Christina S Lee1, Suzanne M Colby2, Molly Magill2, Joanna Almeida3, Tonya Tavares4, Damaris J Rohsenow5. 1. Department of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA. Electronic address: chr.lee@neu.edu. 2. Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main St., Providence, RI 02912, USA. 3. Simmons College, School of Social Work, 300 The Fenway, Boston, MA 02115, USA. 4. Department of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA. 5. 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.
Abstract
BACKGROUND: 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. OBJECTIVE: 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. METHODS AND DESIGN: 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. SUMMARY: 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.
RCT Entities:
BACKGROUND: 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. OBJECTIVE: 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. METHODS AND DESIGN: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. SUMMARY: 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: Linda H Eaton; Ardith Z Doorenbos; Krisann L Schmitz; Kelly M Carpenter; Bonnie A McGregor Journal: Nurs Res Date: 2011 Nov-Dec Impact factor: 2.381
Authors: Geir Smedslund; Rigmor C Berg; Karianne T Hammerstrøm; Asbjørn Steiro; Kari A Leiknes; Helene M Dahl; Kjetil Karlsen Journal: Cochrane Database Syst Rev Date: 2011-05-11