title: Adaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos.
abstract: Poor antidepressant adherence is a significant issue in depression treatment that adversely affects treatment outcomes. Although being a common problem, it tends to be more common among Latinos. To address this problem, the current study adapted a Motivational Interviewing (MI) intervention to improve adherence among Latinos with depression. The adaptation process included six focus groups that elicited participants' perspectives (N = 30), applying the intervention with test cases (N = 7) to fine-tune the intervention, and eliciting feedback on the intervention (N = 5). The findings generated from these adaptation phases are described, along with a case example. Examples of adaptations to the MI included reframing antidepressant adherence as a way to luchar (struggle) against problems, focusing on motivation for improving depression and not just medication, refining methods for imparting antidepressant information, and inclusion of personalized visual feedback on dose-taking. The findings provide a description of the antidepressant issues experienced by a group of Latinos, as well as considerations for applying MI with this population. The intervention remained grounded in MI principles, but was contextualized for this Latino group.
authors.affiliation: Department of Psychiatry, UMDNJ, Robert Wood Johnson Medical School, Piscataway, NJ 08854-5635, USA.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Interian
authors.forename: Igda
authors.initials: I
authors.lastname: Martinez
authors.forename: Lisbeth Iglesias
authors.initials: LI
authors.lastname: Rios
authors.forename: Jonathan
authors.initials: J
authors.lastname: Krejci
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Guarnaccia
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use*; D001294:Attitude to Health / Q000208:ethnology*; D003299:Cooperative Behavior; D003469:Culture; D003865:Major Depressive Disorder / Q000188:drug therapy* / Q000208:ethnology*; D005260:Female; D006293:Health Promotion; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009042:Motivation; D010349:Patient Compliance / Q000208:ethnology*; D010865:Pilot Projects
chemical_list: D000928:Antidepressive Agents