Acceptability and Engagement of a Smartphone-Delivered Interpretation Bias Intervention in a Sample of Black and Hispanic/Latinx Adults

Ferguson, IreLee; George, Grace; Narine, Kevin  O.; Turner, Amari; McGhee, Zelda; Bajwa, Harris; Hart, Frances  G.; Carter, Sierra; Beard, Courtney

doi:10.2139/ssrn.4668552

Cited by 1 publication

(1 citation statement)

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“…In the present study, we chose to translate and make surface-level changes to intervention content without changing core intervention components because the target mechanism of change for the intervention (interpretation bias) is expected to work similarly for Latinx (vs. non-Latinx) individuals [22,23]. Further, CBM-I has demonstrated efficacy in ethnically diverse samples [24,25], though no studies to our knowledge have examined race or ethnicity as moderators of CBM-I outcomes (including MindTrails), and direct tests of heterogeneity of treatment effects are needed. Notably, even if (as we suspect) the intervention mechanisms do not differ across groups, given the indications that the MindTrails program has challenges with engaging and retaining Latinx adults, cultural adaptation of MindTrails may help to better serve this underserved group.…”

Section: Increasing Dmhi Engagement Among Latinx Adultsmentioning

confidence: 99%

Pilot Feasibility and Acceptability of a Spanish Translation of Web-Based Cognitive Bias Modification for Interpretation Among Spanish-Speaking Latinx Individuals With Anxiety

Silverman,

de la Garza Evia,

Larrazabal

et al. 2023

Preprint

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Digital mental health interventions may be a critical tool to help fill the substantial need for low-cost, effective mental health supports among Spanish-speaking Latinx individuals. This study evaluated the pilot feasibility, acceptability, and preliminary effectiveness of a Spanish-translated, web-based cognitive bias modification for interpretation intervention with surface-level cultural enhancements (called MindTrails-Spanish) in an online sample of Spanish-speaking Latinx individuals with a history of anxiety. Bilingual English/Spanish-speaking individuals were randomized to receive an email invitation for either the standard English version of MindTrails (MindTrails-English) or the Spanish version of MindTrails (MindTrails-Spanish-Bilingual). Separately, monolingual Spanish-speaking individuals were allocated to receive an invitation for the Spanish version of MindTrails (MindTrails-Spanish-Monolingual). Participants were asked to complete one MindTrails session per week for two weeks, and assessment measures at pre- and post-intervention to assess change in positive interpretation bias, negative interpretation bias, anxiety symptoms (using two separate measures), and overall perceptions of MindTrails. Results were compared to a priori benchmarks of clinically meaningful outcomes. All three conditions met benchmarks for feasibility and primary acceptability items. The MindTrails-Spanish-Bilingual condition met benchmarks for improvements in all four intervention outcomes, whereas the MindTrails-Spanish-Monolingual condition met benchmarks for two (negative interpretation bias and one of the two anxiety measures). Findings support the feasibility and acceptability of MindTrails-Spanish with Spanish-speaking Latinx individuals. A larger randomized controlled trial is needed to determine whether Spanish translation and cultural enhancement can increase adherence, satisfaction and intervention outcomes in this subpopulation.

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