Assessing the Fit of Motivational Interviewing by Cultures With Adolescents
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 13 - 18 |
| Updated: | 4/21/2016 |
| Start Date: | October 2009 |
| End Date: | July 2015 |
AMICA: Assessing the Fit of Motivational Interviewing by Cultures With Adolescents
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 mediational linkages in the overall model using a cross-groups approach to
moderated mediation. 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 education condition. 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.
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 mediational linkages in the overall model using a cross-groups approach to
moderated mediation. 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 education condition. 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.
Inclusion Criteria:
- Age 13 - 18
- Provision of informed assent (or self-consent if age 18)
- Parent/ guardian consent if under age 18
- Regular substance use (use at least 1 per month for past 6 months)
Exclusion Criteria:
- active psychosis
- mental retardation
- neurodevelopmental disorder
- severe medical illness
We found this trial at
1
site
Albuquerque, New Mexico 87106
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