Abriendo Caminos: Engaging Latino Communities Through Culturally Responsive Peer Delivered Motivational Interviewing
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Number of participants recruited
研究概览
简要总结
The goal of this clinical trial is to learn if a culturally responsive peer-delivered motivational interviewing intervention can enhance mental health treatment engagement in Latinos with serious mental illness. The main questions it aims to answer are:
- How feasible is it to recruit 30 Latinos with serious mental illness into a 6 week treatment engagement intervention?
- How acceptable is the intervention to Latinos with serious mental illness?
Participants will:
- Receive six sixty-minute sessions
- Complete weekly measures, along with pre-, post-, 30-day, and 60-day post-intervention assessments
详细描述
Despite the availability of effective mental health treatment, approximately 47% of Latino adults with trauma and serious mental illness (SMI) are not engaged in treatment. The main goal of this current study is to conduct a pilot study to establish the feasibility and acceptability of implementing a culturally responsive motivational interviewing engagement intervention and to ascertain preliminary evidence of the engagement of hypothesized target mechanisms that may mediate enhanced engagement in mental health treatment. The adapted intervention will be implemented by Latino peers with a single cohort (N=30) of Latinos with SMI and not in treatment. Each peer will carry a caseload of 5-6 participants. All participants who meet the inclusion criteria and are interested in participating will complete pre-intervention (baseline), end-of-six-week-intervention, 30-day, and 60-day follow-ups to determine whether there is an increase in treatment engagement, significant changes in measures, and engagement of target mechanisms. Mental health treatment engagement will be measured in multiple ways: 1) as the binary distinction between those who self-report initiation /re-initiation of formal mental health treatment (i.e., outpatient mental health treatment, psychotherapy, medication) within 60 days of the final adapted session 2) and additional indicators of engagement as determined by (e.g., completion of homework, implementation of skills, number of sessions attended). The intervention will approximate the following schedule: session 1 (psychoeducation on SMI and research participation in the current study), session 2 (exploration of strengths and values), session 3 (identification of areas of growth, session 4 (demystifying mental health myths), session 5 (planning for success), and session 6 (planning for growth). The focus is on the change processes-basic motivational interviewing components: awareness of ambivalence about mental health and about change; pros and cons of changing and staying the same; exploration of values and strengths; exploration of possible future; importance and confidence in engaging in treatment; and desire to plan for change.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Meet criteria for serious mental illness
- •Not in treatment
- •18 years of age or older
- •Reside in CT
- •Self-identify as Latino
- •Speak English and/or Spanish
- •History of trauma
- •Have not received any treatment in the past 30 days
- •Willing and able to be contacted for follow-up
排除标准
- •Individuals in formal mental health treatment in the past 30 days
- •Have a life-threatening or unstable medical, surgical, or psychiatric condition
- •Inability to provide > 1 form of contact information
- •Anticipate being unable to return for a follow-up assessment
- •Reported active risk of suicide or homicide
- •Fail capacity to consent
- •Cognitively impaired
- •Currently in jail or other overnight facilities as required by courts or law
研究组 & 干预措施
Culturally responsive peer-delivered motivational interviewing
Six sixty-minute culturally responsive motivational interviewing sessions, once a week.
干预措施: Culturally responsive motivational interviewing (Behavioral)
结局指标
主要结局
Number of participants recruited
时间窗: From April 2026 to April 2027 (approximately 1 year)
The average number of participants recruited to participate in the study
Number of participants that complete the study
时间窗: From enrollment to the end of follow-up at 60 days post-session 6
The average number of participants who complete the study
Number of sessions completed
时间窗: From enrollment to the end of treatment at 6 weeks
The average number of sessions completed by the participant
The Client Satisfaction Questionnaire
时间窗: From enrollment to the end of treatment at 6 weeks
The Client Satisfaction Questionnaire (CSQ-8) uses a 4-point Likert scale (1-4) for each item, typically ranging from "Quite dissatisfied" to "Very satisfied" or similar, for a total of 8 to 32 points. High scores indicate greater satisfaction across nine dimensions of service quality.
Number of assessments completed
时间窗: From enrollment to the end of treatment at 6 weeks
The average number of assessments completed by participants
Qualitative acceptability questions
时间窗: End of treatment at 6 weeks
Participants will participate in qualitative interviews regarding their satisfaction with the intervention
次要结局
- Religious Practices and beliefs (RPB 2I)(At enrollment)
- Marin Short Acculturation Scale for Hispanics (SASH)(At enrollment)
- The Multigroup Ethnic Identity Measure-Revised(At enrollment)
- Familism Scale(At enrollment)
- Life Events Checklist for DSM-5 (LEC-5)(At enrollment)
- PCL-5(From enrollment to the end of follow-up at 60 days post-session 6)
- Perceived Stress(From enrollment to the end of follow-up at 60 days post-session 6)
- Brief Symptom Inventory(From enrollment to the end of follow-up at 60 days post-session 6)
- Barriers to Access to Care Evaluation (BACE-3)(From enrollment to the end of follow-up at 60 days post-session 6)
- Internalized Stigma of Mental Illness Inventory (ISMI)(From enrollment to the end of follow-up at 60 days post-session 6)
- University of Rhode Island Change Assessment Scale (URICA)(From enrollment to the end of follow-up at 60 days post-session 6)
- Empowerment(From enrollment to the end of follow-up at 60 days post-session 6)
- WHO Quality of Life Brief(From enrollment to the end of follow-up at 60 days post-session 6)
- Working Alliance Inventory Client - Short Revised (WAI-SR-C)(From enrollment to the end of treatment at 6 weeks)
- Working Alliance Inventory Therapist - Short Revised (WAI-SR-T)(From enrollment to the end of treatment at 6 weeks)
- Treatment engagement(From enrollment to the end of follow-up at 60 days post-session 6)