Culturally Adapted Motivational Interviewing for Latino Heavy Drinkers: Results from a Randomized Clinical Trial

Abstract

A randomized clinical trial of culturally adapted (CAMI) and un-adapted motivational interviewing (MI) to reduce drinking and related problems among heavy drinking Latinos randomized and assessed 58 participants at baseline, at 2 (86% retention) and 6 months (84% retention). Significant declines across both were found in heavy drinking days/month and drinking consequences (p < .001), with greater reductions for drinking consequences for CAMI at 2 months (p = .009) and continuing reductions in CAMI at 6 months. Findings provide preliminary support for the value of culturally adaptation to enhance the efficacy of motivational interviewing with Latino heavy drinkers.

Cultural accommodation of group substance abuse treatment for Latino adolescents: Results of an RCT.

“…While the lack of treatment differences in our study is consistent with other direct comparison studies (e.g., Burrow-Sánchez & Wrona, 2012; Huey & Pan, 2006; Lee et al, 2013; McCabe & Yeh, 2009) we also consider potential reasons for this finding. First, any difference between treatments is less likely to be found when comparing two active treatment conditions in the same study (Shadish et al, 2002; Wampold, 2001) and this could help explain our findings from a methodological standpoint.…”

Development and Preliminary Testing of a Promotora - Delivered, Spanish Language, Counseling Intervention for Heavy Drinking among Male, Latino Day Laborers

“…Census Bureau, 2004) and are under-represented in clinical and research samples (Wells, Klap, Koike, & Sherbourne, 2001). There is some evidence that adapting behavioral interventions to include Latinos’ cultural practices and particular stressors improves outcomes including treatment engagement and reduced substance use (Caroll et al, 2009; Santa Ana et al, 2009; Field & Caetano, 2010; Lee et al, 2013a; Lee et al, 2013b). …”

“…Cultural adaptation takes into consideration the social and cultural contexts of the client, (Santiago-Rivera, Arredondo, & Gallordo-Cooperm, 2001; Sue & Sue, 2003; Lee at al 2011;, Lee et al 2013b) and may improve the effectiveness of interventions addressing unhealthy behaviors in immigrant populations. These populations may experience minority stress due to discrimination, poverty, low social status limited social support and low education attainment (Lee et al, 2013b).…”

Adapting Screening, Brief Intervention, and Referral to Treatment for Alcohol and Drugs to Culturally Diverse Clinical Populations

“…Lee et al (2013) later examined the efficacy of culturally adapted MI (CAMI) versus un-adapted MI in a community sample of heavy drinking Latinos (N=58). Both interventions, CAMI and un-adapted MI, were manualized, single-session approaches lasting approximately 90 minutes.…”

“…Currently, the AUDIT has the most extensive evidence base, but research could continue to examine the need to adapt substance use screening tools. Studies reviewed indicate that brief interventions are efficacious with diverse populations (Bernstein et al, 2005; Field et al, 2010) and that cultural adaptations such as ethnic-concordance -matching (Field & Caetano, 2010) and culturally tailored interventions (Lee et al, 2013) lead to greater reductions in substance use post-treatment. Research findings also indicate that minority patients may be more likely to experience treatment admission delays compared to White patients (Lo & Cheng, 2011; Gryczynski et al, 2011).…”