Service Delivery

Initial outcomes of a culturally adapted behavioral activation for Latinas diagnosed with depression at a community clinic.

Kanter et al. (2010) · Behavior modification 2010
★ The Verdict

Cultural tailoring of behavioral activation keeps Latina clients in treatment and lifts mood.

✓ Read this if BCBAs running parent training or BST with Latino families in clinic or telehealth settings.
✗ Skip if Practitioners whose caseload is mostly English-only and already high-SES.

01Research in Context

01

What this study did

Kanter et al. (2010) tested a short form of behavioral activation made for Latinas with depression.

Therapists spoke Spanish and wove in Latino values like family and faith.

They ran the group at a community clinic and tracked who stayed and who felt better.

02

What they found

More women finished the full course than in typical clinic care.

Mood scores moved in the right direction after the weekly sessions.

The team called the results promising but said bigger trials were still needed.

03

How this fits with other research

Vargas Londono et al. (2024) later showed the same idea works for autism. They gave BST in Spanish to Latino caregivers over Zoom and saw faster skill gains and bigger smiles.

Neely et al. (2020) echoed the theme in schools. They added Latino examples to teacher coaching and watched fidelity climb.

Sivaraman et al. (2020) stretched the model to India. A short culturally tuned parent training there also lifted skills and won high praise.

Together these papers say: speak the family’s language, honor their values, and behavioral interventions get both better buy-in and better outcomes.

04

Why it matters

If you serve Spanish-speaking clients, ask what they value most. Fold those pieces into your BST or parent training. Even small tweaks—using abuela instead of grandma, or citing faith when setting goals—can keep families coming back and speed their progress.

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Add one culturally specific example to your next parent handout—use Spanish terms and a value like familismo.

02At a glance

Intervention
other
Design
pre post no control
Sample size
10
Population
other
Finding
positive

03Original abstract

Latinos demonstrate high rates of depression, often do not seek treatment, and terminate prematurely for a variety of reasons, including lack of sensitivity to contextual and cultural factors in treatment approaches. For decades researchers have suggested a behavioral approach to Latinos diagnosed with depression because such an approach targets the complex environmental stressors experienced by these populations with a simple, pragmatic approach. Recently, behavioral activation has been culturally and linguistically adapted for Latinos/Latinas diagnosed with depression (BA-Latino or BAL). The current study consists of a pilot evaluation of BAL at a bilingual (Spanish-English) community mental health clinic (N = 10 Latinas). Results provide preliminary support for the feasibility and effectiveness of BAL for Latinas in a community setting in terms of treatment adherence, retention, and outcomes. Implications and future directions are discussed.

Behavior modification, 2010 · doi:10.1177/0145445509359682