Citation

Lee CS, Colby SM, Magill M, Almeida J, Tavares T, Rohsenow DJ. Contemp. Clin. Trials 2016; 50: 193-200.

Affiliation

Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main St., Providence, RI 02912, USA; Providence Veterans Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USA.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.cct.2016.08.013

PMID

27565832

Abstract

BACKGROUND: The NIH Strategic Plan prioritizes health disparities research for socially disadvantaged Hispanics, to reduce the disproportionate burden of alcohol-related negative consequences compared to other racial/ethnic groups.Cultural adaptation of evidence-based treatments, such as motivational interviewing (MI), can improve access and response to alcohol treatment.However, the lack of rigorous clinical trials designed to test the efficacy and theoretical underpinnings of cultural adaptation has made proof of concept difficult.

OBJECTIVE: The CAMI2 (Culturally Adapted Motivational Interviewing) study design and its theoretical model, is described to illustrate how MI adapted to social and cultural factors (CAMI) can be discriminated against non-adapted MI.

METHODS AND DESIGN: CAMI2, a large, 12month randomized prospective trial, examines the efficacy of CAMI and MI among heavy drinking Hispanics recruited from the community (n=257).Outcomes are reductions in heavy drinking days (Time Line Follow-Back) and negative consequences of drinking among Hispanics (Drinkers Inventory of Consequences).A second aim examines perceived acculturation stress as a moderator of treatment outcomes in the CAMI condition. SUMMARY: The CAMI2 study design protocol is presented and the theory of adaptation is presented.

FINDINGS from the trial described may yield important recommendations on the science of cultural adaptation and improve MI dissemination to Hispanics with alcohol risk.

Copyright © 2016. Published by Elsevier Inc.

Language: en