University of Texas, El Paso
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.
Our prior Stage III Randomized Clinical Trial (n=1496) evaluating ethnic differences in response to brief intervention showed that, compared to non-Latinxs Whites, Latinxs were more likely to reduce alcohol use in response to standard brief alcohol interventions that are not adapted to be culturally responsive (NA-BMI) versus treatment as usual1. In Stage I Community Based Participatory Research (Stage I CBPR), we developed a culturally informed brief motivational intervention (CI-BMI) which adopts a harm reduction approach and focuses on reducing alcohol problems and increasing treatment util…
Inclusion Criteria: * Admission to a level 1 -trauma center * Involved in a alcohol-related injury * Self-identify as Latinx * 18 or older * Minimum Blood Alcohol Concentration (BAC) score of .001 and/or at risk drinking Exclusion Criteria: * Traumatic brain injury or otherwise debilitating injury as indicated by a Glasgow Coma Scale score of less than 15. * Cognitive impairment as indicated by a score of 24 or less on the Mini-Mental Status Exam
Standard non-adapted brief motivational interviewing based on motivational interviewing.
culturally adapted brief motivational interviewing based on motivational interviewing.
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