Cultural adaptations of motivational interviewing: A systematic review.

Abstract

Motivational interviewing (MI;Miller & Rollnick, 2012) has expanded from treating substance use disorders to other health concerns across a range of racial-ethnic groups and ages. The spirit of MI lends itself well to working with culturally diverse populations by eliciting the client's values and goals in a collaborative and client-centered approach in pursuit of behavior change. Additionally, MI has been further adapted for use with racial-ethnic minority groups to enhance its effectiveness with specific populations. The aim of this review was to investigate existing cultural adaptations of MI (CAMI), their effectiveness, and to provide directions for future cultural adaptations in both research and clinical settings. This systematic review identified studies of CAMI over the past 20 years using MEDLINE/Pubmed and Embase. The final dataset consisted of 25 peer review studies. In the randomized controlled trial (RCT) studies that utilized a control condition (n = 17), 10 studies showed that the CAMI condition performed significantly better on at least the primary outcome measure than the control condition. All 10 studies adapted Context, Content, and Concepts-three of the dimensions of cultural adaptation defined by the ecological validity framework used in this study (Bernal et al., 1995). Impact StatementThis systematic review summarizes approaches for incorporating cultural sensitivity into motivational interviewing treatment for various behaviors. Current studies indicate that cultural context, content, and concepts are the most common approaches to achieving behavior change through culturally adapting treatment for targeted racial or ethnic populations.

A clinical science guide for reviewing the cross-cultural rigor of assessments in an alcohol training clinic.

“…intervention is culturally tailored (Dickerson et al, 2018;Lee et al, 2013;Self et al, 2022;Venner et al, 2008), or efforts are made to integrate the client's cultural context (Bahafzallah et al, 2020).…”

“…There is strong research support for utilizing an MI-spirit during the unstructured interview to enhance retention (Lappan et al, 2020). Additionally, MI has demonstrated effectiveness for use with racial/ethnic minoritized groups, particularly when the intervention is culturally tailored (Dickerson et al, 2018; Lee et al, 2013; Self et al, 2022; Venner et al, 2008), or efforts are made to integrate the client’s cultural context (Bahafzallah et al, 2020).…”

Introduction to the special issue: Improving access and quality of mental health care for diverse populations.

“…Such reviews move the field forward by identifying how mental health services can be provided in a culturally responsive manner to meet the needs of diverse populations. Self et al (2023) conducted a systematic review of articles assessing cultural adaptations of motivational interviewing (CAMI). Twenty-five peer review studies consisting of eight pilot studies and 17 randomized control trials (RCTs) were included.…”

“…Self et al (2023) conducted a systematic review of articles assessing cultural adaptations of motivational interviewing (CAMI). Twenty-five peer review studies consisting of eight pilot studies and 17 randomized control trials (RCTs) were included.…”

Collective Motivational Interviewing for Individuals with Drug Use Problems: A Pre-Post–Follow-Up, Uncontrolled Pilot Study

“…The key feature of the MI approach is a goal-oriented and client-centred conversation style, distinct from non-directive Rogerian humanistic psychotherapy [ 1 ]. A systematic review analysed 25 peer-reviewed MI studies and showed that those cultural adaptations of MI propounded significant improvement in treatment outcomes compared to the control condition [ 3 ]. However, the efficacy was demonstrated in varying populations and diverse settings, with over 3000 randomised controlled trials [ 4 ], for example, cannabis use [ 5 ], cancer screening [ 6 ], probation [ 7 ], attention-deficit/hyperactivity disorder [ 8 ], school prevention [ 9 ] and COVID-19 vaccination hesitancy [ 10 ].…”