A randomized controlled trial of culturally adapted motivational interviewing for Hispanic heavy drinkers: Theory of adaptation and study protocol

Abstract Background The NIH Strategic Plan prioritizes health disparities research for socially disadvantaged Hispanics, to reduce the disproportionate burden of alcohol-related negative consequences compared to other racial/ethnic groups. Cultural adaptation of evidence-based treatments, such as mo...

Full description

Saved in:
Bibliographic Details
Published in:Contemporary clinical trials 2016-09, Vol.50, p.193-200
Main Authors: Lee, Christina S., PhD, Colby, Suzanne M., PhD, Magill, Molly, PhD, Almeida, Joanna, Sc.D., M.P.H., M.S.W, Tavares, Tonya, M.S, Rohsenow, Damaris J., PhD
Format: Article
Language:English
Subjects:
Alcohol Drinking - ethnology
Alcohol Drinking - therapy
Cardiovascular
Cultural adaptation
Cultural Competency
Hazardous alcohol use
Hematology, Oncology and Palliative Medicine
Hispanic Americans
Hispanics
Humans
Motivational interviewing
Motivational Interviewing - methods
Prospective Studies
Randomized clinical trial
Research Design
Socioeconomic Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background The NIH Strategic Plan prioritizes health disparities research for socially disadvantaged Hispanics, to reduce the disproportionate burden of alcohol-related negative consequences compared to other racial/ethnic groups. Cultural adaptation of evidence-based treatments, such as motivational interviewing (MI), can improve access and response to alcohol treatment. However, the lack of rigorous clinical trials designed to test the efficacy and theoretical underpinnings of cultural adaptation has made proof of concept difficult. Objective The CAMI2 (Culturally Adapted Motivational Interviewing) study design and its theoretical model, is described to illustrate how MI adapted to social and cultural factors (CAMI) can be discriminated against non-adapted MI. Methods and design CAMI2, a large, 12 month randomized prospective trial, examines the efficacy of CAMI and MI among heavy drinking Hispanics recruited from the community ( n = 257). Outcomes are reductions in heavy drinking days (Time Line Follow-Back) and negative consequences of drinking among Hispanics (Drinkers Inventory of Consequences). A second aim examines perceived acculturation stress as a moderator of treatment outcomes in the CAMI condition. Summary The CAMI2 study design protocol is presented and the theory of adaptation is presented. Findings from the trial described may yield important recommendations on the science of cultural adaptation and improve MI dissemination to Hispanics with alcohol risk.
ISSN:1551-7144
1559-2030
DOI:10.1016/j.cct.2016.08.013