title: Vida PURA: A Cultural Adaptation of Screening and Brief Intervention to Reduce Unhealthy Drinking Among Latino Day Laborers.
abstract: BACKGROUND
  Brief intervention is known to reduce drinking in primary care; however, because health care access is limited for Latino immigrants, traditional brief interventions are unlikely to reach this population.
  
  
  METHODS
  Using Barrera and Castro's framework, our study aims to culturally adapt a screening and brief intervention program to reduce unhealthy alcohol use among Latino day laborers, a particularly vulnerable group of Latino immigrant men. We conducted 18 interviews with Latino day laborers and 13 interviews with mental health and substance use providers that serve Latino immigrant men. Interviews were conducted until saturation of themes was reached. Themes from interviews were used to identify sources of mismatch between traditional screening and brief intervention in our target population.
  
  
  RESULTS
  Unhealthy alcohol use was common, culturally accepted, and helped relieve immigration-related stressors. Men had limited knowledge about how to change their behavior. Men preferred to receive information from trusted providers in Spanish. Men faced significant barriers to accessing health and social services but were open to receiving brief interventions in community settings. Findings were used to design Vida PURA, a preliminary adaptation design of brief intervention for Latino day laborers. Key adaptations include brief intervention at a day labor worker center provided by promotores trained to incorporate the social and cultural context of drinking for Latino immigrant men.
  
  
  CONCLUSIONS
  Culturally adapted brief intervention may help reduce unhealthy drinking in this underserved population.
authors.affiliation: a Department of Health Services , University of Washington , Seattle , Washington , USA.
authors.forename: India J
authors.initials: IJ
authors.lastname: Ornelas
authors.forename: Claire
authors.initials: C
authors.lastname: Allen
authors.forename: Catalina
authors.initials: C
authors.lastname: Vaughan
authors.forename: Emily C
authors.initials: EC
authors.lastname: Williams
authors.forename: Nalini
authors.initials: N
authors.lastname: Negi
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000628:therapy*; D019973:Alcohol-Related Disorders / Q000517:prevention & control*; D054521:Cultural Competency; D004651:Employment; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D011614:Psychotherapy, Brief / Q000379:methods*; D055815:Young Adult
keywords: Latino; alcohol; brief intervention; cultural adaptation