title: A cultural adaptation of motivational interviewing to address heavy drinking among Hispanics.
abstract: Although the need for cultural adaptations is often noted in addiction research, there are few templates to guide the process. The rationale for a social contextual framework to culturally adapt motivational interviewing for an immigrant heavy drinking Latino population in the U.S. Northeast is presented. The aim of the pilot study was to obtain data on acceptability of this approach. Participant responses to the adaptation were examined qualitatively and quantitatively in a preliminary study. Participants recruited from the community met criteria for risky drinking (men, ≥5 drinks/occasion or ≥14 drinks/week; women, ≥4 drinks/occasion or ≥7 drinks/week). Participants (n = 25) who completed baseline assessments and a culturally adapted brief motivational interview (CAMI) were asked to complete a qualitative exit interview to give feedback on their interview experience. Participants reported being highly engaged with treatment (M = 3.58 on a scale of 1-4, SD = .50), and felt very satisfied with treatment (M = 3.58 on a scale of 1-4, SD = .93). Nearly all (95%) reported that understanding their culture was important to understanding their drinking behavior. Results support the acceptability and relevance of this adaptation from participants' perspectives.
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, USA. Chr.lee@neu.edu
authors.forename: Christina S
authors.initials: CS
authors.lastname: Lee
authors.forename: Steven R
authors.initials: SR
authors.lastname: López
authors.forename: Lynn
authors.initials: L
authors.lastname: Hernández
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Colby
authors.forename: Raul
authors.initials: R
authors.lastname: Caetano
authors.forename: Belinda
authors.initials: B
authors.lastname: Borrelli
authors.forename: Damaris
authors.initials: D
authors.lastname: Rohsenow
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000208:ethnology* / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D010865:Pilot Projects; D040242:Risk Reduction Behavior; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult