AMICA: Assessing Fit of Motivational Interviewing by Cultures with Adolescents

描述(申请人提供)：西班牙裔青少年因酗酒而遭受更严重的酒精相关后果，但接受酒精治疗的拉美裔青少年明显减少，特别是在涉及司法的青少年中。尽管已经对主流样本进行了动机访谈(MI)的研究，但还没有发表的研究调查这种简短的、针对西班牙裔青少年的个人干预的有效性。该应用程序的总体目标是评估针对问题饮酒行为的短暂个人干预(MI)的有效性，并以涉及正义的西班牙裔和白人青少年为样本，以确定这种干预在西班牙裔和白人青少年中是否有不同的效果。具体地说，第一个目标是确定针对酒精滥用的MI干预在减少青少年酗酒者样本中的酒精使用和相关危险行为方面是否有效。第二个目的是检验MI对问题饮酒结果(例如，酒精问题、饮酒量、酗酒频率)的影响在西班牙裔和白人青少年中是否有所不同。由于确定MI影响的调节机制并确定这些机制在高加索和西班牙裔青少年之间是否不同是重要的，第三个目标是检验群体(西班牙裔和高加索)是否在整个模型中使用跨组方法调节冥想联系(Aiken，Stein，&Bentler，1994；Bentler，1995)。为了实现这些目标，453名白人和西班牙裔涉及司法公正的酗酒青少年(年龄14-17岁)将被随机分为两个60分钟的MI干预(一个在基线，第二个，一周后)或只接受评估的对照条件(AO)。所有青少年将在基线、3个月、6个月和12个月接受行为评估。预计拟议的研究将朝着减少目前西班牙裔青少年在酒精治疗方面的种族/民族健康差距迈出重要一步。公共卫生相关性：尽管在为主流青少年制定有效的短暂酒精滥用干预措施方面取得了进展，但还没有研究评估针对西班牙裔青少年的简短(2节)个别酒精滥用干预措施的效果。面对他们更高的需求，但接受有效酒精干预的可能性较低，这项研究旨在评估一种简短的干预措施--动机访谈(MI)--对西班牙裔青少年的有效性。这项研究还将确定在这一短暂干预后，问题饮酒结果中潜在的特定于文化的调节因素。这项研究将朝着减少目前的种族/民族健康差距和改善西班牙裔青少年的酒精治疗迈出重要的一步。

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.