title: A randomized controlled trial of culturally adapted motivational interviewing for Hispanic heavy drinkers: Theory of adaptation and study protocol.
abstract: The NIH Strategic Plan prioritizes health disparities research for socially disadvantaged Hispanics, to reduce the disproportionate burden of alcohol-related negative consequences compared to other racial/ethnic groups. Cultural adaptation of evidence-based treatments, such as motivational interviewing (MI), can improve access and response to alcohol treatment. However, the lack of rigorous clinical trials designed to test the efficacy and theoretical underpinnings of cultural adaptation has made proof of concept difficult.
  
  
  
  The CAMI2 (Culturally Adapted Motivational Interviewing) study design and its theoretical model, is described to illustrate how MI adapted to social and cultural factors (CAMI) can be discriminated against non-adapted MI.
  
  
  
  CAMI2, a large, 12month randomized prospective trial, examines the efficacy of CAMI and MI among heavy drinking Hispanics recruited from the community (n=257). Outcomes are reductions in heavy drinking days (Time Line Follow-Back) and negative consequences of drinking among Hispanics (Drinkers Inventory of Consequences). A second aim examines perceived acculturation stress as a moderator of treatment outcomes in the CAMI condition.
  
  
  
  The CAMI2 study design protocol is presented and the theory of adaptation is presented. Findings from the trial described may yield important recommendations on the science of cultural adaptation and improve MI dissemination to Hispanics with alcohol risk.
authors: Department of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA. Electronic address: chr.lee@neu.edu.
authors: Christina S
authors: CS
authors: Lee
authors: Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main St., Providence, RI 02912, USA.
authors: Suzanne M
authors: SM
authors: Colby
authors: Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main St., Providence, RI 02912, USA.
authors: Molly
authors: M
authors: Magill
authors: Simmons College, School of Social Work, 300 The Fenway, Boston, MA 02115, USA.
authors: Joanna
authors: J
authors: Almeida
authors: Department of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA.
authors: Tonya
authors: T
authors: Tavares
authors: Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main St., Providence, RI 02912, USA; Providence Veterans Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USA.
authors: Damaris J
authors: DJ
authors: Rohsenow
mesh_terms: D000428:Alcohol Drinking / Q000208:ethnology* / Q000628:therapy*; D054521:Cultural Competency; D006630:Hispanic or Latino; D006801:Humans; D062405:Motivational Interviewing / Q000379:methods*; D011446:Prospective Studies; D012107:Research Design; D012959:Socioeconomic Factors
keywords: Cultural adaptation; Hazardous alcohol use; Hispanics; Motivational interviewing; Randomized clinical trial