IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p3930-d779665.html
   My bibliography  Save this article

Examining the Impact of Race on Motivational Interviewing Implementation and Outcomes with HIV+ Heavy Drinking Men Who Have Sex with Men

Author

Listed:
  • Anthony Surace

    (Center of Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA)

  • David G. Zelaya

    (Center of Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
    Department of Global Health and Population, Harvard Medical School, Boston, MA 02115, USA)

  • Arryn A. Guy

    (Center of Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
    Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI 02903, USA)

  • Nadine R. Mastroleo

    (Department of Psychology, Binghamton University, Binghamton, NY 13902, USA)

  • Ayla Durst

    (Center of Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA)

  • David W. Pantalone

    (The Fenway Institute, Fenway Health Boston, Boston, MA 02215, USA
    Department of Psychology, University of Massachusetts, Boston, MA 02125, USA)

  • Peter M. Monti

    (Center of Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA)

  • Kenneth H. Mayer

    (Department of Global Health and Population, Harvard Medical School, Boston, MA 02115, USA
    Department of Psychology, University of Massachusetts, Boston, MA 02125, USA
    Department of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA)

  • Christopher W. Kahler

    (Center of Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA)

Abstract

Motivational interviewing (MI)-based interventions focus on changing behavior through building client motivation. It is unknown how racial mismatch between clients and providers may impact MI implementation and subsequent behavior. We used a mixed methods approach to examine differences in Motivational Interviewing Skill Code (MISC) coded sessions and post-session outcomes between a sample of HIV-positive cisgender men who have sex with men (MSM) participants of an MI-based intervention to reduce heavy drinking who identified as persons of color (POC; n = 19) and a matched sample of White participants ( n = 19). We used quantitative methods to analyze how providers implemented the intervention (i.e., MISC codes) and post-session drinking. We used qualitative analyses of session transcripts to examine content not captured by MISC coding. Quantitative analyses showed that providers asked fewer open-ended questions and had a lower ratio of complex reflections to simple reflections when working with POC participants, but no significant differences were observed in drinking post-intervention between participants. Qualitative analyses revealed that participants discussed how racial and sexual orientation discrimination impacted their drinking. Allowing clients to share their experiences and to explore individually meaningful reasons for behavioral change may be more important than strict adherence to MI techniques.

Suggested Citation

  • Anthony Surace & David G. Zelaya & Arryn A. Guy & Nadine R. Mastroleo & Ayla Durst & David W. Pantalone & Peter M. Monti & Kenneth H. Mayer & Christopher W. Kahler, 2022. "Examining the Impact of Race on Motivational Interviewing Implementation and Outcomes with HIV+ Heavy Drinking Men Who Have Sex with Men," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3930-:d:779665
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/3930/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/7/3930/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Han, X. & Call, K.T. & Pintor, J.K. & Alarcon-Espinoza, G. & Simon, A.B., 2015. "Reports of insurance-based discrimination in health care and its association with access to care," American Journal of Public Health, American Public Health Association, vol. 105, pages 517-525.
    2. Stewart, Miriam & Makwarimba, Edward & Barnfather, Alison & Letourneau, Nicole & Neufeld, Anne, 2008. "Researching reducing health disparities: Mixed-methods approaches," Social Science & Medicine, Elsevier, vol. 66(6), pages 1406-1417, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Alipio, Mark, 2020. "A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines," SocArXiv d6vbm, Center for Open Science.
    2. Stritzel, Haley, 2022. "State-level changes in health insurance coverage and parental substance use-associated foster care entry," Social Science & Medicine, Elsevier, vol. 305(C).
    3. Alyson Ma & Alison Sanchez & Mindy Ma, 2022. "Racial disparities in health care utilization, the affordable care act and racial concordance preference," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 91-110, March.
    4. Jusung Lee & Krista J. Howard & Caleb Leong & Timothy J. Grigsby & Jeffrey T. Howard, 2023. "Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum," Clinical Nursing Research, , vol. 32(8), pages 1092-1103, November.
    5. Usha George & Mary S. Thomson & Ferzana Chaze & Sepali Guruge, 2015. "Immigrant Mental Health, A Public Health Issue: Looking Back and Moving Forward," IJERPH, MDPI, vol. 12(10), pages 1-25, October.
    6. Goodman, Anna & Guell, Cornelia & Panter, Jenna & Jones, Natalia R. & Ogilvie, David, 2012. "Healthy travel and the socio-economic structure of car commuting in Cambridge, UK: A mixed-methods analysis," Social Science & Medicine, Elsevier, vol. 74(12), pages 1929-1938.
    7. Stewart, Miriam J. & Kushner, Kaysi Eastlick & Greaves, Lorraine & Letourneau, Nicole & Spitzer, Denise & Boscoe, Madeline, 2010. "Impacts of a support intervention for low-income women who smoke," Social Science & Medicine, Elsevier, vol. 71(11), pages 1901-1909, December.
    8. Jamie A Mitchell & Ramona Perry, 2020. "Disparities in patient-centered communication for Black and Latino men in the U.S.: Cross-sectional results from the 2010 health and retirement study," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-17, September.
    9. Louise W. McEachern & Sandra Harris & Renata Valaitis & Anissa Watson & Jennifer Yessis & Barbara Zupko & Rhona M. Hanning, 2022. "Learning Circles: A Collaborative Approach to Enhance Local, Healthy and Traditional Foods for Youth in the Northerly Community of Hazelton/Upper Skeena, British Columbia, Canada," IJERPH, MDPI, vol. 19(23), pages 1-19, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3930-:d:779665. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.