Culturally Adapted Intervention for Alcohol Consumption

Overseen By Ashley M Lindquist, B.S.

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Texas, El Paso

Disqualifiers: Traumatic brain injury, Cognitive impairment

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 3

Duration: 3 months

600 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial evaluates the effectiveness of a culturally adapted motivational talk for Latinx individuals who drink alcohol at risky levels and have sustained injuries. It compares this tailored approach with a standard motivational talk, known as Brief Motivational Interviewing, to enhance motivation for safer drinking and address treatment barriers. Potential participants include those who self-identify as Latinx, have been admitted to a trauma center due to an alcohol-related injury, and have a history of risky drinking behavior. As an unphased trial, this study provides a unique opportunity to contribute to culturally sensitive approaches that may improve health outcomes in the Latinx community.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that culturally adapted brief motivational interviewing (CAMI) has been studied with heavy-drinking Hispanic individuals. In one large study over 12 months, researchers tested CAMI for effectiveness and safety in this group. The results showed that participants generally handled the intervention well, with no major negative events reported.

Another study focused on a version of this intervention specifically for Mexican-origin men who are heavy drinkers. This study also found that participants responded positively, with no significant issues.

These studies suggest that culturally adapted brief motivational interviewing is a safe option for those considering joining a trial. Overall, the intervention appears well-tolerated without serious side effects. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about these treatments because they offer a culturally adapted approach to reducing alcohol consumption. Unlike standard motivational interviewing, which is a common method for addressing alcohol use, this trial explores the impact of tailoring the intervention to fit cultural contexts. The culturally adapted brief motivational interviewing aims to make the treatment more relevant and engaging for individuals from diverse backgrounds, potentially increasing its effectiveness. By focusing on cultural nuances, researchers hope to improve outcomes and provide a more personalized care option for those struggling with alcohol use.

What evidence suggests that this trial's treatments could be effective for reducing alcohol consumption among Latinx individuals?

Research has shown that culturally adapted brief motivational interventions (CI-BMI), which participants in this trial may receive, can help reduce alcohol consumption among heavy-drinking Hispanics. Studies have found that people who received CI-BMI were more likely to reduce their drinking days each week compared to those who did not receive this culturally adapted help. CI-BMI boosts motivation to drink less and helps overcome obstacles to seeking help. This method fits the cultural needs and experiences of Latinx individuals, making it more relatable and effective for addressing alcohol-related issues. Another group in this trial will receive standard Brief Motivational Interviewing (BMI) to compare and evaluate the effectiveness of the cultural adaptation. ^{1 6 7 8 9}

Who Is on the Research Team?

Deidra Roach, PhD

Principal Investigator

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Are You a Good Fit for This Trial?

This trial is for Latinx individuals, 18 or older, who were admitted to a level 1 trauma center due to an alcohol-related injury and engage in at-risk drinking (with a minimum BAC of .001). It's not suitable for those seeking other treatments.

Inclusion Criteria

Admission to a level 1 -trauma center

Self-identify as Latinx

Involved in a alcohol-related injury

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either the culturally informed brief motivational intervention (CI-BMI) or the non-adapted brief intervention (NA-BMI) to address alcohol-related health disparities and treatment inequities.

3 months

Multiple sessions as part of the intervention

Follow-up

Participants are monitored for changes in alcohol-related behaviors and treatment utilization.

12 months

Follow-up assessments at 3, 6, and 12 months

What Are the Treatments Tested in This Trial?

Interventions

• Brief Motivational Interviewing
• Culturally adaptation brief motivational interviewing

Trial Overview The study compares two types of counseling: one that's culturally tailored (CI-BMI) and another standard brief motivational interviewing. The goal is to see which better motivates safer drinking habits and encourages treatment use among Latinxs.

How Is the Trial Designed?

Group I: Culturally Adaptation Brief Motivational Interviewing Experimental Treatment 1 Intervention

Group II: Brief Motivational Interviewing Active Control 1 Intervention

Who Is Running the Clinical Trial?

University of Texas, El Paso

Lead Sponsor

Trials

17

Recruited

3,000+

University of Texas at Austin

Collaborator

Trials

387

Recruited

86,100+

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator

Trials

865

Recruited

1,091,000+

El Paso County General Hospital dba University Medical Center

Collaborator

Trials

1

Recruited

600+

Published Research Related to This Trial

In a study involving 637 Brazilian participants seeking help for alcohol use, those receiving a Brief Motivational Intervention (BMI) over the phone had a significantly higher abstinence rate of 70% compared to 41% in the control group after 6 months.

The results indicate that the BMI is an effective intervention for promoting alcohol cessation in helpline settings, with a notable odds ratio of 1.5, suggesting a strong likelihood of success for those receiving the intervention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil. Signor, L., Pierozan, PS., Ferigolo, M., et al.[2018]

The study successfully enhanced a standard brief intervention for alcohol use by incorporating five culturally informed strategies, developed through collaboration with patients and experts.

This culturally enhanced intervention aligns with Motivational Interviewing techniques and can be adapted for other populations, providing a framework for improving interventions across diverse groups.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Process for developing a culturally informed brief motivational intervention. Field, C., Oviedo Ramirez, S., Juarez, P., et al.[2021]

Year 3 medical students at Yale University significantly improved their skills in brief motivational interviewing (BMI) after a 2-hour training session, showing increased use of BMI-consistent behaviors and reduced communication roadblocks.

The training not only enhanced students' practical skills but also boosted their knowledge, confidence, and commitment to using BMI in their future medical practice, indicating that effective behavior change counseling can be taught in a short timeframe.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Teaching brief motivational interviewing to Year three medical students. Martino, S., Haeseler, F., Belitsky, R., et al.[2022]

A clinical trial involving 57 heavy drinking Latinos showed that both culturally adapted and unadapted motivational interviewing significantly reduced heavy drinking days and drinking-related problems over 6 months, with high retention rates of 86% and 84%.

Culturally adapted motivational interviewing was particularly effective, leading to greater reductions in drinking consequences at both 2 months and 6 months, suggesting that cultural adaptation enhances the treatment's efficacy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Culturally adapted motivational interviewing for Latino heavy drinkers: results from a randomized clinical trial. Lee, CS., López, SR., Colby, SM., et al.[2021]

A brief motivational intervention (BMI) significantly reduced alcohol use among non-treatment-seeking young men, with a notable decrease in consumption compared to a control group that only received assessment.

The effectiveness of BMI was influenced by specific counselor characteristics, such as being male, having more clinical experience, and possessing favorable attitudes towards BMI, suggesting that training programs should focus on these traits to enhance treatment outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Influence of counselor characteristics and behaviors on the efficacy of a brief motivational intervention for heavy drinking in young men--a randomized controlled trial. Gaume, J., Magill, M., Longabaugh, R., et al.[2014]

Cultural adaptations of motivational interviewing (CAMI) have been shown to enhance effectiveness in treating diverse populations, with 10 out of 17 randomized controlled trials demonstrating significant improvements in primary outcomes compared to control conditions.

The successful adaptations focused on three key dimensions—Context, Content, and Concepts—highlighting the importance of tailoring interventions to align with the cultural values and goals of clients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cultural adaptations of motivational interviewing: A systematic review. Self, KJ., Borsari, B., Ladd, BO., et al.[2023]

A pilot study involving 25 participants from a Latino immigrant community showed that a culturally adapted motivational interviewing approach (CAMI) was well-received, with high engagement and satisfaction scores (M = 3.58 on a scale of 1-4).

Participants emphasized the importance of cultural understanding in addressing their drinking behaviors, with 95% agreeing that it was crucial for effective treatment, highlighting the relevance of cultural adaptations in addiction interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A cultural adaptation of motivational interviewing to address heavy drinking among Hispanics. Lee, CS., López, SR., Hernández, L., et al.[2023]

A brief motivational intervention (BMI) significantly reduced alcohol consumption among binge drinkers, with a 20% decrease in drinking compared to a control group, indicating its efficacy in this population.

BMI did not have a preventive effect on maintaining low-risk drinking among non-bingers, suggesting it is specifically beneficial for those who already engage in binge drinking.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of brief motivational intervention in reducing binge drinking in young men: A randomized controlled trial. Daeppen, JB., Bertholet, N., Gaume, J., et al.[2015]

Motivational Interviewing (MI) can be effectively adapted to rural Nepal, where family and community influence individual behavior, highlighting the need for culturally sensitive approaches to enhance patient autonomy in health interventions.

Key informants, including Nepali nurses, emphasized the importance of addressing both patient and family motivations separately to improve adherence to treatment, suggesting that MI can be tailored to fit the social dynamics of the community.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cross-cultural adaptation of motivational interviewing for use in rural Nepal. Rimal, P., Khadka, S., Bogati, B., et al.[2023]

Culturally adapted motivational interviewing (CAMI) significantly reduced immigration and acculturation stress, as well as related drinking behaviors, among 149 Latinx adults over a 12-month period, indicating its efficacy as an intervention.

Participants with lower levels of acculturation and higher perceived discrimination experienced greater reductions in stress and drinking, suggesting that CAMI may be particularly beneficial for those facing more significant cultural challenges.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Culturally adapted motivational interviewing's effects on drinking in response to immigration and acculturation stressors among Latinx adults with heavy drinking problems. Hai, AH., Lee, CS., Zhou, C., et al.[2023]

A randomized controlled trial involving 1336 patients found that Brief Motivational Interventions (BMIs) significantly reduced alcohol consumption and related problems among alcohol-dependent patients over 6 and 12 months.

Patients with alcohol dependence who received BMI were less likely to meet the criteria for alcohol dependence at 6 months, indicating that BMI can be an effective treatment option even for those with more severe alcohol issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? Field, CA., Caetano, R.[2022]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC4520023/

Cultural adaptation of a brief motivational intervention for ... Our previous research indicates that heavy-drinking Hispanics who received a brief motivational intervention (BMI) were significantly more likely than Hispanics ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC5063031/

A randomized controlled trial of culturally adapted motivational ... A large, 12 month randomized prospective trial, examines the efficacy of CAMI and MI among heavy drinking Hispanics recruited from the community.

3. clinicaltrials.gov clinicaltrials.gov/study/NCT05800899

Trial of a Culturally Informed Brief Intervention to Reduce ... The culturally informed brief motivational intervention (CI-BMI) increases autonomous motivation to engage in protective drinking behavior and reduce alcohol ...

4. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0306460318311249

Process for developing a culturally informed brief ... The present study culturally enhances a standard brief intervention for alcohol use. Through an iterative process engaging key stakeholders; ...

5. tandfonline.com tandfonline.com/doi/full/10.1080/26408066.2023.2263454?src=

Outcomes of a Brief Motivational Intervention for Heavy ... The study's main results showed that those who received the BMI session reported significantly fewer average drinking days per week, percentage ...

6. clinicaltrials.gov clinicaltrials.gov/study/NCT02429401

Culturally Adapted Brief Intervention for Heavy Drinking ... In this comparative-effectiveness study, investigators will recruit 400 English-speaking, Spanish-speaking, or bilingual heavy-drinking Mexican-origin men ...

7. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/30909079/

Process for developing a culturally informed brief motivational ... The present study culturally enhances a standard brief intervention for alcohol use. Through an iterative process engaging key stakeholders.

8. withpower.com withpower.com/trial/phase-alcoholism-4-2023-bfd94

Culturally Adapted Intervention for Alcohol Consumption The culturally informed brief motivational intervention (CI-BMI) increases autonomous motivation to engage in protective drinking behavior and reduce alcohol ...

9. bmcpublichealth.biomedcentral.com bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1984-y

Cultural adaptation of a brief motivational intervention for ... This study stands to not only inform interventions used in medical settings to reduce alcohol-related health disparities, but may also help ...