针对医疗环境中西班牙裔重度饮酒者的简短动机干预措施的文化适应性调整。
Cultural adaptation of a brief motivational intervention for heavy drinking among Hispanics in a medical setting.
作者信息
Field Craig A, Cabriales José Alonso, Woolard Robert H, Tyroch Alan H, Caetano Raul, Castro Yessenia
机构信息
Department of Psychology, The University of Texas at El Paso, 500 W. University Avenue, El Paso, TX, 79968, USA.
Health Sciences Center El Paso, Texas Tech University El Paso, El Paso, TX, USA.
出版信息
BMC Public Health. 2015 Jul 30;15:724. doi: 10.1186/s12889-015-1984-y.
BACKGROUND
Hispanics, particularly men of Mexican origin, are more likely to engage in heavy drinking and experience alcohol-related problems, but less likely to obtain treatment for alcohol problems than non-Hispanic men. Our previous research indicates that heavy-drinking Hispanics who received a brief motivational intervention (BMI) were significantly more likely than Hispanics receiving standard care to reduce subsequent alcohol use. Among Hispanics who drink heavily the BMI effectively reduced alcohol use but did not impact alcohol-related problems or treatment utilization. We hypothesized that an adapted BMI that integrates cultural values and addresses acculturative stress among Hispanics would be more effective.
METHODS/DESIGN: We describe here the protocol for the design and implementation of a randomized (approximately 300 patients per condition) controlled trial evaluating the comparative effectiveness of a culturally adapted (CA) BMI in contrast to a non-adapted BMI (NA-BMI) in a community hospital setting among men of Mexican origin. Study participants will include men who were hospitalized due to an alcohol related injury or screened positive for heavy drinking. By accounting for risk and protective factors of heavy drinking among Hispanics, we hypothesize that CA-BMI will significantly decrease alcohol use and alcohol problems, and increase help-seeking and treatment utilization.
DISCUSSION
This is likely the first study to directly address alcohol related health disparities among non-treatment seeking men of Mexican origin by comparing the benefits of a CA-BMI to a NA-BMI. This study stands to not only inform interventions used in medical settings to reduce alcohol-related health disparities, but may also help reduce the public health burden of heavy alcohol use in the United States.
TRIAL REGISTRATION
Trial registration clinicaltrials.gov identifier NCT02429401; Registration date: April 28, 2015.
背景
西班牙裔，尤其是墨西哥裔男性，更有可能大量饮酒并经历与酒精相关的问题，但与非西班牙裔男性相比，他们获得酒精问题治疗的可能性较小。我们之前的研究表明，接受简短动机干预（BMI）的大量饮酒的西班牙裔比接受标准护理的西班牙裔更有可能减少随后的酒精使用。在大量饮酒的西班牙裔中，BMI有效地减少了酒精使用，但并未影响与酒精相关的问题或治疗利用率。我们假设，一种整合文化价值观并解决西班牙裔文化适应压力的适应性BMI会更有效。
方法/设计：我们在此描述一项随机对照试验（每种情况约300名患者）的设计和实施方案，该试验评估在社区医院环境中，针对墨西哥裔男性，一种文化适应性（CA）BMI与非适应性BMI（NA-BMI）相比的相对有效性。研究参与者将包括因酒精相关伤害住院或大量饮酒筛查呈阳性的男性。通过考虑西班牙裔大量饮酒的风险和保护因素，我们假设CA-BMI将显著减少酒精使用和酒精相关问题，并增加寻求帮助和治疗利用率。
讨论
这可能是第一项通过比较CA-BMI与NA-BMI的益处，直接解决未寻求治疗的墨西哥裔男性中与酒精相关的健康差异的研究。这项研究不仅有助于为医疗环境中减少与酒精相关的健康差异的干预措施提供信息，还可能有助于减轻美国大量饮酒的公共卫生负担。
试验注册
试验注册clinicaltrials.gov标识符NCT02429401；注册日期：2015年4月28日。
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