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) |
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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 |
Keywords
- Latinas/Latinos
- antidepressants
- culturally adapted interventions
- major depression
- motivational interviewing
ASJC Scopus subject areas
- Social Psychology
- Sociology and Political Science