How to Cite
Martínez, K. M., Jiménez Pérez, A. L., Félix Romero, V., & Morales Chainé, S. (2018). Impact of a brief intervention programs in clinical practice: Barriers and adaptations. International Journal of Psychological Research, 11(2), 27–34. https://doi.org/10.21500/20112084.3485
License terms
The work that is sent to this journal must be original, not published or sent to be published elsewhere; and if it is accepted for publication, authors will agree to transfer copyright to International Journal of Psychological Research. 

To give up copyright, the authors allow that, International Journal of Psychological Research, distribute the work more broadly, check for the reuse by others and take care of the necessary procedures for the registration and administration of copyright; at the same time, our editorial board represents the interests of the author and allows authors to re-use his work in various forms. In response to the above, authors transfer copyright to the journal, International Journal of Psychological Research. This transfer does not imply other rights which are not those of authorship (for example those that concern about patents). Likewise, preserves the authors rights to use the work integral or partially in lectures, books and courses, as well as make copies for educational purposes. Finally, the authors may use freely the tables and figures in its future work, wherever make explicit reference to the previous publication in International Journal of Psychological Research. The assignment of copyright includes both virtual rights and forms of the article to allow the editorial to disseminate the work in the manner which it deems appropriate. 

The editorial board reserves the right of amendments deemed necessary in the application of the rules of publication.


Introduction: The present study analyzes the main barriers and adaptations to brief interventions that focus on addictive behavior treatments carried out in clinical settings by 756 health professionals during their adoption process in 350 Primary Attention Units in Mexico. Method: A descriptive cross-sectional study was conducted and consisted in the application of an instrument that explored diverse aspects, such as knowledge about evidence based brief intervention (BI) programs, barriers during the execution, and adaptations of the BI. Results: the main barriers were related to the implementation of sessions and the user’s characteristics such as educational level. As a consequence, the main adaptations were related to the increase in the number of sessions, modifying their length and changing the sequence as well as the proposed material in the manuals. Conclusions: We discuss the possibility of systematizing the adaptations made by health professionals in order to evaluate their effectiveness.



Andrzejewski, M. E., Kirby, K. C., Morral, A. R., & Iguchi, M. Y. (2001). Technology transfer through performance management: The effects of graphical feedback and positive reinforcement on drug treatment counselors’ behavior. Drug and Alcohol Dependence, 63(2), 179–186.

Bierman, K. L., Nix, R. L., Maples, J. J., & Murphy, S. A. (2006). Examining clinical judgment in an adaptive intervention design: The fast track program. Journal of Consulting and Clinical Psychology, 74(3), 468.

Collins, L. M., Murphy, S. A., & Bierman, K. L. (2004). A conceptual framework for adaptive preventive interventions. Prevention Science, 5(3), 185–196.

CONADIC. (2008). Modelo de atención UNEME-CAPA centros de atención primaria en adicciones “Nueva Vida”. Centro Nacional para la prevención y el control de las adicciones. México. D.F.

Doheny-Farina, S. (1992). Rhetoric, innovation, technology:Case studies of technical communication in technology transfers. MIT Press.

Horigian, V. E., Espinal, P. S., Alonso, E., Verdeja, R. E., Duan, R., Usaga, I. M., … Feaster, D. J. (2016). Readiness and barriers to adopt evidence-based practices for substance abuse treatment in México. Salud Mental, 39(2), 77–84.

Kelly, P., Hegarty, J., Barry, J., Dyer, K. R., & Horgan, A. (2017). A systematic review of the relationship between staff perceptions of organizational readiness to change and the process of innovation adoption in substance misuse treatment programs. Journal of Ssubstance Abuse Treatment, 80, 6–25.

Lavori, P. W., & Dawson, R. (2000). A design for testing clinical strategies: biased adaptive within-subject randomization. Journal of the Royal Statistical Society: Series A (Statistics in Society), 163(1), 29–38.

Lavori, P. W., & Dawson, R. (2004). Dynamic treatment regimes: practical design considerations. Clinical Trials, 1(1), 9–20.

Lavori, P. W., Dawson, R., & Rush, A. J. (2000). Flexible treatment strategies in chronic disease: clinical and research implications. Biological Psychiatry, 48(6), 605–614.

Marlowe, D. B., Festinger, D. S., Arabia, P. L., Dugosh, K. L., Benasutti, K. M., Croft, J. R., & McKay, J. R. (2008). Adaptive interventions in drug court: A pilot experiment. Criminal Justice Review, 33(3), 343–360.

Martínez-Martínez, K. I., Icaza, M. M., & Elena, M. (2013). Transferencia tecnológica en el área de adicciones: El programa de intervención breve para adolescentes, retos y perspectivas. Salud Mental, 36(6), 505–512.

Martínez-Martínez, K. I., Trejo, P., Yolanda, A., Echeverría San Vicente, L., & Medina-Mora, M. E. (2016). Barreras en la transferencia de la tecnología: Un estudio cualitativo de las intervenciones breves y los centros de atención a las adicciones. Salud Mental, 39(5), 257–265.

McCarty, D., Greenlick, M. R., Lamb, S., et al. (1998). Bridging the gap between practice and research: Forging partnerships with community-based drug and alcohol treatment. National Academies Press.

McKay, J. R. (2009). Treating substance use disorders with adaptive continuing care. American Psychological Association.

Mihalic, S. F., Fagan, A. A., & Argamaso, S. (2008). Implementing the LifeSkills Training drug prevention program: factors related to implementation fidelity. Implementation Science, 3(1), 5.

Pacheco Trejo, A., & Martínez Martínez, K. (2013). El arte de ser terapeuta.? Qué hace efectiva una intervención en el consumo de drogas? Enseñanza e Investigación en Psicología, 18(1).

Rogers, E. M. (2010). Diffusion of innovations. Simon and Schuster.

Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22(4), 171–182.

Smith, T. (2013). What is evidence-based behavior analysis? The Behavior Analyst, 36(1), 7–33.

Véliz, M. (2014). Barreras del terapeuta en el uso de manuales (Unpublished master’s thesis). Universidad Autónoma de Aguascalientes.

Weiner, B. J. (2009). A theory of organizational readiness for change. Implementation Science, 4(1), 67.

Weisz, J. R., Chu, B. C., & Polo, A. J. (2004). Treatment dissemination and evidence-based practice: Strengthening intervention through clinician researcher collaboration. Clinical Psychology: Science and Practice, 11(3), 300–307.


Download data is not yet available.

Cited by