Culturally sensitive substance use treatment for racial/ethnic minority youth: A meta-analytic review

Steinka-Fry, Katarzyna T.; Tanner‐Smith, Emily E.; Dakof, Gayle A.; Henderson, Craig E.

doi:10.1016/j.jsat.2017.01.006

Cited by 80 publications

(47 citation statements)

References 72 publications

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“…Historically, most treatment programs for individuals with substance use disorders have been designed and validated with homogenous, predominantly white youth [91]. Adolescents of diverse racial, ethnic, and cultural backgrounds vary in risk factors, patterns of use, response to treatment, and consequences of substance use [92]. Research in the last three years has added to our understanding of the importance of tailoring adolescent SUD treatment within a culturally sensitive context.…”

Section: B Culturally-based Programsmentioning

confidence: 99%

Adolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies

Fadus

Squeglia

Valadez

et al. 2019

Curr Psychiatry Rep

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Purpose of Review: To examine the most recent published evidence (2016-2019) regarding the treatment of adolescent substance use disorders, and to provide an update on evidence-based strategies, adjunctive interventions, and methods to improve currently established treatment approaches. Recent Findings: Recent evidence suggests that psychosocial treatments such as family-based therapy, cognitive behavioral therapy, and multicomponent approaches remain the most effective methods of treatment; however, innovative ways of improving these treatment strategies may include digital and culturally-based interventions. New advances in adjunctive treatments such as pharmacotherapy, exercise, mindfulness, and recovery-oriented educational centers may have some clinical utility. Summary: Well-established psychosocial interventions remain the primary modality of treatment. Promising new adjunctive treatments and improvements in our currently established treatments may yield significant improvements.

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Section: B Culturally-based Programsmentioning

confidence: 99%

Adolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies

Fadus

Squeglia

Valadez

et al. 2019

Curr Psychiatry Rep

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show abstract

“…Some may enhance outcomes, particularly if they more closely align the intervention with the needs of the specific population in a particular system or context. In fact, modifications that focus on increasing the fit of the EBPs with the target population can lead to improved engagement, acceptability, and clinical outcomes, particularly when working with minority populations [8–10]. However, modifications that remove key elements of an intervention, or fail to align with population needs, may be less effective [7, 11–14].…”

Section: Introductionmentioning

confidence: 99%

The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions

2019

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Background This paper describes the process and results of a refinement of a framework to characterize modifications to interventions. The original version did not fully capture several aspects of modification and adaptation that may be important to document and report. Additionally, the earlier framework did not include a way to differentiate cultural adaptation from adaptations made for other reasons. Reporting additional elements will allow for a more precise understanding of modifications, the process of modifying or adapting, and the relationship between different forms of modification and subsequent health and implementation outcomes. Discussion We employed a multifaceted approach to develop the updated FRAME involving coding documents identified through a literature review, rapid coding of qualitative interviews, and a refinement process informed by multiple stakeholders. The updated FRAME expands upon Stirman et al.’s original framework by adding components of modification to report: (1) when and how in the implementation process the modification was made, (2) whether the modification was planned/proactive (i.e., an adaptation) or unplanned/reactive, (3) who determined that the modification should be made, (4) what is modified, (5) at what level of delivery the modification is made, (6) type or nature of context or content-level modifications, (7) the extent to which the modification is fidelity-consistent, and (8) the reasons for the modification, including (a) the intent or goal of the modification (e.g., to reduce costs) and (b) contextual factors that influenced the decision. Methods of using the framework to assess modifications are outlined, along with their strengths and weaknesses, and considerations for research to validate these measurement strategies. Conclusion The updated FRAME includes consideration of when and how modifications occurred, whether it was planned or unplanned, relationship to fidelity, and reasons and goals for modification. This tool that can be used to support research on the timing, nature, goals and reasons for, and impact of modifications to evidence-based interventions.

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“…These aspects include cultural factors such as perceptions of normal and abnormal behavior, behavioral norms, and attitudes and knowledge about mental health problems (37, 115) as well as factors related to the utilization of mental health services among certain populations (102). Interpretation of the studies integrated in this review is hindered by the limited number of included studies, small sample sizes, and ethnic heterogeneity and variability in comparison conditions across studies (110). Therefore, further large-scale research in needed in order to determine the efficacy of culturally responsive practices in reducing ethnic disparities in SUD treatment (114).…”

Section: Discussionmentioning

confidence: 99%

“…However, when comparing pre-posttest effect sizes from groups receiving CBT between minority and non-minority studies, CBT's impact was significantly stronger in non-minority studies (108). Several studies examining culturally competent interventions for SUD have highlighted the importance of cultural adaptation [(109, 110), for meta-analyses] and flexible, client-centered approach (111) in improving treatment outcomes. A meta-analysis by Smith et al (112) revealed that culturally adapted interventions were frequently more effective than standard interventions and that most effective interventions included more adaptations in terms of language, content, goals, methods, context of services, etc.…”

Section: Socio-cultural Aspects Of Sud Treatmentmentioning

confidence: 99%

“…(113). Likewise, a recent meta- analysis ( N = 7 studies) including CBT, educational, individual and family interventions for SUD, concluded that culturally sensitive treatments were associated with significantly larger reductions in post-treatment substance use levels relative to their comparison conditions (110). Nevertheless, further research is needed to determine the efficacy of culturally responsive practices in reducing ethnic disparities in SUD treatment (114).…”

Section: Socio-cultural Aspects Of Sud Treatmentmentioning

confidence: 99%

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Mini Review: Socio-Cultural Influences on the Link Between ADHD and SUD

Slobodin

Crunelle

2019

Front. Public Health

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Attention-deficit/hyperactivity disorder (ADHD) is a risk factor for the development and persistence of substance use disorders (SUD). The prevalence of ADHD in patients with SUD varies across countries and cultures. So far, cross-cultural variance in ADHD prevalence rates among SUD patients was mainly ascribed to methodological differences between studies, leaving the role of societal and cultural practices in the ADHD-SUD link hardly acknowledged. The aim of the present mini review is to address this gap in the literature by providing evidence for the effect of socio-cultural practices on the ADHD-SUD link and suggesting directions for future research. To achieve this goal, we map the influence of socio-cultural factors on the ADHD-SUD link along three lines of research. The first line is concerned with the role of socio-cultural factors in the recognition, diagnosis and treatment of childhood ADHD. The second line of research is concerned with socio-cultural influences on substance use (e.g., religion, ethnic identity, acculturation, and socio-economic status). Finally, we describe potential socio-cultural factors which may operate as mechanisms for reducing or increasing access to substance abuse treatment (e.g., ethnic disparities in health care utilization). Identifying socio-cultural influences on the ADHD-SUD link may provide further insight into the bidirectional association between ADHD and SUD in different contexts and encourage future research in the field.

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Culturally sensitive substance use treatment for racial/ethnic minority youth: A meta-analytic review

Cited by 80 publications

References 72 publications

Adolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies

Adolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies

The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions

Mini Review: Socio-Cultural Influences on the Link Between ADHD and SUD

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