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

Part of paid clinical trials in Albuquerque, New Mexico.

Sponsor
University of New Mexico
Study ID
NCT05489068
Status
Recruiting

Conditions

  • Substance-Related Disorders
  • Treatment Adherence

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Motivational Interviewing at Intake (MII) — BEHAVIORAL
    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) — BEHAVIORAL
    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.

Study Details

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.

Key Dates

Start date
Mar 16, 2022
Status verified
Mar 2026
Primary completion
Oct 1, 2026
Completion
Dec 1, 2026

Study Design

Enrollment
150 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Motivational Interviewing at Intake (MII)
    Clients allocated to the MII condition will receive a 90-minute pure Motivational Interviewing (MI) session.
  • Active Comparator: Intake as Usual (IAU)
    Clients allocated to the IAU condition will receive the 90-minute standard assessment that is delivered to all clients entering intensive outpatient program (IOP)/outpatient program (OP).

Primary Outcome Measure

Number of participants who attended the first outpatient treatment program session based on electronic medical record review [ Time Frame: up to 36 weeks ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
UNM Psychology ClinicAlbuquerqueNew Mexico87131
Jane Smith
505-277-5165

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