PURPOSE/OBJECTIVE This commentary demonstrates the need for culturally adapted interventions to support informal caregivers (care partners) of adults with traumatic brain injuries (TBI), proposes and supports an evidence-based intervention, Problem-Solving Training (PST), uniquely suitable for cultural adaptation for Latinx care partners, and describes several considerations and concrete suggestions for initial cultural adaption of PST for Latinx care partners of adults with TBI. RESULTS Caregiving among Latinxs is rooted in cultural values and norms that may facilitate or challenge family coping and adaptation after TBI in the United States. Evidence-based interventions to address emotional distress, health, and caregiver burden are needed for Latinx care partners, but must first be translated and adapted to address language and cultural values. Compared with other cognitive and behavioral evidence-based interventions, PST is ideal for cultural adaptation, as the problem-solving process is driven by, and therefore sensitive and responsive to, care partners and their individual values and situations. CONCLUSIONS/IMPLICATIONS Adapting evidence-based problem-solving interventions like PST ("Descubriendo Soluciones Juntos") to be culturally tailored and culturally sensitive for Spanish-speaking Latinx care partners of adults with TBI could reduce existing health disparities and improve the health, well-being, and quality of life of these care partners. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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“Decubriendo Soluciones Juntos”——关于在创伤性脑损伤 (TBI) 后对拉丁裔护理伙伴进行问题解决培训的争论。


目的/目标 本评论表明需要采取适应文化的干预措施来支持成人创伤性脑损伤 (TBI) 的非正式护理人员（护理伙伴），提出并支持基于证据的干预措施，即问题解决培训 (PST)，该方法特别适合拉丁裔护理伙伴的文化适应，并描述了针对成人 TBI 拉丁裔护理伙伴的 PST 初始文化适应的一些考虑因素和具体建议。结果 拉丁裔的护理植根于文化价值观和规范，这些价值观和规范可能促进或挑战美国 TBI 后家庭的应对和适应。拉丁裔护理合作伙伴需要采取基于证据的干预措施来解决情绪困扰、健康和护理人员负担，但必须首先进行翻译和调整，以解决语言和文化价值观问题。与其他基于认知和行为证据的干预措施相比，PST 是文化适应的理想选择，因为解决问题的过程是由护理伙伴及其个人价值观和情况驱动的，因此对护理伙伴及其个人价值观和情况敏感且敏感。结论/启示 采用基于证据的问题解决干预措施，如 PST（“Decubriendo Soluciones Juntos”），针对 TBI 成人的讲西班牙语的拉丁裔护理伙伴进行文化定制和文化敏感，可以减少现有的健康差距，改善健康状况。这些护理伙伴的存在和生活质量。 （PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。