Culturally sensitive substance use treatment for racial/ethnic minority youth: A meta-analytic review
Abstract
This systematic review and meta-analysis synthesized findings from studies examining culturally sensitive substance use treatment for racial/ethnic minority youth. An extensive literature search located eight eligible studies using experimental or quasi-experimental designs. The meta-analysis quantitatively synthesized findings comparing seven culturally sensitive treatment conditions to seven alternative conditions on samples composed of at least 90% racial/ethnic minority youth. The results from the meta-analysis indicated that culturally sensitive treatments were associated with significantly larger reductions in post-treatment substance use levels relative to their comparison conditions (g=0.37, 95% CI [0.12, 0.62], k=7, total number participants=723). The average time between pretest and posttest was 21weeks (SD=11.79). There was a statistically significant amount of heterogeneity across the seven studies (Q=26.5, p=0.00, τ 2 =0.08, I 2 =77.4%). Differential effects were not statistically significant when contrasts were active generic counterparts of treatment conditions (direct "bona fide" comparisons; g=-0.08, 95% CI [-0.51, 0.35]) and 'treatment as usual' conditions (g=0.39, 95% CI [-0.14, 0.91]). Strong conclusions from the review were hindered by the small number of available studies for synthesis, variability in comparison conditions across studies, and lack of diversity in the adolescent clients served in the studies. Nonetheless, this review suggests that cultura…
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Modifications that focus on increasing the fit of the EBPs with the target population can lead to improved engagement, acceptability, and clinical outcomes, particularly when working with minority populations.
“In fact, modifications that focus on increasing the fit of the EBPs with the target population can lead to improved engagement, acceptability, and clinical outcomes, particularly when working with minority populations [8–10].”
From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [8]
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- Authors
- Steinka-Fry, K. T., Tanner-Smith, E. E., Dakof, G. A., & Henderson, C.
- Affiliations
- University of Miami (US)
- Sam Houston State University (US)
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 75
- Pages
- 22-37
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2582681130
- Cited by
- 108
- References
- 19
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 20 · 2023: 15 · 2022: 19 · 2021: 9 · 2020: 9 · 2019: 11 · 2018: 5
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Institutes for Research (0373700101)
- U.S. Department of Justice (2014-DC-BX-K001)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- culturally sensitive care, addiction treatment, racial and ethnic minority youth, adolescents, treatment effectiveness, usual care, substance use disorders
- MeSH terms
- Adolescent, Child, Ethnicity, Female, Humans, Male, Substance Abuse Treatment Centers, Adolescent Health Services, Substance-Related Disorders, Cultural Competency, Young Adult
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