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

Lead Sponsor: University of New Mexico

Collaborator: National Institute on Drug Abuse (NIDA)

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.

• Substance-Related Disorders
• Treatment Adherence

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)

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of signed and dated informed consent form - Stated willingness to comply with all study procedures - Physically withdrawn from alcohol or other drugs Inclusion Criteria (personnel participants): - English-speaking adults currently employed at one of the two outpatient addiction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

Last Name: Melissa Hatch, BA

Phone: (505) 277-4121

Email: [email protected]

United States

2022-06-01

Type: Sponsor

• Substance-Related Disorders

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).

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)