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 language | English (US) |
|---|---|
| Pages (from-to) | 215-225 |
| Number of pages | 11 |
| Journal | Cultural Diversity and Ethnic Minority Psychology |
| Volume | 16 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2010 |
| Externally published | Yes |
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Keywords
- antidepressants
- culturally adapted interventions
- Latinas/Latinos
- major depression
- motivational interviewing
ASJC Scopus subject areas
- Social Psychology
- Sociology and Political Science
Cite this
Adaptation of a Motivational Interviewing Intervention to Improve Antidepressant Adherence Among Latinos. / Interian, Alejandro; Martinez, Igda; Rios, Lisbeth Iglesias; Krejci, Jonathan; Guarnaccia, Peter J.
In: Cultural Diversity and Ethnic Minority Psychology, Vol. 16, No. 2, 04.2010, p. 215-225.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Adaptation of a Motivational Interviewing Intervention to Improve Antidepressant Adherence Among Latinos
AU - Interian, Alejandro
AU - Martinez, Igda
AU - Rios, Lisbeth Iglesias
AU - Krejci, Jonathan
AU - Guarnaccia, Peter J.
PY - 2010/4
Y1 - 2010/4
N2 - 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.
AB - 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.
KW - antidepressants
KW - culturally adapted interventions
KW - Latinas/Latinos
KW - major depression
KW - motivational interviewing
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UR - http://www.scopus.com/inward/citedby.url?scp=77952107214&partnerID=8YFLogxK
U2 - 10.1037/a0016072
DO - 10.1037/a0016072
M3 - Article
C2 - 20438160
AN - SCOPUS:77952107214
VL - 16
SP - 215
EP - 225
JO - Cultural Diversity and Ethnic Minority Psychology
JF - Cultural Diversity and Ethnic Minority Psychology
SN - 1099-9809
IS - 2
ER -