Course Description: This course is based upon material published in the Addiction Research Report and is available as an open access article.
Background: Evidence suggests that brief interventions in the trauma care setting reduce drinking, subsequent injury and driving under the influence (DUI) arrest. However, evidence on the effectiveness of these interventions in ethnic minority groups is lacking. The current study evaluates the efficacy of brief intervention among whites, blacks and Hispanics in the United States. Methods: We conducted a two group parallel randomized trial comparing brief motivational intervention (BMI) and treatment as usual with assessment (TAU) to evaluate treatment differences in drinking patterns by ethnicity. Patients were recruited from a level 1 urban trauma center over a 2 year period. The study included 1493 trauma patients, including 668 whites, 288 blacks and 537 Hispanics. Hierarchical linear modeling was used to evaluate ethnic differences in drinking outcomes including volume per week, maximum amount consumed in 1 day, percentage days abstinent and percentage days heavy drinking at 6 and 12 month follow up. Analyses controlled for age, gender, employment status, marital status, prior alcohol treatment, type of injury and injury severity. Special emphasis was given to potential ethnic differences by testing the interaction between ethnicity and BMI. Results: At 6 and 12 month follow up, BMI significantly reduced maximum amount consumed in 1 day and percentage days heavy drinking, among Hispanics. Hispanics in the BMI group also reduced average volume per week at 12 month follow up. In addition, Hispanics in TAU reduced maximum amount consumed at 6 and 12 month follow up and volume per week at 12 month follow up, Conclusions: All three ethnic groups evidenced reductions in drinking at 6 and 12 month follow up independent of treatment assignment. Among Hispanics, BMI reduced alcohol intake significantly as measured by average volume per week, percentage days heavy drinking and maximum amount consumed in 1 day.
This course on interventions in the trauma care setting for minority groups is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work. This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their understanding of brief intervention within minorities for substance abuse. The course material includes a literature review of a study conducted to gain more evidence on how ethnic minorities react to intervention for substance abuse. It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal.
The course is based on a journal article which includes research. It contains statistical analysis and data that some clinicians enjoy reading and others do not. A major benefit of reading research based articles for continuing education is they provide practitioners with the latest findings in their field.
Authors: Craig, Caetano, Harris, Frankowski, and Roudsari
Learning Objectives: This course will provide the practitioner with detailed information regarding substance abuse interventions for ethnic minorities. Specifically, a professional will:
Describe the effects of brief interventions for substance abuse in ethnic minorities
Identify how many interventions were effective within different ethnic minorities within the study conducted.
Recognize how well substance abuse strategies work in different ethnic groups.
Citation: Field C. A., Caetano R., Harris T. R., Frankowski R Roudsari B., (2009). Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting. Addiction Research Report.
Reviewed by TM DiDona, PhD 2018 and found to be current. Updated references include:
- Avila, J., Chelvakumar, G., & Ford, N. (2017). Gender and Sexual Minorities Cultural Competency Training for Pediatric Residents. Journal of Adolescent Health, 60(2), S87.
- Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports.
- Bleidorn, W., Arslan, R. C., Denissen, J. J., Rentfrow, P. J., Gebauer, J. E., Potter, J., & Gosling, S. D. (2016). Age and gender differences in self-esteem—A cross-cultural window. Journal of personality and social psychology, 111(3), 396.
- Donaldson, W. V., & Vacha-Haase, T. (2016). Exploring staff clinical knowledge and practice with LGBT residents in long-term care: A grounded theory of cultural competency and training needs. Clinical Gerontologist, 39(5), 389-409.
- Rosenkrantz, D. E., Black, W. W., Abreu, R. L., Aleshire, M. E., & Fallin-Bennett, K. (2017). Health and health care of rural sexual and gender minorities: A systematic review. Stigma and Health, 2(3), 229.
- Tan, J. Y., Xu, L. J., Lopez, F. Y., Jia, J. L., Pho, M. T., Kim, K. E., & Chin, M. H. (2016). Shared decision making among clinicians and Asian American and Pacific Islander sexual and gender minorities: An intersectional approach to address a critical care gap. LGBT health, 3(5), 327-334.