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Introducing Way To Serve Español!

Introducing Way To Serve Español!

WayToServe®, an evidence-based online responsible alcohol server training program, has been launched in Spanish in California – as Way To Serve Español – to meet the needs of Spanish-speakers in the food and beverage industry.

Responsible Beverage Service (RBS) training has shown promise to reduce alcohol-related injury and mortality. WayToServe was created by scientists and developers from the University of New Mexico, the Pacific Institute for Research and Evaluation, and Klein Buendel. The engaging, media-rich program was initially evaluated in a randomized controlled trial that resulted in high trainee satisfaction and increased refusal of sales to intoxicated patrons. WayToServe was licensed to Wedge Communications LLC and launched into the online marketplace in 2012. To date, WayToServe has been expanded and approved for sale and certification of trainers in New Mexico, California, Texas, and Washington. Wedge Communications will distribute Way To Serve Español, as well.

The original WayToServe project was sponsored by two grants from National Institute on Alcohol Abuse and Alcoholism to the University of New Mexico (AA014982 and AA016606; Dr. W. Gill Woodall, Principal Investigator). The subsequent WayToServe Español project was sponsored by a grant from the National Institute of Minority Health and Health Disparities (MD010405; Dr. W. Gill Woodall, Klein Buendel Senior Scientist, Principal Investigator). Collaborators included Dr. Robert Saltz from the Pacific Institute for Research and Evaluation; Dr. Frank Perez and Dr. Areli Chacon Silva from the University of Texas at El Paso; Dr. Victoria Sanchez and Dr. Randall Starling from the University of New Mexico; Dr. David Buller, Ms. Jeanny Camacho Reither, Ms. Lila Martinez, and Ms. Marita Brooks from Klein Buendel. 

Responsible Beverage Service Training for Spanish-Speaking Alcohol Servers

Responsible Beverage Service Training for Spanish-Speaking Alcohol Servers

Responsible Beverage Service (RBS) training has shown promise to reduce alcohol-related injury and mortality. The diffusion of RBS training is limited. Only 25 U.S. states require RBS training, while other states incentivize or have no RBS regulations. One diffusion limitation is that RBS training in the United Stated is typically offered in English from a mainstream culture point of view. 

Klein Buendel Senior Scientist, Dr. W. Gill Woodall, presented data on the systematic testing of a new Spanish language version of an evidence-based online RBS training program at the 47th Annual Meeting of the Kettil Bruun Society for Social and Epidemiological Research on Alcohol, May 30 to June 3, 2022 in Warsaw, Poland. WayToServe Español (WTS-E) is specifically tailored to Hispanic cultural beliefs, tastes, and experiences.

Spanish-speaking alcohol servers in Texas and New Mexico were involved in WTS-E development and evaluation. Focus groups and usability interviews were employed in systematic development. A randomized efficacy trial employed Spanish-speaking intoxicated pseudo-patron assessments of premises at baseline, 3 months, and 1 year post-training, with premises randomized to WTS-E or the usual RBS training. 

A randomized trial was conducted with 80 alcohol premises (40 onsite liquor by the drink premises, and 40 offsite package sales premises), with pseudo-intoxicated patron assessments at baseline, immediate post-intervention, and one-year follow-up. At baseline, the alcohol sales refusal was 21.6%, with a significant difference between states. The presentation examined the impact of a linguistically- and culturally-tailored online RBS training in Spanish-trading alcohol premises in two states with different alcohol RBS regulations. Implications for alcohol policy research were discussed.

The WTS-E research was funded by a grant from the National Institute on Minority Health and Health Disparities at the National Institutes of Health (MD010405; Dr. W. Gill Woodall, Principal Investigator). Collaborating co-authors on the presentation included Dr. Robert Saltz from the Pacific Institute for Research and Evaluation; Dr. Frank Perez and Dr. Areli Chacon Silva from the University of Texas at El Paso; Dr. Victoria Sanchez and Dr. Randall Starling from the University of New Mexico; and Dr. David Buller, Jeannyfer Camacho Reither, Lila Martinez, and Marita Brooks from Klein Buendel.

Vacteens: A Web App to Boost HPV Vaccine Uptake

Vacteens: A Web App to Boost HPV Vaccine Uptake

Dr. W. Gill Woodall, Klein Buendel Senior Scientist, and his coauthors published the results of the Vacteens Project in the online journal, Frontiers in Digital Health.

The uptake of HPV vaccine in the United States remains lower than preferred by health authorities, particularly for young adolescents, when immunogenic response to the vaccine is strongest. Potential parental barriers to low vaccine uptake include confusion, uncertainty, and misinformation about HPV vaccine schedule, safety, and effectiveness. Dr. Woodall and his collaborators believe that parental barriers to HPV vaccination may be addressed by digital interventions, such as web apps, that are tailored to their concerns.

The Vacteens Project project tested a web app for educating parents. The study was conducted with 82 parent-adolescent (daughter) pairs recruited from in nine pediatric clinics in New Mexico. It tested whether digital information delivered to parents in a community setting may be an effective way to help reach HPV vaccine uptake goals in the United States. Diffusion of Innovations Theory principles were used to guide the development of the Vacteens/Vacunadolescente mobile app in English and Spanish.

Parents were randomized to receive either the Vacteens/VacunaAdolescente mobile web app or the usual and customary online HPV vaccination pamphlet from the U.S. Centers for Disease Control and Prevention (CDC). Parents completed surveys at baseline and month 3, and child vaccine records were collected at month 12. Vaccine uptake results from the study found that parents who received the Vacteens/VacunaAdolescente web app were more likely to have their daughters vaccinated than parents in the control condition. Study methods, results, and limitations are detailed in the online publication.

This research was funded by a grant from the Patient-Centered Outcomes Research Institute (PCORI) to the University of New Mexico (#1511-33018; Dr. W. Gill Woodall, Principal Investigator). Dr. Woodall’s collaborators include Dr. Greg Zimet from Indiana University, Dr. Alberta Kong, Dr. Lance Chilton, and Dr. Randall Starling from the University of New Mexico, and Dr. David Buller, Jeannyfer Reither, and Dr. Valerie Myers from Klein Buendel.

Project STRONG Expands into Spanish

Project STRONG Expands into Spanish

Ms. Julia Berteletti, Klein Buendel Research Program Manager, is a Co-Investigator on a new research project aimed at teaching adolescent boys, with their parents, skills on regulating their emotions and how to communicate their feelings.

Emotional regulation is the ability to successfully understand and express one’s emotions (1). The large empirical literature links violent behavior and adolescents who lack this ability. Furthermore, numerous studies show that parental involvement is crucial to offsetting dating violence risk (2).

Northeastern University, in collaboration with Klein Buendel, conducted a pilot study which was funded by the National Institute of Justice and titled “Partner Violence Prevention for Middle School Boys: A Dyadic Web-Based Intervention” (2014-MU-CX-4002). The aim of the study was to develop a web-based intervention to reduce the risk of dating violence among middle-school aged males. The engaging web program was used by parents and adolescents together, with both the parent and the child choosing an avatar, playing games together, and being prompted to discuss the content.

Results showed that families generally found the program helpful and useful (3). Adolescents randomized to the STRONG condition were less likely to report dating violence perpetration events and victimization events when compared to the control group (3). Additionally, adolescents in the STRONG condition reported an increase in a number of emotional regulation measures compared to control participants (3).

The new Project STRONG R01 study will be conducted in a larger randomized controlled trial titled “Project STRONG: A Web-Based Dating Violence Prevention Program for Parents and Middle School Boys”. The web-based program will be translated and developed in Spanish and will be tested for its ability to reduce the risk of dating violence among both English- and Spanish-speaking middle-school aged males. Again, parents and their sons will complete the program together.

The research is funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development at the National Institutes of Health (HD097126; Dr. Chris Houck and Dr. Christine Rizzo, Principal Investigators). Ms. Berteletti will be collaborating with Dr. Chris Houck of Rhode Island Hospital and Dr. Christine Rizzo of Brown University.

References

1. Houck CD, Hadley W, Barker D, Brown LK, Hancock E, Almy B. An emotion regulation intervention to reduce risk behaviors among at-risk early adolescents. Prev Sci. 2016;17(1):71-82. doi: 10.1007/s11121-015-0597-0
2. Lundgren R, Amin A. Addressing intimate partner violence and sexual violence among adolescents: emerging evidence of effectiveness. J Adolesc Health. 2015;56(1 Suppl):S42-S50. doi: 10.1016/j.jadohealth.2014.08.012
3. National Criminal Justice Reference Service; Rizzo CJ, Houck C. Summary Report: Partner Violence Prevention for Middle-School Boys: A Dyadic Web-Based Intervention Study (Project STRONG). Available at: https://www.ncjrs.gov/pdffiles1/nij/grants/252517.pdf. Published January 2019. Accessed August 21, 2019.

Collaborator Spotlight:
Dr. Victoria Sánchez

Collaborator Spotlight:
Dr. Victoria Sánchez

Dr. Victoria Sánchez is an Associate Professor in the College of Population Health at the University of New Mexico (UNM) in Albuquerque.  She earned her MPH at the University of California at Berkeley and her Doctorate in Public Health (DrPH) in Health Behavior and Health Education at the University of North Carolina at Chapel Hill.  She directs the MPH Community Health Concentration track at UNM and teaches social and behavioral sciences courses for the UNM College of Public Health.

Dr. Sánchez has a long-standing commitment to participatory planning and evaluation processes with communities and public health organizations. Over the last thirty years, she has integrated her expertise in public health practice and participatory and multidisciplinary research methodologies to plan and implement joint solutions for reducing health and social disparities in Latino and other vulnerable communities. As a member of multidisciplinary teams, she has applied social and cultural theories and models in the development, tailoring, testing, and evaluation of interventions to improve the health of Latinos/Hispanics in New Mexico, Texas, and California.

Currently, Dr. Sánchez is working with Klein Buendel as a collaborating scientist with Dr. Gill Woodall and Dr. David Buller on WayToServe Español: A Culturally-Appropriate Online Responsible Beverage Service Training for Spanish-Speaking Servers (R44MD010405; Dr. Gill Woodall, Principal Investigator). This research project is funded by the National Institute on Minority Health and Health Disparities. Dr. Sánchez collaborates on the creation and evaluation of culturally-appropriate content and the translation of the English WayToServe® online training program to Spanish. She helps ensure that the translation is compatible with the values and needs of servers in Spanish language-dominant bars and restaurants. The randomized control trial is being conducted at Spanish-dominant businesses in the Southwestern region of the United States. …

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