Motivational Interviewing at Intake vs Intake as Usual on Client Engagement in Addiction Treatment

Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment

Sponsors

Lead Sponsor: University of New Mexico

Collaborator: National Institute on Drug Abuse (NIDA)

Source University of New Mexico
Brief Summary

This K23 study is an effectiveness-implementation hybrid type I design to determine the effectiveness of Motivational Interviewing at Intake (MII), relative to intake-as-usual on client engagement and mechanisms of engagement among adults seeking outpatient addiction treatment. We also will obtain personnel feedback on the feasibility of implementing MII into standard practice by having personnel from the addiction treatment study sites complete implementation climate measures before Motivational Interviewing (MI) training and post-clinical trial, as well as an individual interview on implementation feasibility post-trial.

Overall Status Recruiting
Start Date 2022-03-16
Completion Date 2024-12-01
Primary Completion Date 2024-10-01
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Number of participants who attended the first outpatient treatment program session based on electronic medical record review up to 36 weeks
Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review up to 36 weeks
Number of participants who completed the three-month outpatient treatment program based on electronic medical record review up to 36 weeks
Secondary Outcome
Measure Time Frame
Change from baseline in client readiness to enter treatment on the University of Rhode Island Change Assessment Scale (URICA) at 1 hour post-intake baseline and 1 hour post-intake
Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake 1 hour post-intake
Enrollment 150
Condition
Intervention

Intervention Type: Behavioral

Intervention Name: Motivational Interviewing at Intake (MII)

Description: The MII will involve a goal-oriented and collaborative conversation about why the client wants treatment now, and how treatment might fit with his/her most important values. The provider will use open questions, reflective listening and autonomy support in a flexible, non-authoritative manner. Rather than asking specific questions in different life domains, the provider will explore with the client their desires, abilities, reasons, and needs for treatment, how treatment fits with their values, and what successful treatment looks like to them. The client's language about change will be strategically reinforced to increase its frequency and strength across the session.

Arm Group Label: Motivational Interviewing at Intake (MII)

Intervention Type: Behavioral

Intervention Name: Intake as Usual (IAU)

Description: In line with the American Society of Addiction Medicine (ASAM) guidelines, the IAU condition involves a semi-structured interview of the client's psychosocial history and clients answer a series of questions in the following domains: support system, living situation, educational, occupational, family, and medical history.

Arm Group Label: Intake as Usual (IAU)

Eligibility

Criteria:

Inclusion Criteria (client participants): - English-speaking adults seeking treatment for alcohol or other drug use at one of two outpatient addiction treatment programs - Provision of signed and dated informed consent form - Stated willingness to comply with all study procedures - Physically withdrawn from alcohol or other drugs Inclusion Criteria (personnel participants): - English-speaking adults currently employed at one of the two outpatient addiction treatment programs - Provision of electronic informed consent Exclusion Criteria (client participants): - Experiencing severe withdrawal symptoms - Actively psychotic, manic, and/or suicidal Exclusion Criteria (personnel participants): - current position: facility owner or clinical director

Gender:

All

Minimum Age:

18 Years

Maximum Age:

N/A

Healthy Volunteers:

No

Overall Official
Last Name Role Affiliation
Margo Hurlocker, PhD Principal Investigator University of New Mexico
Overall Contact

Last Name: Melissa Hatch, BA

Phone: (505) 277-4121

Email: [email protected]

Location
Facility: Status: Contact: Turning Point Recovery Center Alaina Geoff 505-217-1717 [email protected]
Location Countries

United States

Verification Date

2022-06-01

Responsible Party

Type: Sponsor

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Motivational Interviewing at Intake (MII)

Type: Experimental

Description: Clients allocated to the MII condition will receive a 90-minute pure Motivational Interviewing (MI) session.

Label: Intake as Usual (IAU)

Type: Active Comparator

Description: Clients allocated to the IAU condition will receive the 90-minute standard assessment that is delivered to all clients entering intensive outpatient program (IOP)/outpatient program (OP).

Patient Data Yes
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Intervention Model Description: Effectiveness-Implementation Hybrid Type 1 Design

Primary Purpose: Health Services Research

Masking: Triple (Participant, Investigator, Outcomes Assessor)

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