Motivational Interviewing at Intake vs Intake as Usual on Client Engagement in Addiction Treatment
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of New Mexico
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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Physically withdrawn from alcohol or other drugs
Disqualifiers
Experiencing severe withdrawal symptoms
Actively psychotic, manic, and/or suicidal
current position: facility owner or clinical director
Trial design
Design model
Parallel
Treatments tested in this trial
Motivational Interviewing at Intake (MII)
BehavioralThe 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.
Intake as Usual (IAU)
BehavioralIn 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.
Treatment groups
150 Participants
are divided into 2 treatment groupsGroup A: Motivational Interviewing at Intake (MII)Experimental treatment 1 intervention
Group B: Intake as Usual (IAU)Active comparator 1 intervention
Trial outcomes
Primary outcomes
1
Number of participants who attended the first outpatient treatment program session based on electronic medical record review
Treatment entry is determined by review of electronic medical record of whether clients attended their first scheduled treatment session
Time frame
up to 36 weeks2
Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review
Number of treatment sessions that clients attend is determined by review of electronic medical record and calculating number of treatment sessions attended.
Time frame
up to 36 weeks3
Number of participants who completed the three-month outpatient treatment program based on electronic medical record review
Completion of the three-month outpatient treatment program is determined by review of electronic medical record
Time frame
up to 36 weeksSecondary outcomes
1
Change from baseline in client readiness to enter treatment on the University of Rhode Island Change Assessment Scale (URICA) at 1 hour post-intake
The URICA is a validated, self-report measure of client readiness for treatment engagement. Possible scores range from 32 to 160 with higher scores indicative greater readiness to enter treatment. Change = (Hour 1 score - Baseline Score).
Time frame
baseline and 1 hour post-intake2
Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake
The WAI is a validated, self-report measure of client perceptions of the therapeutic process by assessing three sub scales: Goals, Bond, and Tasks. Possible scores on sub scales range from 12 to 84 with higher scores indicative of better therapeutic alliance.
Time frame
1 hour post-intakeOther outcomes
1
Change from baseline in organizational readiness to change on the Texas Christian University-Organizational Readiness to Change (TCU-ORC) at 1 year
The TCU-ORC is a validated, self-report measure of personnel perceptions of their organization's readiness and willingness to make changes. Possible scores range from 125 to 625 with higher scores indicative of more readiness to change. Change = (Year 1 score - Baseline Score).
Time frame
baseline and 1 year2
Change from baseline in organizational readiness to change on the Readiness for Organizational Change (ROC) at 1 year
The ROC is a validated, self-report measure of personnel perceptions of their organization's readiness to change. Possible scores range from 25 to 155 with higher scores indicative of more readiness to change. Change = (Year 1 score - Baseline Score).
Time frame
baseline and 1 year3
Change from baseline in organizational capability to change on the Change Process Capability Questionnaire (CPCQ) at Year 1
The CPCQ is a validated, self-report measure of personnel perceptions of of their organization's capability to change. Possible scores range from 1 to 132 with higher scores indicative of more capability to make changes in the organization. Change = (Year 1 score - Baseline Score).
Time frame
baseline and 1 yearSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of New Mexico
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
Source ClinicalTrials.gov