Substance Use Disorders Clinical Trial
Official title:
Peer-enhanced Motivational Interviewing in Federally-Qualified Health Clinics for Substance-using Emerging Adults
The main purpose of this study is to test whether a Peer-Enhanced Motivational Interviewing (PMI) intervention, which has been successful with college students, results in superior alcohol and marijuana use outcomes for emerging adults (EA), ages 18-29, who are clients of Federally-qualified Health Centers, and their peers. In the first phase of the study, seventy-five peer dyads (total n = 150, ntarget client = 75, npeer = 75) will be randomized to receive either Peer-Enhanced Motivational Interviewing (PMI), Motivational Interviewing only (MI) or Waitlist Control (WC.) In the second, expanded phase of the study, an additional 325 peer dyads (total n = 650, ntarget client = 325, npeer = 325) will be randomized to receive either Peer-Enhanced Motivational Interviewing, Motivational Interviewing only (MI) or Waitlist Control.
This project randomizes peer dyads, consisting of one Emerging Adult (EA), 18-29 years old,
who both has a substance use problem and attends a Federally-qualified Health Center (i.e.
target client), and one peer, to one of three conditions. In the Peer-Enhanced Motivational
Interviewing (PMI) condition, target clients and peers will receive separate one-hour
sessions of Motivational Interviewing (MI), an empirically-supported treatment that helps
individuals work through ambivalence about making changes in substance use. MI is thought to
work because it is a non-confrontational intervention where a therapist empathetically
reviews substance use behaviors, listens empathetically, and reinforces any client statements
indicating a desire to change. With the "peer" of each PMI dyad, the therapist presents peer
with data about the extent of the target client's substance use, builds the peer's motivation
to help their friend, and teaches the peer communication skills they can use to influence the
target client's substance use. In the Motivational Interviewing only (MI) condition, the
target client alone will receive the MI intervention with no peer participation. In the
Waitlist (WC) condition, target clients and peers can receive the intervention at 2 months
into the follow-up period for the PMI group.
The main purpose of this study is to test whether a Peer-Enhanced Motivational Interviewing
(PMI) intervention, which has been successful with college students, results in superior
alcohol and marijuana use outcomes for emerging adults (EA), ages 18-29, who are clients of
Federally-qualified Health Centers, and their peers. Seventy-five peer dyads (total n = 150,
ntarget client = 75, npeer = 75) will be randomized to receive either Peer-Enhanced
Motivational Interviewing (PMI), Motivational Interviewing only (MI) or Waitlist Control
(WC.)
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