Table 1.

MI and adaptations

Active Ingredient	Motivational Interviewing	How Adapted
MI Spirit	Build rapport and collaboration	AUGMENT rapport by focus on social context of drinking, comparison U.S. vs. countries of origin, challenges with acculturation to U.S.
	Promote patient autonomy	AUGMENT by coaching active participation, inviting patient to disagree with therapist
Develop discrepancy	Contrast Goals and Values	ADD culturally-specific content. Goals and values are culturally-based and cultural content elicited and explored
	Personalized feedback on how your drinking compares to others of same gender and age	ADD culturally-specific content. Personalized feedback on ethnic specific, age, and gender norms
Increase salience of culturally specific stressors and how they relate to drinking	n/a	NEW TREATMENT COMPONENT based on formative research. Therapist solicit culturally- specific stressors shown to impact drinking behavior for patient self-exploration and therapeutic discussion.
Discuss alternative coping strategies other than drinking after discussing culturally- specific stressors	n/a	With permission provide information on the effects of drinking and explore alternative strategies