Two approaches to tailoring treatment for cultural minority adolescents.
Two approaches to tailoring treatment for cultural minority adolescents.
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DOI：
10.1016/j.jsat.2011.12.005
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发表时间：
2012-09
影响因子：
3.9
通讯作者：
Adams SK
中科院分区：
文献类型：
--
作者：
Feldstein Ewing SW;Wray AM;Mead HK;Adams SK
此时，与主流（高加索）青少年相比，文化少数群体青少年经历了更严重的物质相关后果，并且不太可能接受治疗。虽然一些经验支持的干预措施（ESI），如动机访谈（MI），已与主流青少年进行了评估，较少发表的研究调查这些干预措施与文化少数民族青少年的适合性和有效性。此外，许多经验性的评估，经济影响指数并没有明确参加的问题，文化，种族和社会经济背景在他们的分析。因此，有一些问题的外部有效性，特别是在弱势文化少数民族人口。本次审查旨在采取一个步骤，填补这一空白，解决如何提高适合和有效性，如MI与文化少数民族青年的ESI。具体而言，本综述介绍了现有的文献MI与文化少数群体（成人和青少年），提出了两种方法来评估和适应这种（或其他）行为干预，并阐明了每个定制方法的基本原理，优势和潜在的责任。
At this time, compared with mainstream (Caucasian) youth, cultural minority adolescents experience more severe substance-related consequences and are less likely to receive treatment. While several empirically supported interventions (ESIs), such as motivational interviewing (MI), have been evaluated with mainstream adolescents, fewer published studies have investigated the fit and efficacy of these interventions with cultural minority adolescents. Additionally, many empirical evaluations of ESIs have not explicitly attended to issues of culture, race, and socioeconomic background in their analyses. As a result, there is some question about the external validity of ESIs, particularly in disadvantaged cultural minority populations. This review seeks to take a step towards filling this gap, by addressing how to improve the fit and efficacy of ESIs like MI with cultural minority youth. Specifically, this review presents the existing literature on MI with cultural minority groups (adult and adolescent), proposes two approaches for evaluating and adapting this (or other) behavioral interventions, and elucidates the rationale, strengths, and potential liabilities of each tailoring approach.
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