Predictors of Adherence to Treatment in Behavioral Health Therapy for Latino Immigrants
The Importance of Trust
Bibliographic Data
| ID | 15522009 |
|---|---|
| Authors | Irene Falgas-Bague (0000-0002-1072-4243, Universitat Autonòma de Barcelona, corresponding author), Ye Wang (0000-0001-5127-4245, Massachusetts General Hospital), Souvik Banerjee (0000-0002-4468-2328, Massachusetts General Hospital), Naomi Ali (Massachusetts General Hospital), Karissa DiMarzio (0000-0002-5626-8351, Massachusetts General Hospital), Diego Palao (0000-0002-3323-6568, Centro de Investigación Biomédica en Red de Salud Mental), Diego Palao Vidal, Margarita Alegria (0000-0003-2241-707X, Massachusetts General Hospital) |
| Year | 2019 |
| Volume | 10 |
| Pages | 817-817 |
| Publication date | 2019-11-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2019.00817 |
| PMID | 31780971 |
| OpenAlex | W2982268732 |
| Language | EN |
| Citations received | 5 |
| References cited | 53 |
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
Anxiety · Attendance · Cognitive behavioral therapy · Ethnic group · Health care · Intervention (counseling · Mental health · Psychiatry · Psychoeducation · Psychological intervention · Psychosocial · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology
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It puts things out of your control
| Unique citing works | 5 |
|---|---|
| Citations per year | 1,25 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |