Cultural Adaptation of Screening, Brief Intervention and Referral to Treatment Using Motivational Interviewing

Satre, Derek D.; Manuel, Jennifer K.; Larios, Sandra E.; Steiger, Scott; Satterfield, Jason M.

doi:10.1097/adm.0000000000000149

Cited by 9 publications

(11 citation statements)

References 32 publications

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“…Project CAMI2, a RCT, fills a research and clinical gap by testing cultural adaptation in the context of an existing MI theory [36, 96]. Study findings have the potential to inform the field broadly on recommendations for culturally adapting evidence-based interventions with socially disadvantaged minority populations.…”

Section: Discussionmentioning

confidence: 99%

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

Lee

Colby

Magill

et al. 2016

Contemporary Clinical Trials

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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.

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Section: Discussionmentioning

confidence: 99%

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

Lee

Colby

Magill

et al. 2016

Contemporary Clinical Trials

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“…With regard to racial‐ethnic minority populations specifically, previous research shows SBI is effective when adapting based on the specific culture . However, SBI studies that include diverse samples are scant and even fewer studies include AIs . In one study, SBI did not reduce drinking behavior among a sample of American Indian and Alaska Native (AI/AN) women of childbearing age …”

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“…14 However, SBI studies that include diverse samples are scant and even fewer studies include AIs. 8,13,14 In one study, SBI did not reduce drinking behavior among a sample of American Indian and Alaska Native (AI/AN) women of childbearing age. 15 Motivational interviewing (MI) has been a key component of many SBI interventions.…”

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confidence: 99%

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CONNECT: Implementation of a School‐Based Alcohol Screening and Brief Intervention for Youth in the Cherokee Nation

Garrett¹,

Komro

Merlo

et al. 2019

Journal of School Health

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BACKGROUND There is growing optimism regarding the use of screening and brief intervention (SBI) to identify and reduce risk behaviors during adolescence. However, understanding successful SBI implementation remains unclear. We previously reported the effects of CONNECT, a school‐based SBI, on reducing the primary outcome, the rate of monthly alcohol use among primarily American Indian (AI) and White high school students in the Cherokee Nation. In this paper, we describe the design and implementation process for CONNECT. METHOD CONNECT was designed to reduce alcohol use with 2 key strategies: (1) SBI with motivational interviewing (MI), implemented by a school‐based CONNECT coach, and (2) a media campaign. RESULTS Implementation results indicate that during each semester of the 2–1/2 years, between 73% and 100% of eligible students had at least one 15‐minute meeting with a CONNECT coach. Postcards and posters with positive communication tips for parents were displayed in CONNECT communities. No statistically significant differences occurred between the CONNECT and control groups on the hypothesized intermediate outcomes. CONCLUSIONS We describe implementation of a universal, school‐based, culturally adapted SBI that was effective in reducing alcohol use among youth living in the Cherokee Nation. Schools provide an important context for universal delivery of SBI interventions, such as CONNECT, for diverse adolescent populations, including AI youth.

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“…However, theories of health behavior and health education emphasize that tailoring education to meet the needs of the target population may enhance learning and its transferability to real-world contexts (Glanz, Rimer, & Viswanath, 2008). Similarly, lessons from implementation and dissemination research emphasize that closing the gap between research and practice requires a willingness to adapt interventions in a way that optimizes the fit between the intervention and the context; that is, to successfully adopt and sustain changes, implementation strategies must consider organizational environments and constraints, as well as the needs and limitations of the professionals expected to deliver them (Castro, Barrera, & Martinez, 2004; Chambers et al, 2013; Chambers & Norton, 2016; Devieux et al, 2005; Gibbs, Krieger, Cutbush, Clinton-Sherrod, & Miller, 2016; Hawe, Shiell, & Riley, 2004; Satre, Manuel, Larios, Steiger, & Satterfield, 2015; Stirman, Miller, Toder, & Calloway, 2013). Studies of SBIRT implementation within health care settings have identified numerous obstacles at the organizational and provider levels, including time limitations, competing priorities, lack of confidence, and threats to sustainability such as funding for staff training (Broyles, Kraemer, Kengor, & Gordon, 2013; Murphy, 2009; Rahm et al, 2015).…”

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confidence: 99%

Fit and Feasibility: Adapting a Standardized Curriculum to Prepare Future Health Professionals to Address Alcohol Misuse

King

Neander

Edwards

et al. 2018

Pedagogy in Health Promotion

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The U.S. Preventive Services Task Force (2013) recommends that clinicians screen all their adult patients and conduct brief behavioral counseling for those misusing alcohol, yet few health professional training programs prepare students to do so (Babor et al., 2007). Improving the quality of health care delivery to promote practical, preventive, integrated services is a key component of health care reform and Medicaid expansion, which requires changes to the training curricula for health professionals (Wilkes, Cassel, & Klau, 2018). In 2013, the Substance Abuse and Mental Health Services Administration (SAMHSA) funded health professional training programs at 14 universities to adopt a standardized training curriculum for an evidence-based preventive practice known as SBIRT (i.e., Screening, Brief Intervention, and Referral to Treatment; SAMHSA, 2013). Grantees were encouraged to adapt the curriculum, which was developed for medical residents, and embed it within nursing, social work, and counseling programs. SBIRT is an effective but underused preventive service that health care professionals can use to systematically identify patients who are drinking more than they should and help them reduce their drinking.

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Cultural Adaptation of Screening, Brief Intervention and Referral to Treatment Using Motivational Interviewing

Cited by 9 publications

References 32 publications

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

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

CONNECT: Implementation of a School‐Based Alcohol Screening and Brief Intervention for Youth in the Cherokee Nation

Fit and Feasibility: Adapting a Standardized Curriculum to Prepare Future Health Professionals to Address Alcohol Misuse

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