Project CHOICE: Efficacy Testing of CHOICE and CHOICE+Normative Feedback Interventions

University of Illinois at Urbana-Champaign

Status and phase: Completed; Phase 1

Conditions: Substance-related Disorders

Treatments: Behavioral: Motivational Interview with Normative Feedback; Behavioral: Motivational Interview

Study type: Interventional

Funder types: Other

Identifiers

NCT02083523

Smith13356

Details and patient eligibility

About

This study will use a pilot test format to examine the efficacy of a brief Motivational Interviewing (MI) intervention developed by the investigator Dr. Douglas Smith called CHOICE (Compassionate Helpers Openly Inviting Client Empowerment)with youth referred for substance abuse assessments to substance abuse treatment agencies in Chicago and Urbana, IL.

Full description

This study will use a pilot test format to examine the efficacy of a brief Motivational Interviewing (MI) intervention developed by the investigator Dr. Douglas Smith called CHOICE (Compassionate Helpers Openly Inviting Client Empowerment)with youth referred for substance abuse assessments to substance abuse treatment agencies in Chicago and Urbana, IL. The study will have two arms: one group will receive the standard CHOICE Motivational Interview (MI) while the second group will receive the CHOICE Motivational Interview with a Normative Feedback component, called CHOICE+ (CHOICE Plus). The hypothesis is that there will be no difference in outcomes between those that receive the standard CHOICE and those that receive the CHOICE+ MI.

Enrollment: 48 patients

Sex: All

Ages: 13 to 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Youth 13-19 years of age (and their parents or legal guardians if their youth has been referred for an assessment with the Prairie Center counseling staff.)
• referred for an assessment to see if they need substance use disorder treatment
• have used substances on 13 or more days out of the past 90 days or scored higher than 2 on the CRAFT assessment. -

Exclusion criteria

• Low cognitive functioning

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Motivational Interview

Active Comparator group

Description:

The Motivational Interview, or MI, (15-30 minutes) was provided after initial substance use disorder assessments but prior to treatment admission. I twas facilitated by a computer generated report and included: an orientation to the session, discussion of the participants' strengths, an agenda setting procedure, a review of concerns, and a session summary. Therapists conveyed empathy, used reflective listening, tried to elicit and reinforce change talk elements, and elicited action steps from the participants.

Treatment:

Behavioral: Motivational Interview

MI with Normative Feedback

Active Comparator group

Description:

The Motivational Interview with Normative Feedback, or MI + NF, condition/intervention included all procedures described for the MI condition. Additionally, in the MI + NF condition/intervention, the participants' days of marijuana and alcohol use were compared to two sets of norms ( age specific or level of care specific) available for treatment attending youth. Therapists used whichever norm provided a greater contrast with participants' use.

Treatment:

Behavioral: Motivational Interview with Normative Feedback