Multicultural web-based motivational interviewing for clients with a first-time DUI offense

Area of Science:

• Public Health
• Behavioral Science
• Digital Health

Background:

• Driving under the influence (DUI) recidivism remains a significant public health concern, particularly among diverse populations.
• Culturally and linguistically appropriate interventions are crucial for effective DUI prevention and treatment.
• Existing DUI programs may not adequately address the needs of diverse client groups, leading to disparities in outcomes.

Purpose of the Study:

• To develop and evaluate the feasibility and acceptability of a culturally relevant web-based motivational interviewing (web-MI) intervention for first-time DUI offenders.
• To assess the intervention's suitability as a standalone or adjunctive program in DUI educational settings.
• To explore the impact of cultural adaptation on client engagement and comfort levels.

Main Methods:

• An iterative formative assessment approach was employed, including focus groups with staff (n=8) and clients (n=27).
• Usability interviews were conducted with clients (n=21) to gather feedback on the web-MI intervention.
• The intervention was developed using core elements of Motivational Interviewing and offered in English and Spanish.

Main Results:

• The web-MI intervention was widely accepted by both staff and clients.
• Clients found the web-MI engaging, interactive, personal, and more comfortable than traditional in-person programs.
• Spanish-speaking clients reported reduced feelings of shame, embarrassment, and discomfort compared to in-person groups.

Conclusions:

• The web-MI intervention demonstrates viability for addressing DUI recidivism risk in diverse client populations.
• Adapting interventions for cultural and linguistic relevance is essential for improving engagement and effectiveness in DUI treatment.
• Web-based delivery offers a promising platform for accessible and acceptable DUI interventions.