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

Substance-Related Disorders Clinical Trial

Official title:

Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05489068
• Other study ID #: A22-0014
• Secondary ID: K23DA052646
• Status: Recruiting
• Phase: N/A
• Start date: March 16, 2022
• Est. completion date: December 2024

Study information

• Verified date: May 2024
• Source: University of New Mexico
• Contact: Margo Hurlocker, PhD
• Phone: (505) 596-0578
• Email: mhurlocker[@]unm.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 150
• Est. completion date: December 2024
• Est. primary completion date: October 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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• Physically withdrawn from alcohol or other drugs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

Related Conditions & MeSH terms

• Substance-Related Disorders
• Treatment Adherence

Intervention

Behavioral:
• Motivational Interviewing at Intake (MII)
The MII will involve a goal-oriented and collaborative conversation about why the client wants treatment now, and how treatment might fit with his/her most important values. The provider will use open questions, reflective listening and autonomy support in a flexible, non-authoritative manner. Rather than asking specific questions in different life domains, the provider will explore with the client their desires, abilities, reasons, and needs for treatment, how treatment fits with their values, and what successful treatment looks like to them. The client's language about change will be strategically reinforced to increase its frequency and strength across the session.
• Intake as Usual (IAU)
In line with the American Society of Addiction Medicine (ASAM) guidelines, the IAU condition involves a semi-structured interview of the client's psychosocial history and clients answer a series of questions in the following domains: support system, living situation, educational, occupational, family, and medical history.

Locations

Country	Name	City	State
United States	Turning Point Recovery Center	Albuquerque	New Mexico

Sponsors (2)

Lead Sponsor	Collaborator
University of New Mexico	National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change from baseline in organizational readiness to change on the Texas Christian University-Organizational Readiness to Change (TCU-ORC) at 1 year	The TCU-ORC is a validated, self-report measure of personnel perceptions of their organization's readiness and willingness to make changes. Possible scores range from 125 to 625 with higher scores indicative of more readiness to change. Change = (Year 1 score - Baseline Score).	baseline and 1 year
Other	Change from baseline in organizational readiness to change on the Readiness for Organizational Change (ROC) at 1 year	The ROC is a validated, self-report measure of personnel perceptions of their organization's readiness to change. Possible scores range from 25 to 155 with higher scores indicative of more readiness to change. Change = (Year 1 score - Baseline Score).	baseline and 1 year
Other	Change from baseline in organizational capability to change on the Change Process Capability Questionnaire (CPCQ) at Year 1	The CPCQ is a validated, self-report measure of personnel perceptions of of their organization's capability to change. Possible scores range from 1 to 132 with higher scores indicative of more capability to make changes in the organization. Change = (Year 1 score - Baseline Score).	baseline and 1 year
Primary	Number of participants who attended the first outpatient treatment program session based on electronic medical record review	Treatment entry is determined by review of electronic medical record of whether clients attended their first scheduled treatment session	up to 36 weeks
Primary	Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review	Number of treatment sessions that clients attend is determined by review of electronic medical record and calculating number of treatment sessions attended.	up to 36 weeks
Primary	Number of participants who completed the three-month outpatient treatment program based on electronic medical record review	Completion of the three-month outpatient treatment program is determined by review of electronic medical record	up to 36 weeks
Secondary	Change from baseline in client readiness to enter treatment on the University of Rhode Island Change Assessment Scale (URICA) at 1 hour post-intake	The URICA is a validated, self-report measure of client readiness for treatment engagement. Possible scores range from 32 to 160 with higher scores indicative greater readiness to enter treatment. Change = (Hour 1 score - Baseline Score).	baseline and 1 hour post-intake
Secondary	Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake	The WAI is a validated, self-report measure of client perceptions of the therapeutic process by assessing three sub scales: Goals, Bond, and Tasks. Possible scores on sub scales range from 12 to 84 with higher scores indicative of better therapeutic alliance.	1 hour post-intake