Culturally Adapted Motivational Interviewing Hispanics

描述（由申请人提供）：此申请是对指导患者导向研究职业奖（K23）的请求，以发展为独立的临床试验研究员，专门从事酒精治疗研究的实施和评估。在之前的一项研究中，我发现临床医生对少数族裔饮酒者的同情程度较低，并认为白人男性饮酒者对自己的酒精摄入量控制能力较差。偏见、缺乏获得治疗的机会以及语言障碍造成了卫生保健方面的差距。这些因素解释了拉美裔人从饮酒到危险饮酒的加速过程，他们与非拉美裔人相比，经历了不成比例的更高的酒精问题率。提出的研究希望通过开发一种文化适应性的动机访谈来解决这些障碍，以供讲英语的临床医生与西班牙裔患者一起工作。

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.