Adaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos

TitleAdaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos
Publication TypeJournal Article
Year of Publication2010
AuthorsInterian, A, Martinez, I, Rios, LI, Krejci, J, Guarnaccia, PJ
JournalCultural Diversity and Ethnic Minority Psychology
PublisherEducational Publishing Foundation
Place PublishedUS
Publication Languageeng
ISBN Number1099-98091939-0106
Accession Number2010-07475-014. First Author & Affiliation: Interian, Alejandro
KeywordsAdherence, Antidepressant Drugs, antidepressants, Cross Cultural Treatment, culturally adapted interventions, Intervention, Latinas/Latinos, Latinos/Latinas, major depression, motivational interviewing, treatment compliance, Treatment Outcomes

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. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)

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