Mobile Phone-Based Motivational Interviewing in Kenya

NCT ID: NCT03573167

Last Updated: 2018-06-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 322 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-09-30
• Study Completion Date: 2015-12-31

Brief Summary

The primary objective of this study was to test whether motivational interviewing (MI) provided over the mobile phone would reduce alcohol use among adults, including people living with HIV/AIDS, visiting primary care in Kenya. Heavy alcohol users voluntarily consented to being randomized to one of three study arms: standard in-person MI, mobile MI, or waitlist control receiving no intervention for 1 month followed by mobile MI. Alcohol use problems were assessed using validated screeners and changes in alcohol use were assessed at 1 month and 6 months after receiving the intervention. The investigators hypothesized that alcohol use would reduce after MI treatment compared to waitlist control, there would be no difference between standard in-person MI and mobile MI, and these reductions would be sustained out to six months following the intervention.

Conditions

Alcohol Use Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

In-Person Motivational Interviewing

In-Person Motivational Interviewing (MI) is the standard form of MI treatment delivered in person face to face at the primary care office. MI is a type of brief intervention that uses open-ended questions, affirmations, reflective listening, and summarizing as key tools and has been shown to treat a range of problem behaviors, including alcohol use disorders, by helping participants to identify and address ambivalence towards changing the behavior. MI is delivered in a communicative style that promotes individual autonomy and improves self-efficacy. The investigator provides counseling in-person with the participant for one session of MI lasting approximately 30 minutes.

Group Type: ACTIVE_COMPARATOR

In-Person Motivational Interviewing (MI)

Intervention Type: BEHAVIORAL

This is a counseling intervention to support behavior change conducted in-person (face-to-face) between the investigator and the participant.

Mobile MI

Mobile Motivational Interviewing (MI) is delivered by a counselor over the mobile phone, rather than in-person (face-to-face). MI is a type of brief intervention that uses open-ended questions, affirmations, reflective listening, and summarizing as key tools and has been shown to treat a range of problem behaviors, including alcohol use disorders, by helping the patient to identify and address ambivalence towards changing the behavior. MI is delivered in a communicative style that promotes individual autonomy and improves self-efficacy. The investigator provides counseling over the mobile phone with the participant for one session of mobile MI lasting approximately 30 minutes.

Group Type: EXPERIMENTAL

Mobile Motivational Interviewing (MI)

Intervention Type: BEHAVIORAL

This is a counseling intervention to support behavior change conducted entirely over the mobile phone between the investigator and the participant

Waitlist Control

After consenting to participate in the study, the Waitlist control participants receive no intervention for one (1) month, and then the Waitlist control participants are contacted by the investigators for follow up..

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

In-Person Motivational Interviewing (MI)

This is a counseling intervention to support behavior change conducted in-person (face-to-face) between the investigator and the participant.

Intervention Type: BEHAVIORAL

Mobile Motivational Interviewing (MI)

This is a counseling intervention to support behavior change conducted entirely over the mobile phone between the investigator and the participant

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Adults visiting the primary care clinic and screening positive for potential alcohol use problems.

Exclusion Criteria

• Persons younger than 18 years old, with severe psychiatric morbidity, or cognitive impairment were not eligible for the study

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Africa Institute of Mental and Brain Health (AFRIMEB)

OTHER

Sponsor Role: collaborator

University of Vermont

OTHER

Sponsor Role: lead

Responsible Party

Valerie Harder

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Valerie Harder, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Vermont

Other Identifiers

CHRBSS 14-188

Identifier Type: -

Identifier Source: org_study_id