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انطباق فرهنگی پروتکل ماتریکس درمان مبتنی بر پذیرش و پایبندی برای رفتارهای مرتبط با سلامت در جمعیت ایرانی مبتلا به چاقی | ||
| روانشناسی سلامت | ||
| دوره 13، شماره 49، خرداد 1403، صفحه 21-42 اصل مقاله (1.75 M) | ||
| نوع مقاله: علمی- پژوهشی | ||
| شناسه دیجیتال (DOI): 10.30473/hpj.2024.66613.5715 | ||
| نویسندگان | ||
| سامان نونهال1؛ شهرام محمدخانی2؛ جعفر حسنی* 2؛ مهدی اکبری3 | ||
| 1دکتری روانشناسی سلامت، گروه روانشناسی بالینی، دانشکدۀ روانشناسی و علوم تربیتی، دانشگاه خوارزمی، تهران، ایران. | ||
| 2استاد، گروه روانشناسی بالینی، دانشکدۀ روانشناسی و علوم تربیتی، دانشگاه خوارزمی، تهران، ایران. | ||
| 3دانشیار، گروه روانشناسی بالینی، دانشکدۀ روانشناسی و علوم تربیتی، دانشگاه خوارزمی، تهران، ایران. | ||
| چکیده | ||
| مقدمه: تفاوتهای فرهنگی ممکن است سبب شود درمان معینی که نتایج پژوهشها حاکی از اثربخشی آن در بافتار خاصی است در بافتار دیگری مؤثر واقع نشود. هدف پژوهش حاضر انطباق فرهنگی پروتکل ماتریکس درمان مبتنی بر پذیرش و پایبندی برای رفتارهای مرتبط با سلامت (سالمخوردن و ورزشکردن) در جمعیت ایرانیِ مبتلا به چاقی بود. روش: پژوهش در پنج مرحله انجام شد: ترجمۀ پروتکل، گردآوری اطلاعات، انطباق مقدماتی پروتکل، آزمایش مقدماتی، و انطباق نهایی پروتکل. در مرحلۀ 2، سه متخصص موج سوم رفتاردرمانی، یک متخصص تغذیه، و یک مربی بدنسازی، در مرحلۀ 4، پنج مبتلا به چاقی، و در مرحلۀ 5، هفت متخصص موج سوم رفتاردرمانی شرکت کردند. دادهها بهصورت کمی (میانگین و شاخص روایی محتوایی) و کیفی تحلیل شد. یافته‌ها: پروتکلی متشکل از 12 جلسه آماده شد، که به هریک از شش گامِ ماتریکسِ درمان مبتنی بر پذیرش و پایبندی دو جلسه اختصاص یافت. تغییراتی در محتوای ماتریکس درمان مبتنی بر پذیرش و پایبندی از نظر استعارهها، تمرینها، و ابزارها صورت گرفت. نتایج شاخص روایی محتوایی حاکی از روایی محتوایی عالیِ تکتک جلسات و کل پروتکل بود. نتیجه‌گیری: برای آنکه بتوان از پروتکل ماتریکس درمان مبتنی بر پذیرش و پایبندی استفادۀ مؤثری در جمعیت ایرانی مبتلا به چاقی کرد، انطباق فرهنگی ضروری به نظر می رسد. | ||
| کلیدواژه‌ها | ||
| انطباق فرهنگی؛ چاقی؛ درمان مبتنی بر پذیرش و پایبندی؛ رفتار مرتبط با سلامت | ||
| عنوان مقاله [English] | ||
| Cultural Adaptation of Acceptance and Commitment Therapy Matrix Protocol for Health Behaviors in the Iranian Population with Obesity. | ||
| نویسندگان [English] | ||
| Saman Nonahal1؛ shahram mohammadkhani2؛ Jafar Hasani2؛ mehdi akbari3 | ||
| 1Ph.D. in Health Psychology, Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran . | ||
| 2Professor, Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran | ||
| 3Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran . | ||
| چکیده [English] | ||
| Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. Method: The cultural adaptation study was conducted in five stages: Protocol Translation, Information Gathering, Preliminary Adaptation, Preliminary Test, and Final Adaptation. In stage 2, three professionals specializing in third-wave behavior therapy, one nutritionist, and one bodybuilding coach participated. In stage 4, five individuals with obesity were involved, and, in stage 5, seven professionals in third-wave behavior therapy participated. Data were analyzed quantitatively (mean and content validity index) and qualitatively. Results: A protocol consisting of 12 sessions was developed, assigning two sessions to each of the six steps of the acceptance and commitment therapy matrix. The adapted protocol differed from the original protocol in terms of metaphors, exercises, and materials. We added three metaphors: The Compass, the Noticing Muscle, and the Monsters on the Bus. Additionally, Matrix cards were introduced, including Goals & Directions, The Magic Wand, Who Is Important, Important, Stuff That Shows Up, Behavior, Toward Moves, Toward & Away, Surfing The Waves, Am I Important, Choosing My Life, Psychological Flexibility, Noticing Muscle, Practice, Stuck Loops, Monster Tug-Of-War, Don't Think of It, Don't Feel It, The 2 Rules, Dead Person's Goals, Hooks, Catch & Release, Verbal Aikido, U-Turn, Monsters on the Bus, Two Friends, Texting My Future Self. We also included four worksheets: The Compass, Who or What Is Important, Two Friends, and Texting My Future Self. Excluded items were The Hooky Words Game and Sorting Five-Senses and Inner Experience. The Monster Tug-Of-War metaphor was used instead of the Man in The Hole metaphor; for an experiential exploration of controlling thoughts, the term “pink elephant” was used instead of “purple unicorn;” the new version of the Verbal Aikido Worksheet was used instead of the existing one; and the Two Friend metaphor was replaced with the Mother Cat Exercise. Furthermore, a short video about physical aikido was added, and the perspective-taking dialogue shifted from verbal format to writing format. The content validity index for each session in the adapted protocol, as well as for the entire adapted protocol, was excellent. Conclusion: The study provides valuable insights into the use of the acceptance and commitment therapy matrix in the Iranian population with obesity. It underscores the importance of considering cultural nuances during intervention design. | ||
| کلیدواژه‌ها [English] | ||
| Acceptance and Commitment Therapy, Cultural Adaptation, Health Behavior, Obesity | ||
| مراجع | ||
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