43040
document
The role of ethnic matching between patient and provider on the effectiveness of brief alcohol interventions with Hispanics . BACKGROUND Evaluating the effectiveness of treatments such as brief alcohol interventions among Hispanics is essential to effectively addressing their treatment needs . Clinicians of the same ethnicity as the client may be more likely to understand the culture-specific values , norms , and attitudes and , therefore , the intervention may be more effective . Thus , in cases in which Hispanic patients were provided intervention by a Hispanic clinician improved drinking outcomes were expected . METHODS Patients were recruited from an urban Level I Trauma following screening for an alcohol-related injury or alcohol problems . Five hundred thirty-seven Hispanics were randomly assigned to brief intervention or treatment as usual . Hierarchical linear modeling was used to determine the effects of ethnic match on drinking outcomes including volume per week , maximum amount , and frequency of 5 or more drinks per occasion . Analyses controlled for level of acculturation and immigration status . RESULTS For Hispanics who received brief motivational intervention , an ethnic match between patient and provider resulted in a significant reduction in drinking outcomes at 12-month follow-up . In addition , there was a tendency for ethnic match to be most beneficial to foreign-born Hispanics and less acculturated Hispanics . CONCLUSION As hypothesized , an ethnic match between patient and provider significantly enhanced the effectiveness of brief intervention among Hispanics . Ethnic concordance between patient and provider may have impacted the effectiveness of the intervention through several mechanisms including cultural scripts , ethnic-specific perceptions pertaining to substance abuse , and ethnic-specific preferred channels of communication .
43041
Intervention_Psychological
brief alcohol interventions
43042
Intervention_Psychological
brief intervention
43043
Intervention_Control
treatment as usual
43044
Outcome_Other
effectiveness
43045
Outcome_Mental
effects of ethnic match on drinking outcomes
43046
Outcome_Mental
volume per week , maximum amount , and frequency of 5 or more drinks per occasion
43047
Outcome_Mental
significant reduction in drinking outcomes
43048
Outcome_Other
beneficial
43049
Outcome_Other
effectiveness
43050
Outcome_Other
effectiveness
43051
Participant_Condition
Hispanics
43052
Participant_Condition
Hispanics
43053
Participant_Condition
Hispanic patients
43054
Participant_Condition
recruited from an urban Level I Trauma following screening for an alcohol-related injury or alcohol problems
43055
Participant_Sample-size
Five hundred thirty-seven
43056
Participant_Condition
Hispanics
43057
Participant_Condition
Hispanics