The practice of solution-focused brief therapy in mainland China

A Conceptual Protocol for a Single-Session Solution-Focused Brief Therapy for Medication Adherence Intervention Delivered by General Providers

New approaches to medication adherence interventions are needed. This manuscript presents a highly structured protocol of a single-session solution-focused brief therapy (SFBT) for medication adherence intervention (SFBT-MAI) delivered by general providers. It conceptually integrates the procedure of tailored interventions, techniques of SFBT, and the four steps of Qitang Lin' conceptualization of single-session SFBT. With specific techniques and examples to reduce operational difficulties, the SFBT-MAI includes two parts. The first part focuses on selecting non-adherent patients and clarifying their barriers to medication adherence. The second part focuses on individualized interventions with four steps: closing, hoping, empowering, and changing and acting. It is hoped that this work will improve the effectiveness of medication adherence interventions for patients with coronary heart disease and to promote the use of brief psychological interventions in clinical practice.

Solution-focused brief therapy for adolescent and young adult cancer patients in China: a pilot randomized controlled trial

OBJECTIVE

This pilot clinical trial investigated solution-focused brief therapy (SFBT) for psychological distress among adolescent and young adult (AYA) patients with cancer in China.

METHODS

Fifty Chinese AYA patients diagnosed with cancer were randomized into the treatment group (SFBT) and control group (active control). Psychological distress was measured by the brief symptom inventory and hope was measured by the Herth-Hope-Index. Treatment effects were analyzed using analysis-of-covariance and between-group small-sample-size corrected Hedges' g.

RESULTS

The results indicated that SFBT resulted in a significant reduction in the psychological distress and improvement in hope of AYA patients with cancer. Analyses of the 4-week posttreatment score suggest the short-term sustainability of SFBT for psychological distress among AYAs diagnosed with cancer.

CONCLUSIONS AND IMPLICATIONS

This study has demonstrated that SFBT's impact is statistically significant and clinically meaningful. The inclusion of positive emotions, i.e., hope, as part of the investigation also highlighted the significance of promoting positive emotions among AYA patients with cancer.

The Effectiveness of Solution-Focused Group Therapy in Ethnic Chinese School Settings: A Meta-Analysis

In order to assess the effectiveness and the moderators of the effects of solution-focused group therapy (SFGT) in ethnic Chinese school settings, we used a meta-analytic method to synthesize 24 studies from Taiwan and China. The results showed that the overall effect sizes of SFGT's immediate and follow-up effects were 1.03 and 1.09, respectively, and were positive and large in ethnic Chinese school settings. The overall SFGT immediate effect size was large for all school levels, except for junior high schools (d = .61). The overall SFGT immediate effect size for internalizing behavior problems was 1.06, and for family and relationship problems it was .94. This study offers significant evidence pointing to SFGT's high degree of effectiveness in ethnic Chinese school settings. Implications for the use of SFGT in school settings and Chinese culture are discussed.