Helping clients feel welcome: Principles of adapting treatment cross-culturally

Kamilla L. Venner, Sarah Feldstein Ewing, Nadine Tafoya

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Empirically supported interventions (ESIs) for treating substance problems have seldom been made available to or tested with minority populations. Dissemination of ESIs may help reduce the disproportionate health disparities that exist. However, ESIs may require some adaptation to be effective with minority populations. One ESI, motivational interviewing (MI), appears to be particularly culturally congruent for Native American communities. We worked with Native American community members and treatment providers to adapt MI for Native communities. Reflecting their feedback and suggested amendments, we created and disseminated an intervention manual to improve the accessibility of MI within Native communities. To help guide practitioners working with Native American clients, we used focus-group methodology to explore communication patterns for negotiating change. Native American treatment providers expressed comfort with and enthusiasm for integrating MI into their current practices. Recommendations for adaptations ranged from simple to complex changes. The unique value and challenges of collaboration between academic and community members are presented from each author's perspective. This culturally adapted MI manual will likely improve the accessibility and adoption ofMI practices as well as encourage controlled, clinical trials with Native communities.

Original languageEnglish (US)
Pages (from-to)11-30
Number of pages20
JournalAlcoholism Treatment Quarterly
Volume25
Issue number4
DOIs
StatePublished - Jan 17 2008
Externally publishedYes

Fingerprint

Motivational Interviewing
North American Indians
Population Groups
Therapeutics
Negotiating
Controlled Clinical Trials
Focus Groups
Population
Communication
Health

Keywords

  • Adapt motivational interviewing
  • Native American
  • Substance abuse treatment
  • Traditional research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Helping clients feel welcome : Principles of adapting treatment cross-culturally. / Venner, Kamilla L.; Feldstein Ewing, Sarah; Tafoya, Nadine.

In: Alcoholism Treatment Quarterly, Vol. 25, No. 4, 17.01.2008, p. 11-30.

Research output: Contribution to journalArticle

@article{cabf972c73644831ae958a129e07447b,
title = "Helping clients feel welcome: Principles of adapting treatment cross-culturally",
abstract = "Empirically supported interventions (ESIs) for treating substance problems have seldom been made available to or tested with minority populations. Dissemination of ESIs may help reduce the disproportionate health disparities that exist. However, ESIs may require some adaptation to be effective with minority populations. One ESI, motivational interviewing (MI), appears to be particularly culturally congruent for Native American communities. We worked with Native American community members and treatment providers to adapt MI for Native communities. Reflecting their feedback and suggested amendments, we created and disseminated an intervention manual to improve the accessibility of MI within Native communities. To help guide practitioners working with Native American clients, we used focus-group methodology to explore communication patterns for negotiating change. Native American treatment providers expressed comfort with and enthusiasm for integrating MI into their current practices. Recommendations for adaptations ranged from simple to complex changes. The unique value and challenges of collaboration between academic and community members are presented from each author's perspective. This culturally adapted MI manual will likely improve the accessibility and adoption ofMI practices as well as encourage controlled, clinical trials with Native communities.",
keywords = "Adapt motivational interviewing, Native American, Substance abuse treatment, Traditional research",
author = "Venner, {Kamilla L.} and {Feldstein Ewing}, Sarah and Nadine Tafoya",
year = "2008",
month = "1",
day = "17",
doi = "10.1300/J020v25n04_02",
language = "English (US)",
volume = "25",
pages = "11--30",
journal = "Alcoholism Treatment Quarterly",
issn = "0734-7324",
publisher = "Routledge",
number = "4",

}

TY - JOUR

T1 - Helping clients feel welcome

T2 - Principles of adapting treatment cross-culturally

AU - Venner, Kamilla L.

AU - Feldstein Ewing, Sarah

AU - Tafoya, Nadine

PY - 2008/1/17

Y1 - 2008/1/17

N2 - Empirically supported interventions (ESIs) for treating substance problems have seldom been made available to or tested with minority populations. Dissemination of ESIs may help reduce the disproportionate health disparities that exist. However, ESIs may require some adaptation to be effective with minority populations. One ESI, motivational interviewing (MI), appears to be particularly culturally congruent for Native American communities. We worked with Native American community members and treatment providers to adapt MI for Native communities. Reflecting their feedback and suggested amendments, we created and disseminated an intervention manual to improve the accessibility of MI within Native communities. To help guide practitioners working with Native American clients, we used focus-group methodology to explore communication patterns for negotiating change. Native American treatment providers expressed comfort with and enthusiasm for integrating MI into their current practices. Recommendations for adaptations ranged from simple to complex changes. The unique value and challenges of collaboration between academic and community members are presented from each author's perspective. This culturally adapted MI manual will likely improve the accessibility and adoption ofMI practices as well as encourage controlled, clinical trials with Native communities.

AB - Empirically supported interventions (ESIs) for treating substance problems have seldom been made available to or tested with minority populations. Dissemination of ESIs may help reduce the disproportionate health disparities that exist. However, ESIs may require some adaptation to be effective with minority populations. One ESI, motivational interviewing (MI), appears to be particularly culturally congruent for Native American communities. We worked with Native American community members and treatment providers to adapt MI for Native communities. Reflecting their feedback and suggested amendments, we created and disseminated an intervention manual to improve the accessibility of MI within Native communities. To help guide practitioners working with Native American clients, we used focus-group methodology to explore communication patterns for negotiating change. Native American treatment providers expressed comfort with and enthusiasm for integrating MI into their current practices. Recommendations for adaptations ranged from simple to complex changes. The unique value and challenges of collaboration between academic and community members are presented from each author's perspective. This culturally adapted MI manual will likely improve the accessibility and adoption ofMI practices as well as encourage controlled, clinical trials with Native communities.

KW - Adapt motivational interviewing

KW - Native American

KW - Substance abuse treatment

KW - Traditional research

UR - http://www.scopus.com/inward/record.url?scp=39749166940&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39749166940&partnerID=8YFLogxK

U2 - 10.1300/J020v25n04_02

DO - 10.1300/J020v25n04_02

M3 - Article

AN - SCOPUS:39749166940

VL - 25

SP - 11

EP - 30

JO - Alcoholism Treatment Quarterly

JF - Alcoholism Treatment Quarterly

SN - 0734-7324

IS - 4

ER -