ABSTRACT
We assessed the fidelity of promotores conducting screening and brief intervention (SBI) to reduce unhealthy alcohol use among Latino immigrant day laborers in the Vida PURA study. We reviewed 32 audio-recorded brief interventions to assess promotor adherence to the intervention protocol and to evaluate their motivational interviewing (MI) technique with the Motivational Interviewing Treatment Integrity (MITI) 4.2.1 tool. Promotores delivered three core intervention steps in 78% of recordings and achieved basic MI competence across all domains and proficiency in 50% of measures. Our results suggest that promotores can be trained to deliver SBI in community settings with fidelity.
Subject(s)
Alcoholism , Emigrants and Immigrants , Health Promotion/methods , Hispanic or Latino , Motivational Interviewing/methods , Outcome and Process Assessment, Health Care , Psychotherapy, Brief/methods , Adult , Alcoholism/diagnosis , Alcoholism/ethnology , Alcoholism/therapy , Humans , Male , Pilot ProjectsSubject(s)
Alzheimer Disease/nursing , Cultural Competency/organization & administration , Health Personnel/standards , Nursing Care/organization & administration , Practice Guidelines as Topic , Aged , Aged, 80 and over , Alzheimer Disease/diagnosis , Alzheimer Disease/ethnology , Asian/statistics & numerical data , Female , Humans , Male , Native Hawaiian or Other Pacific Islander/statistics & numerical data , Nurse's Role , Transcultural Nursing/standards , United StatesABSTRACT
BACKGROUND: Parental trust in their child's health care provider and the number and type of vaccine information sources are important dimensions of vaccine hesitancy and may suggest intervention components for future research. METHOD: We conducted secondary analysis of survey data from mothers of healthy newborns in Washington State, and examined the association between parental trust in their child's health care provider and vaccine information sources. RESULTS: We found that mothers with less trust in their child's health care provider used more sources, more informal sources, and were less likely to consider their child's pediatrician their main source of vaccine information compared with more trusting mothers. However, less trusting mothers did not report more effort to read or watch stories about vaccines than more trusting mothers, nor were they more likely to report the internet as their main vaccine information source. CONCLUSIONS: Future interventions seeking to reduce parental vaccine hesitancy should consider intervention components focused on building or improving parent trust in their child's health care provider.