Vida PURA: An assessment of the fidelity of promotor-delivered screening and brief intervention to reduce unhealthy alcohol use among Latino day laborers.

Publication Title

J Ethn Subst Abuse

Authors

Samantha E Serrano
Kelly Serafini, Swedish First Hill Family Medicine Residency, Swedish Medical Center, 1401 Madison Street, Suite 100, Seattle, WA, 98104, USA.Follow
Nikki Eller
Vanessa N Torres
Dennis Donovan
India J Ornelas

Document Type

Article

Publication Date

10-1-2018

Keywords

Adult; Alcoholism; Emigrants and Immigrants; Health Promotion; Hispanic Americans; Humans; Male; Motivational Interviewing; Outcome and Process Assessment (Health Care); Pilot Projects; Psychotherapy, Brief

Abstract

We assessed the fidelity of promotores conducting screening and brief intervention (SBI) to reduce unhealthy alcohol use among Latino immigrant day laborers in the Vida PURA study. We reviewed 32 audio-recorded brief interventions to assess promotor adherence to the intervention protocol and to evaluate their motivational interviewing (MI) technique with the Motivational Interviewing Treatment Integrity (MITI) 4.2.1 tool. Promotores delivered three core intervention steps in 78% of recordings and achieved basic MI competence across all domains and proficiency in 50% of measures. Our results suggest that promotores can be trained to deliver SBI in community settings with fidelity.

Clinical Institute

Mental Health

Specialty/Research Institute

Family Medicine