Adaptation and implementation of the Cultural Formulation Interview and training module for pediatric neuropsychology providers

Conceptual frameworks for cultural competence are essential in psychological care. The assessment of implementation efforts in pediatric neuropsychological contexts is particularly lacking. This study investigated an adapted training program for the Cultural Formulation Interview (CFI), including impact on provider cultural competence and perspectives on adaptation and implementation. Neuropsychological care providers (N = 16) participated in an adapted, group-based CFI training. The training included review of an online module, supplemented with reflective discussion. Participants completed pre- and post-training measures of perceived cultural competence, as well as a post-training survey assessing acceptability and utility of the CFI and training, facilitators and barriers to implementation, and potential adaptations to the CFI. The CFI and adapted training were rated highly on acceptability and utility. Self-reported confidence and competence in delivering culturally responsive care increased from pre- to post-training (z = −3.4; p = .0007). Key barriers and facilitators to implementation included resource needs, continuing education, and systemic change. Participants identified a theoretical, abbreviated 5-item CFI including alternative wording to fit their clinical needs. Overall, the adapted CFI training enhanced perceived cultural competence among pediatric neuropsychological providers, with strong acceptability and relevance to clinical practice. Recommendations will guide future training and systemic implementation.