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| ID | Type | Description | Link |
|---|---|---|---|
| K23DA052646 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Motivational Interviewing at Intake (MII) | Experimental | Clients allocated to the MII condition will receive a 90-minute pure Motivational Interviewing (MI) session. |
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| Intake as Usual (IAU) | Active Comparator | 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). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| 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 |
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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). |
Inclusion Criteria (client participants):
Inclusion Criteria (personnel participants):
Exclusion Criteria (client participants):
Exclusion Criteria (personnel participants):
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Margo Hurlocker, PhD | Contact | (505) 596-0578 | mhurlocker@unm.edu |
| Name | Affiliation | Role |
|---|---|---|
| Margo Hurlocker, PhD | University of New Mexico | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UNM Psychology Clinic | Recruiting | Albuquerque | New Mexico | 87131 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37865777 | Derived | Hurlocker MC, Moyers TB, Hatch M, Curran G, McCrady B, Venner KL, Witkiewitz K. Effectiveness and feasibility of a motivational interviewing intake (MII) intervention for increasing client engagement in outpatient addiction treatment: an effectiveness-implementation hybrid design protocol. Addict Sci Clin Pract. 2023 Oct 21;18(1):63. doi: 10.1186/s13722-023-00412-y. |
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Individual participant data that underlie results reported in a peer-reviewed publication, after deidentification (text, tables, figures, and appendices). Session audio recordings will not be shared.
Data will become available starting in January 2025
Researchers who provide a methodologically sound proposal will have access to the data. A data use agreement will be required, signed by the requesting investigator and their Authorized Organization Representation (AOR)/Signing Official (SO)
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D000074822 | Treatment Adherence and Compliance |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D015438 | Health Behavior |
| D001519 | Behavior |
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Effectiveness-Implementation Hybrid Type 1 Design
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| 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. |
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| 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 |
| baseline and 1 year |
| 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 |
| 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 |