Effects of Motivational Interviewing in Prison

Alcohol Abuse Clinical Trial

Official title:

Motivational Interviewing Delivered by Existing Prison Staff: A Randomized Controlled Study of Effectiveness on Substance Use After Release

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01184612
• Other study ID #: 30225613
• Status: Completed
• Phase: Phase 3
• First received: August 18, 2010
• Last updated: August 18, 2010
• Start date: April 2004
• Est. completion date: July 2008

Study information

• Verified date: October 2003
• Source: Karolinska Institutet
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Regional Ethical Review Board
• Study type: Interventional

Clinical Trial Summary

Motivational Interviewing (MI) is a communication style demonstrated to decrease drug and alcohol use. A five session MI intervention (BSF) was implemented in the Swedish correctional system. The intervention was delivered by counsellors with workshop only MI training (BSF) or by counsellors with workshop MI training followed by peer group supervision based on audio taped feedback (BSF+).

Aim was to examine whether BSF in prisons reduces drug and alcohol use more effectively than interviews conducted according to the usual planning interview routine (UPI).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 296
• Est. completion date: July 2008
• Est. primary completion date: March 2007
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 20 Years to 50 Years

Eligibility

Inclusion Criteria:

• Born between 01-01-1954 and 31-12-1984;

• Conditional release no later than 30-06-2005 (this was extended to 19-09-2005 and again to 31-03-2006);

• Swedish or Norwegian speaker;

• Not having previously received BSF in remand or any other prison;

• Heavy use of alcohol or drugs, measured by the standard prison and probation system:

1= occasional use; 2= heavy use;

• ASI interview at intake;

• No order for deportation after release from prison

Exclusion Criteria:

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Alcohol Abuse

Intervention

Behavioral:
• Motivational Interviewing; MI
MI is a communication style defined as a collaborative, person-centred form of guiding to elicit and strengthen motivation to change. The method is based on four principles: showing empathy; developing discrepancy between the subject's current behaviour and an alternate, more desired, behaviour; reinforcing self-efficacy; and "rolling" with resistance to change. Client arguments for change are elicited and reinforced in an atmosphere that is empathic, collaborative and supportive of autonomy. The choice to change and the responsibility for change remain with the client.

Locations

Country	Name	City	State
Sweden	Karolinska Institutet, Dep Clin Neuroscience	Stockholm

Sponsors (2)

Lead Sponsor	Collaborator
Karolinska Institutet	the research committee of the National Prison and Probation Administration

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	number of days with substance use	alcohol- or drug use as measured by the Addiction Severity Index (ASI) at intake and at 10 months after release	of the last 30 days	Yes
Secondary	reported days of illegal activity	as measured by Addiction Severity Index at intake and 10 months after release	during the preceding 30 days	Yes
Secondary	number of days working	as measured by the Addiction Severity Index at intake and 10 months after release	during the last 30 days	No