Culturally Adapted Motivational Interviewing Hispanics

描述（由申请人提供）：本申请是一个指导的以患者为导向的研究职业奖（K23）的请求，以发展为一个独立的临床试验研究人员，专门从事酒精治疗研究的实施和评估与服务不足的群体。在之前的一次研究中，我发现临床医生对少数饮酒者的反应不那么同情，并认为白色男性饮酒者对自己的酒精消费控制力较低。偏见、缺乏获得治疗的机会以及语言障碍都是造成保健差距的原因。这些因素解释了西班牙裔人从饮酒到危险饮酒的加速过程，与非西班牙裔人相比，他们的酒精问题发生率不成比例地高。这项拟议的研究希望通过开发一种文化适应的动机访谈来解决这些障碍，供讲英语的临床医生与西班牙裔患者一起工作。 本申请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），并比较这种干预与标准动机访谈（SMI）的有效性。 非洲工业部长会议的重点将是：1）将有关饮酒的文化规范和态度纳入干预措施，2）以文化敏感的方式提供干预措施的方法。CAMI开发将遵循阶段指南。这项研究的意义将是增加了解是否整合文化因素到现有的心理治疗提高治疗效果，以及是否培训讲英语的临床医生提供一个文化敏感的方式干预提高临床过程和结果。 培训目标是：1）扩大影响西班牙裔酒精使用在东北部的因素的概念知识，2）增加在动机访谈的交付和评估的专业知识，3）提高临床试验方法和统计技能，4）学术生产力，和5）接受研究伦理培训，包括有关社区研究行为的伦理问题。培训目标将通过以下资源实现：1）布朗大学酒精和成瘾研究中心，2）导师制，3）重点课程和临床经验，以及4）拟议的研究项目。

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.