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Идёт набор NCT05489068

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

Без фазы С лечением Substance-Related Disorders Treatment Adherence

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Motivational Interviewing at Intake (MII), Intake as Usual (IAU).
Кому может быть актуально
Состояния в реестре: Substance-Related Disorders, Treatment Adherence. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment

Обзор

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.

Вмешательства

  • Поведенческое 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,
  • Поведенческое 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.

Первичные конечные точки

  • Number of participants who attended the first outpatient treatment program session based on electronic medical record review [Срок оценки: up to 36 weeks]
  • Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review [Срок оценки: up to 36 weeks]
  • Number of participants who completed the three-month outpatient treatment program based on electronic medical record review [Срок оценки: up to 36 weeks]
Вторичные конечные точки (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 [Срок оценки: baseline and 1 hour post-intake]
  • Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake [Срок оценки: 1 hour post-intake]

Критерии участия

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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Тройное слепое
Основная цель
Организация здравоохранения

Центры проведения

США · 1 центр
  • UNM Psychology Clinic — Albuquerque

Публикации

  • 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

Идентификаторы

NCT: NCT05489068 · A22-0014 · K23DA052646

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗