States. After obtaining the group’s approval on the back-translation and permission to use the questionnaire, samples were distributed among panel members and the content validity of the questionnaire was thus examined. Results. The content validity index (CVI) of cultural formulation interview was 0.51 and all the items were acceptable although some, especially those on the cultural perception of the context and the cultural factors affecting current help-seeking, had lower content validity ratios (CVR). Conclusion. The cultural formulation interview seems to have an overall acceptable content validity although it is weak and thus needs further studies in relation to the two domains of the cultural perception of the context and the cultural factors affecting help-seeking in the Iranian population.

Examining the effectiveness of the Cultural Formulation Interview with young children: A clinical illustration

2018 ◽  
Vol 57 (4) ◽  
pp. 515-524 ◽  
Author(s):  
Martin J. La Roche ◽  
Jill Betz Bloom
Keyword(s):  
Young Children ◽  
Structured Interview ◽  
Assessment Process ◽  
Cultural Formulation ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Interview Format ◽  
Cultural Formulation Interview ◽  
Clinical Illustration

After years of extensive research, the Cultural Formulation Interview (CFI) was released in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Similar to its predecessor, the Outline of the Cultural Formulation (OCF), the CFI aims to refine the psychiatric assessment process by systematically examining cultural factors. However, in contrast to the OCF which employs open-ended questions, the CFI uses a semi-structured interview format. Unfortunately, children and adolescents have only been included in a handful of OCF and CFI studies, which raises questions about their applicability with youth, particularly young children (11 years or younger). In this article, we start examining the usefulness of the CFI with young children and propose recommendations to enhance its benefits by suggesting the development of a supplementary module specifically designed for young children. These ideas are illustrated with the assessment of a 6-year-old boy of Somali descent.

scholarly journals Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial

2017 ◽  
Vol 210 (4) ◽  
pp. 290-297 ◽  
Author(s):  
Roberto Lewis-Fernández ◽  
Neil Krishan Aggarwal ◽  
Peter C. Lam ◽  
Hanga Galfalvy ◽  
Mitchell G. Weiss ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Field Trial ◽  
Clinical Utility ◽  
Assessment Tool ◽  
Qualitative Interviews ◽  
Diagnostic Interview ◽  
Cultural Issues ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
Cultural Formulation Interview

BackgroundThere is a need for clinical tools to identify cultural issues in diagnostic assessment.AimsTo assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice.MethodMixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. The duration of CFI administration and the full diagnostic session were monitored.ResultsMixed-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.ConclusionsThe CFI was included in DSM-5 as a feasible, acceptable and useful cultural assessment tool.

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