title: Multicultural web-based motivational interviewing for clients with a first-time DUI offense.
abstract: Culturally and linguistically appropriate interventions are needed to reduce the risk of driving under the influence (DUI) recidivism among diverse populations. Using core elements of Motivational Interviewing, we developed a culturally relevant web-MI intervention (web-MI) in English and Spanish to serve as a standalone or adjunctive program in DUI educational settings and evaluated its feasibility and acceptability among clients with first-time DUI offenses. We conducted an iterative formative assessment using focus groups with staff (n = 8) and clients (n = 27), and usability interviews with clients (n = 21). Adapting MI for the web was widely accepted by staff and clients. Clients stated the web-MI was engaging, interactive and personal, and felt more comfortable than past classes and programs. Spanish-speaking clients felt less shame, embarrassment, and discomfort with the web-MI compared to other in-person groups. Results support the viability of web-MI for DUI clients at risk for recidivism and highlight the importance of adapting the intervention for diverse populations. Key decisions used to develop the web-MI are discussed.
authors.affiliation: RAND Corporation, Santa Monica, CA 90407-2138, USA. karenc@rand.org
authors.forename: Karen Chan
authors.initials: KC
authors.lastname: Osilla
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: D'Amico
authors.forename: Claudia M
authors.initials: CM
authors.lastname: Díaz-Fuentes
authors.forename: Marielena
authors.initials: M
authors.lastname: Lara
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Watkins
mesh_terms: D000435:Alcoholic Intoxication / Q000517:prevention & control*; D001334:Automobile Driving; D018864:Cultural Diversity; D037001:Directive Counseling / Q000379:methods*; D017144:Focus Groups; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D020407:Internet; D015141:Los Angeles