About this trial
The goal of this clinical trial is to learn if a culturally responsive peer-delivered motivational interviewing intervention can enhance mental health treatment engagement in Latinos with serious mental illness. The main questions it aims to answer are:
* How feasible is it to recruit 30 Latinos with serious mental illness into a 6 week treatment engagement intervention? * How acceptable is the intervention to Latinos with serious mental illness?
Participants will:
* Receive six sixty-minute sessions * Complete weekly measures, along with pre-, post-, 30-day, and 60-day post-intervention assessments
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Meet criteria for serious mental illness
Not in treatment
18 years of age or older
Reside in CT
Disqualifiers
Individuals in formal mental health treatment in the past 30 days
Have a life-threatening or unstable medical, surgical, or psychiatric condition
Inability to provide > 1 form of contact information
Anticipate being unable to return for a follow-up assessment
Trial design
Single group
Treatments tested in this trial
Culturally responsive motivational interviewing
BehavioralSix sixty-minute sessions of culturally responsive motivational interviewing, once a week.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants recruited
The average number of participants recruited to participate in the study
Number of participants that complete the study
The average number of participants who complete the study
Number of sessions completed
The average number of sessions completed by the participant
The Client Satisfaction Questionnaire
The Client Satisfaction Questionnaire (CSQ-8) uses a 4-point Likert scale (1-4) for each item, typically ranging from "Quite dissatisfied" to "Very satisfied" or similar, for a total of 8 to 32 points. High scores indicate greater satisfaction across nine dimensions of service quality.
Secondary outcomes
Religious Practices and beliefs (RPB 2I)
The Religious Practices and Beliefs (RPB 2I) is a 13-item instrument scored by recoding responses to establish a zero floor, with higher scores indicating greater religiosity. It measures religious beliefs (0-4) and behavioral frequencies (past year/lifetime) using Likert scales (e.g., 0-7 or 1-3) to assess four dimensions: believing, bonding, behaving, and belonging. To ensure a score floor of zero, responses must be recoded before summing. Generally, this means subtracting 1 from the response value (e.g., if using a 1-8 scale, it becomes 0-7).
Marin Short Acculturation Scale for Hispanics (SASH)
The Marin Short Acculturation Scale for Hispanics (SASH) is a 12-item tool scored by averaging responses, where 1 represents "Only Spanish" and 5 represents "Only English." Higher average scores (closer to 5) indicate higher U.S. acculturation, while lower scores (closer to 1) reflect lower acculturation, and middle scores indicate biculturalism
The Multigroup Ethnic Identity Measure-Revised
The Multigroup Ethnic Identity Measure-Revised (MEIM-R) is a 6-item instrument that uses a 4-point or 5-point Likert scale (e.g., 1=Strongly Disagree to 4/5=Strongly Agree) to measure ethnic identity commitment and exploration. Scoring involves calculating the mean of all items, with higher scores indicating a stronger, more developed ethnic identity
Familism Scale
The Familism Scale is a 14, 5-point Likert scale (1=Very Much in Disagreement, 5=Very Much in Agreement) measuring familism via three subscales: familial obligations, perceived support, and family as referents. Higher scores indicate stronger familism.
Sponsors and contacts
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Yale University
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator