[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460743-105":59,"doc-detail-460743-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","comparing-content-within-a-culturally-adapted-digital-treatment-for-hispanic-patients-with-alcohol-use-disorder","Comparing content within a culturally-adapted digital treatment for Hispanic patients with alcohol use disorder","","Hispanic people in the U.S. experience alcohol-related harms comparable to non-Hispanic White people, yet they face greater barriers to alcohol use disorder (AUD) treatment access. Using data from two clinical trials of a culturally adapted digital cognitive behavioral therapy program for Spanish-speaking Hispanic participants (CBT4CBT-S; n=43), the study examined which program topics were most strongly linked to outcomes. Topics were not randomized in order, and lower alcohol consumption was associated with content on coping with craving, cognitive restructuring, and problem solving, informing further development.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/comparing-content-within-a-culturally-adapted-digital-treatment-for-hispanic-patients-with-alcohol-use-disorder/460743/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/comparing-content-within-a-culturally-adapted-digital-treatment-for-hispanic-patients-with-alcohol-use-disorder/460743.png","ImageObject",300,407,{"name":92,"@type":93},"Genevieve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the purpose of comparing CBT4CBT-S content topics for Hispanic patients with AUD?","Question",{"text":112,"@type":113},"To identify which CBT4CBT-S modules were associated with the least alcohol use and were regarded most favorably by patients, potentially clarifying which treatment mechanisms are most potent for Hispanic participants.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which program topics were linked to reduced alcohol use after completing CBT4CBT-S content?",{"text":117,"@type":113},"Participants drank less after content about coping with craving, cognitive restructuring, and problem solving, with odds ratios reported for each topic.",{"name":119,"@type":110,"acceptedAnswer":120},"Why did the study consider daily drinking risk categories like weekends and holidays?",{"text":121,"@type":113},"Socially significant days are described as strong predictors of increased risk for alcohol use, craving, and heavy drinking; the study hypothesized that treatment effects might be larger when infrequent negative outcomes are more likely.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},460743,1790792990,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","npj | digital medicine Article  \n\n| Published in partnership with Seoul National University Bundang Hospital |  | |\n| --- | --- | --- |\n| [https://doi.org/10.1038/s41746-025-02197-7](https://doi.org/10.1038/s41746-025-02197-7) |  |  |\n| Comparing content within a culturallyadapted digital treatment for Hispanic patients with alcohol use disorder\u003Cbr> Check for updates |  |  |\n| Bryan Benitez , Tami Frankforter, Charla Nich, Manuel Paris & Brian D. Kiluk |  |  |\n| Hispanic people in the U.S. experience alcohol-related harms comparable to non-Hispanic White people. Hispanic people often face more challenges to accessing alcohol use disorder (AUD) treatment. Culturally-adapted digital therapeutics may improve treatment access. Using data from two clinical trials of a culturally-adapted digital cognitive behavioral therapy program for Spanishspeaking Hispanic people (CBT4CBT-S, n = 43), we identified which program topics were most strongly linked to outcomes (NCT03474588registered on 3/15/2018and NCT02043210registered on [1/10/2014 at clinicaltrials.gov](1/10/2014 at clinicaltrials.gov)). 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 = 0.79) . 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. |  |  |\n| Alcohol use disorder(AUD)is often characterized by strong expectations of reward from alcohol use, patterns of excessive alcohol use, and amplified negative emotionality when discontinuing alcohol use1,2. About 10% of the U.S. population meets criteria for AUD, with more than 140,000 alcoholrelated deaths per year3–5. Although Hispanic people are affected by AUDat rates comparable to non-Hispanic White people, they are at increased risk for alcohol-associated liver disease4,6,7. Less than 10% of Hispanic people with AUD have received any treatment for alcohol use in the past year, partly because of linguistic differences, socioeconomic status, ethnic discrimination, and barriers to culturally-adapted treatments8–12. Shortages of trained treatment providers also limit access to treatment for AUD and other substance use disorders (SUDs) in traditional clinic settings13, 14.\u003Cbr>Digital therapeutics (i.e., software that deliver treatments for medical conditions or diseases) have significant potential to make evidence-based treatment for AUD more accessible, especially among disadvantaged groups15–20. However, few studies of digital therapeutics for AUD and SUDshave been conducted primarily with Hispanic people21. Computer-Based Training for Cognitive Behavioral Therapy (CBT4CBT) is a digital therapeutic that teaches CBT skills for improving executive control over prepotent behaviors and decreasing motivation to use alcohol/substances16. Multiple clinical trials have supported its efficacyat reducing rates ofalcohol and substance use22–27. A culturally-adapted version of CBT4CBT for Spanish-speaking Hispanic people has also been developed (“CBT4CBTS”)27–29. Like the English versions of CBT4CBT, CBT4CBT-S contains | distinct modules that teach skills through narrator-guided didactic content, interactive practice exercises, and modeling ofskills through video vignettes with professional actors. The cultural adaptation of CBT4CBT-S also demonstrates CBT skills through dramatized portrayals of an immigrant family whose members experience stressors related to AUD and SUDs30. Efficacy of CBT4CBT-S as an adjunct to standard outpatient care for AUD and SUDs has been supported in a previous randomized clinical trial and is being evaluated in a second recently completed trial27,31. Importantly, the modularized format of CBT4CBT facilitates identify","cbCait4fkwMSzef5","https://ap.wps.com/l/cbCait4fkwMSzef5","pdf",560684,"English","# Introduction\n# Methods\n# Results\n## Alcohol calendar variables by daily risk\n# Discussion","[{\"question\":\"What was the purpose of comparing CBT4CBT-S content topics for Hispanic patients with AUD?\",\"answer\":\"To identify which CBT4CBT-S modules were associated with the least alcohol use and were regarded most favorably by patients, potentially clarifying which treatment mechanisms are most potent for Hispanic participants.\"},{\"question\":\"Which program topics were linked to reduced alcohol use after completing CBT4CBT-S content?\",\"answer\":\"Participants drank less after content about coping with craving, cognitive restructuring, and problem solving, with odds ratios reported for each topic.\"},{\"question\":\"Why did the study consider daily drinking risk categories like weekends and holidays?\",\"answer\":\"Socially significant days are described as strong predictors of increased risk for alcohol use, craving, and heavy drinking; the study hypothesized that treatment effects might be larger when infrequent negative outcomes are more likely.\"}]","Comparing content within a culturally-adapted digital treatment for Hispanic patients with alcohol use disorder | PDF",1790759372,23]