Culturally Adapted Motivational Interviewing Hispanics

文化适应性激励访谈西班牙裔

• 批准号: 6866862
• 负责人: CHRISTINA S LEE
• 金额: $ 12.93万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-01 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6866862
• 关键词: Hispanic Americans; alcoholic beverage consumption; alcoholism /alcohol abuse; attitude; behavioral /social science research tag; clinical research; counseling; culture; focus groups; handbook; health care personnel education; health services research tag; human middle age (35-64); human subject; human therapy evaluation; language; medically underserved population; motivation; patient care personnel relations; patient oriented research; psychosocial rehabilitation; sensitivity training; therapy design /development; young adult human (21-34)

DESCRIPTION (provided by applicant): This application is a request for a Mentored Patient-Oriented Research Career Award (K23) to develop as an independent clinical trials researcher specializing in the implementation and evaluation of alcohol treatment research with underserved groups. In a prior grant, I found that clinicians responded to minority drinkers with less pity and rated white male drinkers to have less control over their alcohol consumption. Bias, lack of access to treatment, and the language barrier, contribute to health care disparities. These factors explain the accelerated course from drinking to hazardous drinking for Hispanics, who experience a disproportionately higher rate of alcohol problems compared with non-Hispanics. The proposed research study hopes to address these barriers by developing a culturally adapted motivational interview for use by English-speaking clinicians working with Hispanic patients. Primary research aims of this application are to develop and evaluate a culturally adapted motivational interview (CAMI), and to compare the efficacy of this intervention with standard motivational interview (SMI). CAMI foci will be on: 1) the integration of cultural norms and attitudes about drinking into the intervention, and 2) methods to deliver the intervention in a culturally sensitive manner. CAMI development will follow stage guidelines. The significance of this research will be to increase understanding on whether integrating cultural factors into an existing psychosocial treatment enhances treatment efficacy, and whether training English-speaking clinicians to deliver an intervention in a culturally sensitive manner enhances clinical process and outcome. Training goals are to: 1) broaden conceptual knowledge of the factors that influence Hispanic alcohol use in the Northeast, 2) increase expertise in the delivery and evaluation of motivational interviewing, 3) enhance skills in clinical trials methodology and statistics, 4) scholarly productivity, and 5) receive training in research ethics, including ethical issues regarding the conduct of community research. Training goals will be achieved through resources available at 1) the Center for Alcohol and Addiction Studies, Brown University, 2) mentorship, 3) focused coursework and clinical experiences, and 4) the proposed research project.

描述（由申请人提供）：此申请是为了获得指导的注重患者研究职业奖（K23）的要求，以作为独立的临床试验研究人员发展，专门研究和评估服务不足的小组的酒精治疗研究。在先前的赠款中，我发现临床医生对怜悯较少的少数族裔饮酒者做出了反应，对白人男性饮酒者的评价减少了对饮酒的控制权。偏见，无法获得治疗以及语言障碍，导致医疗保健差异。这些因素解释了从饮酒到西班牙裔危险饮酒的加速过程，与非西班牙裔相比，他们的酒精问题率更高。拟议的研究希望通过开发一种具有文化适应的动机访谈来解决这些障碍，以供英语讲英语的临床医生与西班牙裔患者一起工作。 该应用的主要研究目的是开发和评估一种文化适应的动机访谈（CAMI），并将这种干预措施与标准动机访谈（SMI）进行比较。 CAMI FOCI将在：1）文化规范和饮酒中的态度的整合，以及2）以文化敏感的方式进行干预的方法。 CAMI开发将遵循舞台指南。这项研究的意义将是提高人们对将文化因素融入现有的社会心理治疗是否增强治疗效果的理解，以及培训说英语的临床医生以文化敏感的方式提供干预措施，从而增强了临床过程和结果。 培训目标是：1）扩大影响东北地区西班牙葡萄酒使用的因素的概念知识，2）增加动机访谈的交付和评估方面的专业知识，3）提高临床试验方法论和统计学的技能，4）学术生产力，5）接受研究培训，包括有关社区研究的伦理问题。培训目标将通过1）在1）酒精与成瘾研究中心的资源实现，布朗大学，2）指导，3）专注的课程工作和临床经验，以及4）提议的研究项目。