Brief Intervention Among Mexican-Origin Young Adults in the Emergency Department at the USA-Mexico Border: Examining the Role of Patient's Preferred Language of Intervention in Predicting Drinking Outcomes

Alcohol Alcohol. 2018 Nov 1;53(6):728-734. doi: 10.1093/alcalc/agy060.

Abstract

Aims: Determine if the language in which brief intervention (BI) is delivered influences drinking outcomes among Mexican-origin young adults in the emergency department when controlling for ethnic matching.

Short summary: Aim of study was to determine if a patient's preferred language of intervention influences drinking outcomes among Mexican-origin young adults in the emergency department. Results indicate no significant differences in drinking outcomes among those who received BI in Spanish and BI in English.

Methods: This is a secondary data analysis on data from 310 patients randomized to receive a BI completed in Spanish (BI-S) or English (BI-E), with 3- and 12-month follow-up. Outcome measures of interest were drinking days per week, drinks per drinking day, maximum drinks in a day and negative consequences of drinking.

Results: There were no significant differences in drinking outcomes among those who received BI in Spanish and BI in English.

Conclusions: Reduced drinking outcomes following BI among Mexican-origin young adults in the emergency department may not have been due to the language used to deliver intervention. Thus, our results provide evidence that language of intervention is not a crucial factor to achieve cultural congruence. In addition, our findings suggest that receiving the intervention is beneficial regardless of language, thus, facilitating real-world implementation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking / ethnology*
  • Alcohol Drinking / psychology
  • Alcohol Drinking / therapy
  • Early Medical Intervention / trends
  • Emergency Service, Hospital / trends*
  • Emigration and Immigration / trends*
  • Female
  • Humans
  • Male
  • Mexican Americans / psychology*
  • Mexico / ethnology
  • Multilingualism*
  • Patient Preference / ethnology*
  • Patient Preference / psychology
  • Predictive Value of Tests
  • Treatment Outcome
  • United States / ethnology
  • Young Adult