Predictors of Adherence to Treatment in Behavioral Health Therapy for Latino Immigrants: The Importance of Trust.
Latinos
adherence to treatment
barriers
co-occurring disorders
ethnicity
immigrant
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2019
2019
Historique:
received:
24
06
2019
accepted:
16
10
2019
entrez:
30
11
2019
pubmed:
30
11
2019
medline:
30
11
2019
Statut:
epublish
Résumé
A complex array of barriers to care influence patients' adherence to behavioral healthcare services. Understanding barriers to care is critical to ensure sufficient dosage of treatment. This study assessed the influence of perceived barriers on Latino migrants' prospective adherence to treatment for co-occurring mental health and substance use disorders as part of a clinical trial. Eligible participants (18-70 years-old) were recruited from community-based settings and classified according to their intervention session attendance. Baseline assessments included socio-demographic factors, clinical characteristics (i.e., depression, anxiety, post-traumatic stress disorder, substance use), psychosocial and cultural factors (i.e., ethnic identity, health literacy, discrimination), and perceived attitudinal and structural barriers to care. Treatment involved 10-sessions of cognitive-behavioral therapy, psychoeducation, and mindfulness (Integrated Intervention for Dual problems and Early Action) and emphasized participant's engagement in treatment. We used multinomial logistic regression models to examine the association between barriers to care reported at baseline, sociodemographic characteristics, psychosocial and cultural factors, clinical factors, and treatment adherence. Mistrust in previous behavioral health treatment(s) was the reported barrier significantly associated with completion of the program after adjusting for clinical, psychosocial, and cultural factors, with those expressing mistrust in previous treatment(s) showing higher rates of completion compared to those who did not report this barrier. Evidence-based and culturally-tailored interventions provided by ethnically matched providers may overcome cultural mistrust and increase adherence to behavioral health care among Latino immigrants.
Identifiants
pubmed: 31780971
doi: 10.3389/fpsyt.2019.00817
pmc: PMC6856783
doi:
Banques de données
figshare
['10.6084/m9.figshare.10087292.v2']
Types de publication
Journal Article
Langues
eng
Pagination
817Informations de copyright
Copyright © 2019 Falgas-Bague, Wang, Banerjee, Ali, DiMarzio, Palao Vidal and Alegría.
Références
Issues Ment Health Nurs. 2005 Dec;26(10):979-99
pubmed: 16283995
Cultur Divers Ethnic Minor Psychol. 2011 Jul;17(3):309-316
pubmed: 21787063
J Health Psychol. 1997 Jul;2(3):335-51
pubmed: 22013026
Eur J Health Econ. 2010 Oct;11(5):487-98
pubmed: 19898881
Sociol Health Illn. 2007 Nov;29(7):1059-74
pubmed: 18092983
Health Serv Res. 2003 Apr;38(2):613-30
pubmed: 12785564
J Behav Health Serv Res. 2018 Jan;45(1):13-30
pubmed: 28492979
Drug Alcohol Depend. 2013 Dec 15;133(3):805-13
pubmed: 23953657
Transcult Psychiatry. 2013 Feb;50(1):92-107
pubmed: 23427258
Health Aff (Millwood). 2017 Oct 1;36(10):1739-1747
pubmed: 28971918
Eur J Gen Pract. 2009;15(1):15-21
pubmed: 19418376
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
J Am Geriatr Soc. 2005 May;53(5):871-4
pubmed: 15877567
J Gen Intern Med. 2007 Mar;22(3):389-95
pubmed: 17356974
J Couns Psychol. 2011 Oct;58(4):537-54
pubmed: 21875181
J Health Soc Behav. 2008 Sep;49(3):317-34
pubmed: 18771066
Addict Behav. 2006 Feb;31(2):309-19
pubmed: 15979248
Drug Alcohol Depend. 2017 Nov 1;180:121-128
pubmed: 28888151
Psychiatr Rehabil J. 2004 Spring;27(4):360-74
pubmed: 15222148
Drug Alcohol Depend. 2007 Mar 16;87(2-3):297-302
pubmed: 17045423
Arch Gen Psychiatry. 1974 Oct;31(4):487-91
pubmed: 4424798
Addict Behav. 2009 Oct;34(10):892-7
pubmed: 19395179
J Subst Abuse Treat. 2007 Mar;32(2):189-98
pubmed: 17306727
Cultur Divers Ethnic Minor Psychol. 2014 Jul;20(3):463-468
pubmed: 25045957
Annu Rev Clin Psychol. 2014;10:305-38
pubmed: 24437436
Fam Med. 2004 Sep;36(8):588-94
pubmed: 15343421
Soc Psychiatry Psychiatr Epidemiol. 2015 Jul;50(7):1079-87
pubmed: 25702165
BMC Fam Pract. 2006 Mar 24;7:21
pubmed: 16563164
Psychol Rep. 1998 Dec;83(3 Pt 2):1455-8
pubmed: 10079737
Int J Methods Psychiatr Res. 2004;13(4):208-20
pubmed: 15719529
J Trauma Stress. 2015 Dec;28(6):489-98
pubmed: 26606250
Milbank Mem Fund Q Health Soc. 1973 Winter;51(1):95-124
pubmed: 4198894
Int J Psychiatry Med. 2004;34(1):37-50
pubmed: 15242140
J Addict. 2013;2013:573906
pubmed: 24826362
Med Care. 2008 Jul;46(7):647-53
pubmed: 18580382
J Trauma Stress. 2004 Jun;17(3):223-30
pubmed: 15253094
Psychol Assess. 2014 Sep;26(3):892-900
pubmed: 24708076
J Subst Abuse Treat. 2016 Feb;61:47-59
pubmed: 26531892
Br J Addict. 1991 Sep;86(9):1119-27
pubmed: 1932883
J Public Health Manag Pract. 2017 Jan/Feb;23(1):e20-e27
pubmed: 26910867
BMC Psychiatry. 2010 Dec 30;10:113
pubmed: 21192795
Psychol Med. 2014 Apr;44(6):1131-46
pubmed: 23866176
Br J Psychiatry. 1996 Sep;169(3):276-81
pubmed: 8879712
JAMA Netw Open. 2019 Jan 4;2(1):e186927
pubmed: 30646205
J Consult Clin Psychol. 2014 Jun;82(3):392-403
pubmed: 24660674
Psychiatr Serv. 2005 Aug;56(8):954-9
pubmed: 16088012
Med Care. 2008 Mar;46(3):247-56
pubmed: 18388839
Adm Policy Ment Health. 2006 May;33(3):316-30
pubmed: 16598658