Public health interventions may be more effective if they are congruent with cultural values of the target community. To test this possibility, the authors conducted a randomized field trial of a motivational intervention to promote recovery from illegal drug use among a sample of 269 African Americans. The intervention, based on transtheoretical stage-of-change concepts, featured a needs assessment and service referrals and was congruent with relevant African American cultural values. Participants were randomly assigned to this intervention or to a standard assessment-referral protocol. Motivational intervention participants were significantly less likely to be using illegal drugs 1 year later. This finding suggests that motivational intervention congruent with cultural values of the target population can be effective in promoting recovery from drug use..
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References
1.
Amuleru-Marshall, O.
(1991). African-Americans. In J. Kinney (Ed.), Clinical manual of substance abuse (pp. 23-33). St. Louis, MO: C.V. Mosby.
2.
Asante, M. K.
(1987). The Afrocentric idea. Philadelphia: Temple University Press.
3.
Belding, M. A.
, Iguchi, M. Y., Lamb, R. J., Lakin, M., & Terry, R. (1995). Stages and processes of change among polydrug users in methadone maintenance treatment. Drug and Alcohol Dependence, 30, 45-53.
4.
Bien, T. H.
, Miller, W. R., & Boroughs, J. M. (1993). Motivational interviewing with alcohol outpatients. Behavioral and Cognitive Psychotherapy, 21, 347-356.
5.
Brown, B. S.
(1985). Federal drug abuse policy and minority group issues: Reflections of a participant-observer. International Journal of the Addictions, 20, 203-215.
6.
Brown, J. M.
, & Miller, W. R. (1993). Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviors, 7, 211-218.
7.
Brownell, K. D.
, Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782.
8.
Crocker, J.
, Luhtanen, R., Blaine, B., & Broadnax, S. (1994). Collective self-esteem and psychological well-being among White, Black, and Asian college students. Personality and Social Psychology Bulletin, 20, 503-513.
9.
Dana, R. H.
(1993). Multicultural assessment perspectives for professional psychology. Boston: Allyn & Bacon.
10.
De Leon, G.
(1994). The therapeutic community: Toward a general theory and model. In F. M. Tims, G. De Leon, & N. Jainchill. (Eds.), Therapeutic community: Advances in research and application (pp. 16-53). Rockville, MD: National Institute on Drug Abuse.
11.
George, R. L.
(1990). Counseling the chemically dependent: Theory and practice. Boston: Allyn & Bacon.
12.
Giuliani, D.
, & Schnoll, S. H. (1985). Clinical decision making in chemical dependence treatment: A programmatic model. Journal of Substance Abuse Treatment, 2, 203-208.
13.
Grills, C.
, & Longshore, D. L. (1996). Africentrism: Psychometric analyses of a self-report measure. Journal of Black Psychology, 22, 85-105.
14.
Heather, N.
(1995). Brief intervention strategies. In R. K. Hester & W. R.Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (2nd ed., pp. 105-122). Boston: Allyn & Bacon.
15.
Jackson, A. M.
(1983). Treatment issues for Black patients. Psychotherapy: Theory, Research, and Practice, 20, 143-151.
16.
Jackson, M. S.
(1995). Afrocentric treatment of African American women and their children in a residential chemical dependency program. Journal of Black Studies, 26, 17-30.
17.
Kalichman, S. C.
, & Coley, B. (1995). Context framing to enhance HIV-antibody-testing messages targeted to African American women. Health Psychology, 14, 247-254.
18.
Kalichman, S. C.
, Kelly, J. A., Hunter, T. L., Murphy, D. A., & Tyler, R. (1993). Culturallytailored AIDS risk-reduction messages targeted to African-American urban women: Impact on risk sensitization and risk reduction. Journal of Counseling and Clinical Psychology, 61, 291-295.
19.
Kambon, K.
(1992). The African personality in America: An African centered framework. Tallahassee, FL: Nubian Nation.
20.
Karenga, M.
(1988). The African American holiday of Kwanzaa: A celebration of family, community, and culture. Los Angeles: University of Sankore Press.
21.
Kim, U.
, Triandis, H. C., Kagitcibasi, C., Choi, S., & Yoon, G. (Eds.). (1994). Individualism and collectivism. Thousand Oaks, CA: Sage.
22.
Lawson, G. W.
, Lawson, A. W., & Clayton-Rivers, P. (1996). Essentials of chemical dependency counseling. Gaithersburg, MD: Aspen.
23.
Longshore, D. L
, Hsieh, S., & Anglin, M. D. (1993). Ethnic and gender differences in drug users’ perceived need for treatment. International Journal of the Addictions, 28, 539-558.
24.
Longshore, D. L.
, Hsieh, S., Anglin, M. D., & Annon, T. K. (1992). Ethnic patterns in drug abuse treatment utilization. Journal of Mental Health Administration, 19, 268-277.
25.
Longshore, D.
, Wellisch, J., & Bradford, C. (1995). Patterns in drug abuse treatment utilization. Unpublished document, University of California, Los Angeles Drug Abuse Research Center.
26.
Miller, W. R.
, & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.
27.
Miller, W. R.
, Sovereign, R. G., & Krege, B. (1988). Motivational interviewing with problem drinkers: Vol. 2. The drinker’s check-up as a preventive intervention. Behavioral Psychotherapy, 16, 251-268.
28.
Miller, W. R.
, & Taylor, C. A. (1980). Relative effectiveness of bibliotherapy, individual and group self-control training in the treatment of problem drinkers. Addictive Behaviors, 5, 13-24.
29.
O’Donnell, L. N.
, San Doval, A., Duran, R., & O’Donnell, C. (1995). Video-based sexually transmitted disease patient education: Its impact on condom acquisition. American Journal of Public Health, 85, 817-822.
30.
Oysterman, D.
(1993). The lens of personhood: Viewing the self and others in a multicultural society. Journal of Personality and Social Psychology, 65, 993-1009.
31.
Oysterman, D.
, Gant, L., & Ager, J. (1995). A socially contextualized model of African American identity: Possible selves and school persistence. Journal of Personality and Social Psychology, 69, 1216-1232.
32.
Phillips, F. B.
(1990). NTU psychotherapy: An Africentric approach. Journal of Black Psychology, 17, 55-74.
33.
Prochaska, J. O.
, & DiClemente, C. C. (1986). Toward a comprehensive model of change. In W. Miller & N. Heather (Eds.), Treating addictive behaviors: Processes of change (6th ed., pp. 3-27). New York: Plenum.
34.
Prochaska, J. O.
, DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behavior. American Psychologist, 47, 1102-1114.
35.
Prochaska, J. O.
, & Norcross, J. C. (1994). Systems of psychotherapy: A transtheoretical analysis (3rd ed.). Pacific Grove, CA: Brooks/Cole.
36.
Prochaska, J. O.
, Velicer, W. F., Guadagnolo, E., Rossi, J. S., & DiClemente, C. C. (1991). Patterns of change: Dynamic typology applied to smoking cessation. Multivariate Behavioral Research, 26, 83-107.
37.
Rothman, J.
(1994). Practice with highly vulnerable clients. Englewood Cliffs, NJ: Prentice Hall.
38.
Rowe, D.
, & Grills, C. (1993). African-centered drug treatment: An alternative conceptual paradigm for drug counseling with African-American clients. Journal of Psychoactive Drugs, 25, 21-33.
39.
Saulnier, C. F.
(1996). African-American women in an alcohol intervention group: Addressing personal and political problems. Substance Use & Misuse, 31, 1259-1278.
40.
Saunders, B.
, Wilkinson, C., & Phillips, M. (1995). The impact of a brief motivational intervention with opiate users attending a methadone programme. Addiction, 90, 414-424.
41.
Singer, M.
(1991). Confronting the AIDS epidemic among IV drug users: Does ethnic culture matter?AIDS Education and Prevention, 3, 258-283.
42.
Sussman, S.
, Parker, V. C., Lopes, C., Crippens, D. L., & Scholl, D. (1995). Empirical development of brief smoking prevention videotapes which target African-American adolescents. International Journal of the Addictions, 30, 1141-1164.
43.
Woolredge, J.
, Hartman, J., Latessa, E., & Holmes, S. (1994). Effectiveness of culturally specific community treatment for African American juvenile felons. Crime & Delinquency, 40, 589-598.
