Table 2.

Staff and Client Focus Group Themes

Focus Group Section	Staff/Counselors	Clients
Acceptability and Feasibility	Clients are resistant at program entry. Counselors develop rapport with client by removing labels and judgment.	Facilitator should be non-judgmental, and assist, rather than direct, the client’s decision-making.
Comments about the Feedback sheet	Blood Alcohol content (BAC) information is only convincing when it is associated with consequences. Talking about consequences can be helpful if the client can relate to the consequences.	The sheet is not well organized. Charts are difficult to understand. The definition of BAC is not clear. The reasons to drink vary over time and from person to person. Need to distinguish long and short-term consequences.
Cultural considerations	Language must follow the clients’ preferences. Latinos tend to be “ashamed” to talk about their drinking during the group discussions.	There are similar reasons to drink across groups. For Spanish-speaking clients, drinking with friends is an important reason to drink. For Spanish-speaking clients, reasons to stop drinking are to be accepted by one’s family and to be a good role model.