Adaptation of a Motivational Interviewing Intervention to Improve Antidepressant Adherence Among Latinos

Alejandro Interian, Igda Martinez, Lisbeth Iglesias Rios, Jonathan Krejci, Peter J. Guarnaccia

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Poor antidepressant adherence is a significant issue in depression treatment that adversely affects treatment outcomes. Although being a common problem, it tends to be more common among Latinos. To address this problem, the current study adapted a Motivational Interviewing (MI) intervention to improve adherence among Latinos with depression. The adaptation process included six focus groups that elicited participants' perspectives (N = 30), applying the intervention with test cases (N = 7) to fine-tune the intervention, and eliciting feedback on the intervention (N = 5). The findings generated from these adaptation phases are described, along with a case example. Examples of adaptations to the MI included reframing antidepressant adherence as a way to luchar (struggle) against problems, focusing on motivation for improving depression and not just medication, refining methods for imparting antidepressant information, and inclusion of personalized visual feedback on dose-taking. The findings provide a description of the antidepressant issues experienced by a group of Latinos, as well as considerations for applying MI with this population. The intervention remained grounded in MI principles, but was contextualized for this Latino group.

Original languageEnglish (US)
Pages (from-to)215-225
Number of pages11
JournalCultural Diversity and Ethnic Minority Psychology
Volume16
Issue number2
DOIs
StatePublished - Apr 1 2010

Keywords

  • Latinas/Latinos
  • antidepressants
  • culturally adapted interventions
  • major depression
  • motivational interviewing

ASJC Scopus subject areas

  • Social Psychology
  • Sociology and Political Science

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