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

University of New Mexico (UNM)

Status: Enrolling

Conditions: Substance-Related Disorders; Treatment Adherence

Treatments: Behavioral: Motivational Interviewing at Intake (MII); Behavioral: Intake as Usual (IAU)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05489068

K23DA052646 (U.S. NIH Grant/Contract)

A22-0014

Details and patient eligibility

About

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.

Enrollment: 150 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion 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• Physically withdrawn from alcohol or other drugs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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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150 participants in 2 patient groups

Motivational Interviewing at Intake (MII)

Experimental group

Description:

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

Treatment:

Behavioral: Motivational Interviewing at Intake (MII)

Intake as Usual (IAU)

Active Comparator group

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).

Treatment:

Behavioral: Intake as Usual (IAU)