Motivational Interviewing at Intake vs Intake as Usual on Client Engagement in Addiction Treatment
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Motivational Interviewing at Intake (MII), Intake as Usual (IAU).
- Who it may be relevant to
- Registry conditions: Substance-Related Disorders, Treatment Adherence. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment
Overview
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.
Interventions
- Behavioral Motivational Interviewing at Intake (MII)
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, - Behavioral Intake as Usual (IAU)
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.
Primary outcome measures
- Number of participants who attended the first outpatient treatment program session based on electronic medical record review [Time frame: up to 36 weeks]
- Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review [Time frame: up to 36 weeks]
- Number of participants who completed the three-month outpatient treatment program based on electronic medical record review [Time frame: up to 36 weeks]
Secondary outcome measures (2)
- Change from baseline in client readiness to enter treatment on the University of Rhode Island Change Assessment Scale (URICA) at 1 hour post-intake [Time frame: baseline and 1 hour post-intake]
- Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake [Time frame: 1 hour post-intake]
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Health services research
Study locations
United States · 1 center
- UNM Psychology Clinic — Albuquerque
Publications
- Hurlocker MC, Moyers TB, Hatch M, Curran G, McCrady B, Venner KL, Witkiewitz K. Effectiveness and feasibility of a motivational interviewing intake (MII) intervention for increasing client engagement in outpatient addiction treatment: an effectiveness-implementation hybrid design protocol. Addict Sci Clin Pract. 2023 Oct 21;18(1):63. doi: 10.1186/s13722-023-00412-y. PMID 37865777
Identifiers
NCT: NCT05489068 · A22-0014 · K23DA052646