AMICA: Assessing Fit of Motivational Interviewing by Cultures with Adolescents

描述（由申请人提供）：西班牙裔青少年由于酗酒而经历更严重的酒精相关后果，但接受酒精治疗的西班牙裔青少年明显较少，特别是在涉及司法的青少年中。尽管已经进行了动机访谈（MI）与主流样本的研究水平，没有发表的研究已经调查了这种简短的，个人干预与西班牙裔青少年的疗效。本申请的总体目标是评估一个简短的个人干预（MI）的问题饮酒行为的有效性，以公正参与的西班牙裔和白人青少年的样本，以确定这种干预是否是西班牙裔和白人青少年之间的差异有效。具体来说，第一个目的是确定是否MI干预针对酒精滥用是有效的，在减少酒精使用和相关的风险行为的青少年酒精滥用者的样本。第二个目的是检查MI对问题饮酒结果的影响（例如，酒精问题，饮酒量，暴饮暴食的频率）之间的西班牙裔和白人青少年不同。因为重要的是要确定介导MI的影响的机制，并确定这些机制是否在白人和西班牙裔青少年之间存在差异，第三个目的是检查组（西班牙裔与白人）是否在整体模型中使用跨组的方法来调节中介的冥想联系（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的酒精滥用青少年（年龄14-17岁）将被随机分配到两个60分钟的MI干预（一个在基线，第二个在一周后）或仅评估对照条件（AO）。所有青少年将在基线、3个月、6个月和12个月时接受行为评估。这项拟议中的研究预计将朝着减少西班牙裔青少年酒精治疗中目前种族/民族健康差异迈出重要一步。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次）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，本研究的目的是评估一个简短的干预，动机访谈（MI），与西班牙裔青少年的有效性。这项研究还将确定潜在的文化特定的主持人在问题饮酒的结果后，这个简短的干预。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.