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

Trial Summary

Will I have to stop taking my current medications?

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

What data supports the effectiveness of this treatment for alcohol consumption?

Research shows that Brief Motivational Intervention (BMI) is effective for alcohol misuse, and cultural adaptations of Motivational Interviewing (MI) have been successful in improving outcomes for diverse groups. Additionally, culturally informed enhancements to standard brief interventions have been developed to better address cultural factors, suggesting potential effectiveness for specific populations. ^{1 2 3 4 5}

Is the culturally adapted intervention for alcohol consumption safe for humans?

The studies on Brief Motivational Intervention (BMI) and its culturally adapted versions do not report any safety concerns, suggesting it is generally safe for human use. ^{2 5 6 7 8}

How is the culturally adapted brief motivational interviewing treatment different from other treatments for alcohol consumption?

This treatment is unique because it incorporates cultural elements into the standard motivational interviewing approach, making it more relevant and engaging for specific cultural groups. It addresses cultural risk and protective factors, which can enhance its effectiveness compared to non-culturally adapted interventions. ^{3 5 9 10 11}

What is the purpose of this trial?

This Stage II Randomized Efficacy Trial will compare the effectiveness of a theoretically informed and culturally responsive brief motivational intervention to a non-adapted brief intervention among non-treatment seeking Latinxs admitted for medical treatment of an injury who engage in at risk drinking or were drinking at the time of their injury. The culturally informed brief motivational intervention (CI-BMI) increases autonomous motivation to engage in protective drinking behavior and reduce alcohol problems while addressing barriers to help seeking and facilitating treatment utilization. This project will address the alcohol related health disparities and treatment inequities among Latinx who are more likely to experience alcohol problems yet less likely to receive treatment in order to reduce the negative public health impact of alcohol.

Research Team

Deidra Roach, PhD

Principal Investigator

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Eligibility Criteria

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

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

Treatment Details

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.

Participant Groups

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+

Findings from Research

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]

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]

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 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]

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]

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]

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]

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]

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]

References

1. England pubmed.ncbi.nlm.nih.gov

Teaching brief motivational interviewing to Year three medical students. [2022]

2. Brazil pubmed.ncbi.nlm.nih.gov

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil. [2018]

3. United States pubmed.ncbi.nlm.nih.gov

Cultural adaptations of motivational interviewing: A systematic review. [2023]

4. Ireland pubmed.ncbi.nlm.nih.gov

The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? [2022]

5. England pubmed.ncbi.nlm.nih.gov

Process for developing a culturally informed brief motivational intervention. [2021]

6. Ireland pubmed.ncbi.nlm.nih.gov

Efficacy of brief motivational intervention in reducing binge drinking in young men: A randomized controlled trial. [2015]

7. England pubmed.ncbi.nlm.nih.gov

Culturally adapted motivational interviewing for Latino heavy drinkers: results from a randomized clinical trial. [2021]

8. England 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. [2014]

9. United States pubmed.ncbi.nlm.nih.gov

A cultural adaptation of motivational interviewing to address heavy drinking among Hispanics. [2023]

10. England pubmed.ncbi.nlm.nih.gov

Cross-cultural adaptation of motivational interviewing for use in rural Nepal. [2023]

11. United States 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. [2023]