HIV/AIDS Clinical Trial
Official title:
Phase II Motivational Interviewing: An Experiential Online Training Tool - SBIR - Clinical Trial
Verified date | October 2017 |
Source | Center for Social Innovation, Massachusetts |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Clinical social workers, doctors, outreach workers, and all other staff providing direct care
to vulnerable populations face multiple challenges in obtaining and maintaining training and
implementing evidence based practices in diverse community settings. Motivational
Interviewing is a well-established evidence based practice that is challenging to implement
across programs and agencies because it requires that skills gained from training be
reinforced as a service provider employs the practice.
This study builds on findings from a Phase I study. With funding from a Phase I Small
Business Innovation Research grant from the National Institute of Health, the Center for
Social Innovation developed the Motivational Interviewing Simulator: An Experiential Online
Training Tool. The interactive, case-based, multiplayer web-based game allows service
providers to deepen their skills in Motivational Interviewing (MI), a widely recognized
evidence-based practice that supports people to make positive behavior changes related to
health, wellness, mental illness, and addiction.
The Phase II randomized controlled trial's primary aim is to assess the relative
effectiveness of three interventions (MI Training Only; MI Training + eBook; MI Training +
SIM) in increasing provider MI knowledge and skill retention over time.
During Phase II of this study, we will recruit 180 providers from 18 community agencies
serving individuals who live in supportive housing, many of whom have histories of mental
illness, addiction, homelessness, and medical problems. After receiving a standardized
two-day onsite MI training, participants will be randomized into one of three conditions: 1)
MI Training Only; 2) MI Training + eBook (an online comparison with comparable information to
the Simulator without the interactive elements); or 3) MI Training + Simulator. The
longitudinal, mixed methods study will assess providers' acquisition and retention of MI
knowledge and skills through surveys and coding of standardized client interviews; barriers
and facilitators of MI implementation via focus groups; organizational-level data via key
informant interviews and site visits; and client outcomes for 3,600 clients through surveys,
administrative, data and focus groups.
Status | Completed |
Enrollment | 3816 |
Est. completion date | October 1, 2017 |
Est. primary completion date | October 1, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years to 70 Years |
Eligibility |
Inclusion Criteria: 1. Providers who have not had formal MI training in the past 3 months. 2. Providers who are willing to engage in MI training and evaluation, including obtaining Internal Review Board (IRB) certification for the collection of client data, distribution of client surveys for four three-day periods during the study, and agreement to participate in a focus group if their agency is selected for a site visit. 3. Providers who carry caseloads of clients in human services or housing programs Exclusion Criteria: 1. Providers who have had formal MI training in the past 3 months. 2. Providers who are not willing to engage in MI training and evaluation, including obtaining IRB certification for the collection of client data, distribution of client surveys for four three-day periods during the study, and agreement to participate in a focus group if their agency is selected for a site visit. 3. Providers who do not carry caseloads of clients in human services or housing programs. |
Country | Name | City | State |
---|---|---|---|
United States | Center For Social Innovation | Needham | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Center for Social Innovation, Massachusetts | American Institutes for Research, National Institute of Mental Health (NIMH), National Institutes of Health (NIH) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Provider Motivational Interviewing Ability: Motivational Interviewing Treatment Integrity (MITI) Assessments | Standardized phone assessments | 20 and 24 months | |
Secondary | Change in Provider Motivational Interviewing Knowledge and Skill: Helpfulness Response Questionnaire (HRQ), Motivational Interviewing Knowledge and Attitudes Test (MIKAT) | Standardized online questionnaire | Baseline, 16 months, 20 months and 24 months | |
Secondary | Provider Focus Groups: Providers use of Motivational Interviewing | Focus groups will examine perceptions of implementation, confidence with content, barriers and facilitators to implementation, agency support, client characteristics, and experience with Evidence Based Practices, including Motivational Interviewing. | 20 months | |
Secondary | Client Surveys: Change in Demographic characteristics and Provider use of Motivational Interviewing | Available Online and in paper form, this questionnaire will examine client perceptions of providers application of empathy, promotion of self-efficacy, ability to adapt, and develop therapeutic discrepancy. This questionnaire will employ unstandardized questions adapted from the HRQ, MITI, and MIKAT. | Baseline, 16 months, 20 months, 24 months | |
Secondary | Client Semi-Structured Interviews: Provider use of Motivational Interviewing | Each interview will examine client perceptions of providers application of empathy, promotion of self-efficacy, ability to adapt and develop therapeutic discrepancy. Each interview will employ unstandardized questions adapted from the HRQ, MITI, and MIKAT. | 16 months | |
Secondary | Key Informant Interviews: Change in Organizational Variables | Interviews will examine organizational variables such as, size, number of full-time employees, annual budget, budget for training, experience with training, experience implementing Evidence Based Practices (including MI), organizational preferences for trainings, and perceived value of training boosters. | Baseline and 24 Months | |
Secondary | Key Informant Focus Groups: Organizational Variables | Focus Groups will examine organizational variables such as, size, number of full-time employees, annual budget, budget for training, experience with training, experience implementing Evidence Based Practices (including MI), organizational preferences for trainings, and perceived value of training boosters. | 20 months | |
Secondary | Change in Client Treatment Outcomes: De-identified administrative client data | Client outcomes will be measured by examining data from mandated reporting measures, such as the Government Performance and Results Act (GPRA), to identify how long a client has been in treatment, how often he or she meets with a provider, frequency of missed appointments, and progress toward treatment goals. De-identified data will be collected from Homeless Management Information Systems (HMIS) and the Transformation Accountability System (TRAC) | Baseline and 24 months |
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