Comparing Content Within a Culturally-Adapted Digital Treatment for Hispanic Patients with Alcohol Use Disorder

Alcohol use disorder (AUD) negatively affects millions of people annually. Hispanic people in the U.S. experience adverse alcohol-related health outcomes comparable to non-Hispanic White people. Hispanic people often face more challenges to accessing AUD treatment, but culturally-adapted digital therapeutics may improve their access. Using data from two clinical trials of a culturally-adapted digital cognitive behavioral therapy program for Spanish-speaking Hispanic people (CBT4CBT-S; n  = 43), we identified which program topics were most strongly linked to outcomes. The topics were not administered in a randomized order. Participants drank less alcohol after completing content about coping with craving ( OR  = 0.48), cognitive restructuring ( OR  = 0.73), and problem solving ( OR  = 79). Participants were slightly more favorable towards content about cognitive restructuring ( b  = 0.14) and decision making ( b  = 0.09). These findings can inform further development of culturally-adapted digital therapeutics for AUD, which may improve alcohol-related health outcomes for Hispanic people.