AMICA: Assessing Fit of Motivational Interviewing by Cultures with Adolescents

描述（由申请人提供）：由于酗酒，西班牙裔青少年经历了更严重的与酒精有关的后果，但接受酒精治疗的西班牙裔青少年却少得多，特别是在涉及司法的青少年中。尽管对主流样本进行了动机访谈（MI）的研究，但没有发表的研究调查了这种简短的个人干预对西班牙裔青少年的有效性。本应用程序的总体目标是评估一个简短的个人干预（MI）对问题饮酒行为的有效性，以西班牙裔和白种人青少年为样本，以确定该干预在西班牙裔和白种人青少年之间是否有不同的效果。具体来说，第一个目的是确定针对酒精滥用的MI干预是否能有效减少青少年酒精滥用者的酒精使用和相关风险行为。第二个目的是研究心肌梗死对问题饮酒结果（如酒精问题、饮酒量、酗酒频率）的影响在西班牙裔青少年和白人青少年之间是否存在差异。因为确定介导MI效应的机制以及确定这些机制在白人青少年和西班牙裔青少年之间是否存在差异是很重要的，所以第三个目的是使用跨群体调节中介的方法来检验群体（西班牙裔与白人）是否调节了整个模型中的中介联系（Aiken, Stein, & Bentler, 1994; Bentler, 1995）。为了实现这些目标，453名涉及司法的白人和西班牙裔酗酒青少年（14-17岁）将被随机分为两个60分钟的MI干预组（一个在基线，另一个在一周后）或一个仅评估控制条件（AO）。所有青少年将在基线、3,6和12个月时接受行为评估。预计拟议的研究将在缩小目前西班牙裔青少年在酒精治疗方面的种族/族裔健康差距方面迈出重要一步。公共卫生相关性：尽管在为主流青少年制定有效的短期酒精滥用干预措施方面取得了进展，但没有研究评估西班牙裔青少年短期（2期）个人酒精滥用干预措施的有效性。面对他们更高的需求，但接受有效的酒精干预的可能性较低，本研究旨在评估对西班牙裔青少年进行简短干预的效果，动机访谈（MI）。这项研究还将确定在短暂干预后饮酒问题结果的潜在文化特定调节因素。这项研究将在缩小目前种族/族裔健康差距和改善西班牙裔青少年酒精治疗方面迈出重要一步。

DESCRIPTION (provided by applicant): Hispanic adolescents experience more severe alcohol-related consequences due to their alcohol abuse and yet significantly fewer Hispanic adolescents receive alcohol treatment, particularly among justice-involved youth. Despite the level of research that has been conducted on motivational interviewing (MI) with mainstream samples, no published studies have investigated the efficacy of this brief, individual intervention with Hispanic adolescents. The overarching objective of this application is to evaluate the efficacy of a brief individual intervention (MI) for problem drinking behaviors with a sample of justice-involved Hispanic and Caucasian adolescents to determine if this intervention is differentially effective between Hispanic and Caucasian adolescents. Specifically, the first aim is to determine whether an MI intervention targeting alcohol abuse is effective at reducing alcohol use and related risk behavior in a sample of adolescent alcohol abusers. The second aim is to examine whether the effects of MI on problem drinking outcomes (e.g., alcohol problems, quantity of drinking, frequency of binging) are different between Hispanic versus Caucasian adolescents. Because it is important to determine the mechanisms that mediate the effects of MI and determine whether these mechanisms differ between Caucasian and Hispanic adolescents, the third aim is to examine whether group (Hispanic vs. Caucasian) moderates the meditational linkages in the overall model using a cross-groups approach to moderated mediation (Aiken, Stein, & Bentler, 1994; Bentler, 1995). To accomplish these aims, 453 Caucasian and Hispanic justice-involved alcohol abusing adolescents (ages 14-17) will be randomized to either two 60 minute MI interventions (one at baseline and a second, one week later) or an assessment only control condition (AO). All adolescents will receive behavioral assessments at baseline, 3, 6 and 12 months. The proposed research is expected to take a significant step towards reducing current racial/ethnic health disparities in alcohol treatment for Hispanic adolescents. PUBLIC HEALTH RELEVANCE: Despite the advances made in developing efficacious brief alcohol abuse interventions for mainstream adolescents, no studies have evaluated the efficacy of brief (2 session) individual alcohol abuse interventions for Hispanic adolescents. In the face of their higher need, but lower likelihood of receiving effective alcohol interventions, this research is designed to evaluate the efficacy of a brief intervention, motivational interviewing (MI), with Hispanic adolescents. This research will also identify potential culturally-specific moderators in problem drinking outcomes following this brief intervention. This research will take a significant step towards reducing current racial/ethnic health disparities and improving alcohol treatment for Hispanic adolescents.