Abstract

BackgroundDriving under the influence (DUI) of alcohol is a major public health concern, and many individuals continue to drink and drive even after being convicted of a DUI offense. Latinos, in particular, are disproportionately likely to be arrested for a DUI, have higher rates of recidivism, and are more likely to die in alcohol-related accidents than non-Latino Whites. Latinos also experience significant disparities in accessing alcohol-related treatment.Methods/designThis study protocol paper describes a randomized trial of cognitive behavioral therapy (CBT) compared to usual care in DUI programs for individuals with a first-time offense and at-risk drinking. We will utilize a two-group randomized design where individuals enrolled in a DUI program with a first-time conviction will be randomized to CBT (n = 150) or usual care (n = 150). Participants will be assessed at baseline, immediately post-treatment, and 6-months post-treatment. Recidivism data will be collected using administrative data within 2 years post-treatment.DiscussionThis project has the potential to benefit a large population of vulnerable individuals who are at risk of DUI recidivism. It also develops a new model of care by providing treatment in DUI programs to reduce disparities associated with poor treatment access.Trial registration NCT02588703

Highlights

  • Driving under the influence (DUI) of alcohol is a major public health concern, and many individuals continue to drink and drive even after being convicted of a DUI offense

  • It develops a new model of care by providing treatment in DUI programs to reduce disparities associated with poor treatment access

  • The proposed study addresses at least two important public health problems: (1) Despite the fact that individuals convicted of a DUI are mandated to attend a DUI program, many recidivate and, (2) There is a disproportionate lack of access to alcohol use disorders (AUD) treatment for Latino populations

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Summary

Introduction

Driving under the influence (DUI) of alcohol is a major public health concern, and many individuals continue to drink and drive even after being convicted of a DUI offense. In particular, are disproportionately likely to be arrested for a DUI, have higher rates of recidivism, and are more likely to die in alcohol-related accidents than non-Latino Whites. Preventing recidivism among individuals convicted of driving under the influence (DUI) is an important public health objective. Addressing DUI recidivism in the Latino population is important because compared to other ethnic groups, Latinos are disproportionately more likely to be arrested for a DUI, have higher rates of recidivism, and are more likely to die in alcohol-related crashes [6,7,8,9,10].

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