Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
Volume 58, Issue 7, 2015, Pages 738-748

Transcultural prevention of alcohol-related disorders: Effects of a culture- and migration-sensitive approach in elderly migrants with respect to attitudes and behavior: a cluster randomized controlled trial [Transkulturelle Prävention von Alkoholerkrankungen: Effekte eines kultur- und migrationssensitiven Ansatzes auf Einstellungen und Verhalten älterer Personen mit Migrationshintergrund – Eine Cluster-randomisierte kontrollierte Studie] (Article)

Bermejo I.* , Frank F. , Komarahadi F. , Albicker J. , Ries Z. , Kriston L. , Härter M.
  • a Universitätsklinik Freiburg, Hauptstr. 4, Freiburg, 79104, Germany
  • b Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Germany
  • c Universitätsklinik Freiburg, Hauptstr. 4, Freiburg, 79104, Germany
  • d Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Germany
  • e Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Germany
  • f Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg-Eppendorf, Germany
  • g Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg-Eppendorf, Germany

Abstract

Background: For migrants who are older than 50, alcohol frequently becomes a problem. Simultaneously alcohol-related prevention measures only reach this group insufficiently. Therefore, a transcultural concept for preventing alcohol-related disorders in elderly (≥ 45 years) migrants has been developed. Method: The transcultural concept, which consisted of a prevention event as well as a cultural and language-sensitive information booklet, was evaluated in a cluster-randomized controlled trial (n = 310 immigrants). As a control condition there was a prevention event with materials from Deutsche Hauptstelle für Suchtfragen (German Centre for Addiction Issues). Data were obtained before and after the event, as well as after 6 months. All materials were available both in German and in Russian, Italian, Spanish and Turkish. Results: Directly after the event, as well as 6 months thereafter, the transcultural approach was rated significantly better than the general prevention event. 73.4 % of the participants read the cultural and migration-sensitive booklet, whereas only 21.2 % in the control condition (p = 0.0001). Furthermore, significantly more participants of the transcultural approach reported a reduced alcohol consumption (49.4 vs. 16.7 %; p = 0.004) after 6 months. Conclusion: The consideration of diversity with respect to cultural, migration-related, socio demographic und linguistic aspects improves the effectiveness of prevention measures. © 2015, Springer-Verlag Berlin Heidelberg.

Author Keywords

immigrants Alcohol-related disorders RCT Transcultural prevention

Index Keywords

cultural anthropology Germany publication Pamphlets health promotion human middle aged controlled study randomized controlled trial Aged ethnology procedures Humans Cross-Cultural Comparison Treatment Outcome male female Aged, 80 and over very elderly cultural factor Alcohol-Related Disorders translating (language) Translating migration Transients and Migrants Culture
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937633951&doi=10.1007%2fs00103-015-2164-z&partnerID=40&md5=cf7b53184eff070ca9d87d79dd7637d9
DOI: 10.1007/s00103-015-2164-z
ISSN: 14369990
Original Language: German