Santisteban Daniel, Vega Rodolfo R, Suarez-Morales Lourdes
University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Drug Alcohol Depend. 2006 Sep;84 Suppl 1:S94-101. doi: 10.1016/j.drugalcdep.2006.05.011. Epub 2006 Jul 10.
This article focuses on the gap between research and practice in substance abuse treatment, identifies some of the key findings in the technology transfer literature, and discusses their relevance to the adoption of new technology among Hispanic serving agencies and counselors. In organizing the material we present information within the categories of: (1) evidence, (2) context, and (3) facilitation. When considering the "evidence" for empirically supported substance abuse treatments for Hispanics, there is great concern about the shortage of treatments that have been adequately tested with Hispanics. In this article, we analyze the strengths and weaknesses of strategies recommended to address this problem. In terms of the "context" in which evidence-based practices will be implemented, we consider counselor characteristics and organizational structures that may facilitate or hinder the adoption of these practices and discuss how these may impact Hispanic-serving agencies. Finally, the mechanisms necessary for "facilitation" of evidence-based practices in Hispanic-serving agencies are described. Given the dearth of dissemination research with Hispanics, as well as other minorities, each area described in this article presents unique challenges that can benefit from a field-wide discussion.
本文聚焦于药物滥用治疗研究与实践之间的差距，梳理技术转让文献中的一些关键发现，并探讨这些发现与西班牙裔服务机构及咨询师采用新技术的相关性。在组织材料时，我们按照以下类别呈现信息：（1）证据；（2）背景；（3）促进因素。在考量针对西班牙裔的经实证支持的药物滥用治疗“证据”时，人们极为关注针对西班牙裔进行充分测试的治疗方法短缺这一问题。在本文中，我们分析了为解决该问题而推荐的策略的优缺点。就实施循证实践的“背景”而言，我们考量可能促进或阻碍这些实践采用的咨询师特征和组织结构，并讨论这些因素如何影响西班牙裔服务机构。最后，阐述了西班牙裔服务机构中促进循证实践所需的机制。鉴于针对西班牙裔以及其他少数群体的传播研究匮乏，本文所描述的每个领域都呈现出独特的挑战，而这些挑战能从全领域的讨论中受益。
