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

NCT ID: NCT05489068

Last Updated: 2025-05-14

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 150 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-03-16
• Study Completion Date: 2026-12-01

Brief 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.

Conditions

Substance-Related Disorders; Treatment Adherence

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: TRIPLE

Study Groups

Motivational Interviewing at Intake (MII)

Clients allocated to the MII condition will receive a 90-minute pure Motivational Interviewing (MI) session.

Group Type: EXPERIMENTAL

Motivational Interviewing at Intake (MII)

Intervention Type: 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)

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).

Group Type: ACTIVE_COMPARATOR

Intake as Usual (IAU)

Intervention Type: 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.

Interventions

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.

Intervention Type: BEHAVIORAL

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 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

• English-speaking adults currently employed at one of the two outpatient addiction treatment programs
• Provision of electronic informed consent

Exclusion Criteria

• Experiencing severe withdrawal symptoms
• Actively psychotic, manic, and/or suicidal

• current position: facility owner or clinical director

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role: collaborator

University of New Mexico

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Margo Hurlocker, PhD

Role: PRINCIPAL_INVESTIGATOR

University of New Mexico

Locations

Turning Point Recovery Center

Albuquerque, New Mexico, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Margo Hurlocker, PhD

Role: CONTACT

mhurlocker@unm.edu

(505) 596-0578

Facility Contacts

Alaina Geoff

Role: primary

alaina@turningpointrc.com

505-217-1717

References

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.

Reference Type: DERIVED

PMID: 37865777 (View on PubMed)

Other Identifiers

K23DA052646

Identifier Type: NIH

Identifier Source: secondary_id

View Link

A22-0014

Identifier Type: -

Identifier Source: org_study_id