Piloting a Motivational Interviewing Shame-Resilience Training (MIST)

University of New Mexico (UNM)

Status: Completed

Conditions: Shame

Treatments: Behavioral: Motivational Interviewing Informed Shame Resilience Training

Study type: Interventional

Funder types: Other

Identifiers

NCT05106959

20-059

Details and patient eligibility

About

The purpose of this study is to evaluate the shame resilience theory in a pilot context to assess its feasibility in a potential full scale clinical trial. Shame resilience was developed through qualitative methods but currently has little quantitative backing. Continued research is needed to assess shame-resilience as a potential intervention for shame which little is known to combat prevalent negative health outcomes associated with shame.

Full description

Shame is an emotion that can have significant negative impacts on health outcomes, including engagement in care. Feelings of shame are commonly experienced with stigmatized behaviors, such as substance misuse, and may be particularly strong among pregnant women who misuse substances. Rates of opioid misuse during pregnancy are dramatically rising, particularly in New Mexico, leading to negative health outcomes for mothers and fetuses. Shame has been found to decrease these patients' willingness to attend and engage in care. Although a theoretical model is available to guide interventions to reduce shame, it has not been tested empirically. In the current study, investigators seek to evaluate the preliminary effectiveness and feasibility of a brief Shame Resilience Intervention among women seeking care in UNM's Milagro program, a prenatal medical clinic for opioid using pregnant women. This research has the potential to significantly improve public health by generating a tool to reduce barriers to care.

Enrollment: 20 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Study participants will be Milagro patients
• Engaged in medication assisted treatment
• At least 18 years of age
• Can read and speak English
• Are willing to be contacted for follow-up \
• Are not incarcerated
• Are within the first or second trimester of pregnancy

Exclusion criteria

• The study will not enroll non-English speaking Milagro patients
• Patients with obvious cognitive impairments
• Patients with the inability to provide informed consent.

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Pilot Training

Experimental group

Description:

In this arm participants will complete a variety of baseline assessments then participate in 15-20 minute conversation based on motivational interviewing principles in which they are trained in shame resilience. Follow-ups will be conducted a month later. Assessments will be repeated and then participants will engage in a qualitative interview regarding the training.

Treatment:

Behavioral: Motivational Interviewing Informed Shame Resilience Training