Department of Health Services, University of Washington, Seattle, USA.
Health Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care, Veteran Affairs (VA), Puget Sound Health Care System, Seattle, USA.
Am J Mens Health. 2020 May-Jun;14(3):1557988320925652. doi: 10.1177/1557988320925652.
Latino immigrant men are at increased risk for unhealthy alcohol use, yet few interventions have been designed to meet their unique needs. The current study assessed participant satisfaction and acceptability of a culturally adapted brief intervention to reduce unhealthy alcohol use in this population. Adaptations to the brief intervention included delivering it in Spanish by in a community setting. The mixed methods approach included surveys ( = 73) and in-depth interviews ( = 20) with participants in a pilot randomized controlled trial. The study drew on Sekhon's theoretical framework of acceptability to asses affective attitude, burden, and perceived effectiveness of the intervention, along with satisfaction with the content, setting, and . Participants' survey responses indicated that they were highly satisfied with the content, setting, and delivery of the brief intervention. In interviews participants noted that the brief intervention helped them reflect on their drinking behaviors, that they perceived to be a trusted source of health information, and that they liked receiving personalized feedback via tablets. Some participants found the feedback did not match their own perceptions of their alcohol use and wanted clearer advice on how to reduce their drinking. Men felt they would benefit from more contact with . These findings suggest that Latino immigrant men in this study were receptive to the culturally adapted brief intervention. Future interventions may be more effective if they include multiple contacts with and more directive guidance on strategies to reduce drinking.
拉美裔移民男性饮酒过量的风险增加,但针对他们的特殊需求而设计的干预措施却很少。本研究评估了一项针对该人群的减少饮酒过量的文化适应型简短干预措施的参与者满意度和可接受性。简短干预措施的调整包括以西班牙语由社区环境中的 提供。混合方法包括对试点随机对照试验中的参与者进行调查(=73)和深入访谈(=20)。该研究借鉴了 Sekhon 的可接受性理论框架,评估了对干预措施的情感态度、负担和感知效果的满意度,以及对内容、环境和 的满意度。参与者的调查回应表明,他们对简短干预措施的内容、环境和提供方式非常满意。在访谈中,参与者指出简短干预措施帮助他们反思了自己的饮酒行为,他们认为 是一个值得信赖的健康信息来源,并且喜欢通过平板电脑获得个性化的反馈。一些参与者发现反馈与他们自己对饮酒的看法不匹配,他们希望得到更明确的关于如何减少饮酒的建议。男性认为他们会受益于与 更多的接触。这些发现表明,该研究中的拉美裔移民男性对文化适应型简短干预措施持接受态度。如果未来的干预措施包括与 更多的接触,并提供更明确的减少饮酒策略的指导,那么它们可能会更有效。