Outcomes of a Brief Motivational Intervention for Heavy Alcohol Use in Racial or Ethnic Minority Compared to White Emerging Adults.

María Eugenia Contreras-Pérez, Eric Wagner, Michelle Hospital, Staci Morris, Suzanne Colby, Molly Magill
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Abstract

Purpose: This study used secondary data from a randomized controlled trial of a Brief Motivational Intervention (BMI) to examine whether Non-White participants had different treatment results compared to White participants.

Methods: The outcome variables of this study were divided into primary outcomes (heavy drinking and consequences associated with alcohol use) and secondary outcomes (cognitive variables such as motivation to change alcohol use, and behavioral variables, including protective behavioral strategies). Linear regression analyses were conducted with the PROCESS macro for SPSS, to test if race or ethnicity moderated the relationship between BMI and each treatment outcome. Data was collected at two time points, six weeks and three months after treatment.

Results: This study showed that race or ethnicity did not moderate treatment results for the four outcome variables. Additional within-group effect sizes were calculated for all racial and ethnic categories, showing that Hispanic/Latine and Black participants had larger effect sizes in all the outcome variables.

Discussion: The discussion examines the potential strength of Motivational Interviewing due to its client-centered spirit, which naturally allows for incorporating values and identity-based factors, such as culture, into the session.

Conclusion: The results suggest similar BMI outcomes among White and Non-White emerging adults who engage in heavy drinking, potentially due to its client-centered approach. This is a preliminary study, and the results are therefore tentative.

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与新兴白人成年人相比,少数种族或少数民族重度饮酒的简短动机干预结果。
目的:本研究使用了一项简短动机干预(BMI)随机对照试验的次要数据,以检查非白人参与者与白人参与者相比是否有不同的治疗结果。方法:本研究的结果变量分为主要结果(大量饮酒和与饮酒相关的后果)和次要结果(认知变量,如改变饮酒的动机和行为变量,包括保护行为策略)。使用SPSS的PROCESS宏进行线性回归分析,以测试种族或民族是否调节了BMI与每种治疗结果之间的关系。在治疗后6周和3个月的两个时间点收集数据。结果:这项研究表明,种族或民族并不能调节四个结果变量的治疗结果。计算了所有种族和族裔类别的额外组内效应大小,表明西班牙裔/拉丁裔和黑人参与者在所有结果变量中的效应大小都较大。讨论:讨论考察了动机面试的潜在优势,因为它以客户为中心的精神,自然允许将价值观和基于身份的因素(如文化)纳入会话中。结论:研究结果表明,在大量饮酒的白人和非白人新兴成年人中,BMI结果相似,这可能是由于其以客户为中心的方法。这是一项初步研究,因此结果是初步的。
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