Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Number of participants who attended the first outpatient treatment program session based on electronic medical record review
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(client participants):
- •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- •Physically withdrawn from alcohol or other drugs
- •Inclusion Criteria (personnel participants):
- •English-speaking adults currently employed at one of the two outpatient addiction treatment programs
- •Provision of electronic informed consent
排除标准
- •(client participants):
- •Experiencing severe withdrawal symptoms
- •Actively psychotic, manic, and/or suicidal
- •Exclusion Criteria (personnel participants):
- •current position: facility owner or clinical director
研究组 & 干预措施
Motivational Interviewing at Intake (MII)
Clients allocated to the MII condition will receive a 90-minute pure Motivational Interviewing (MI) session.
干预措施: Motivational Interviewing at Intake (MII) (Behavioral)
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).
干预措施: Intake as Usual (IAU) (Behavioral)
结局指标
主要结局
Number of participants who attended the first outpatient treatment program session based on electronic medical record review
时间窗: up to 36 weeks
Treatment entry is determined by review of electronic medical record of whether clients attended their first scheduled treatment session
Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review
时间窗: up to 36 weeks
Number of treatment sessions that clients attend is determined by review of electronic medical record and calculating number of treatment sessions attended.
Number of participants who completed the three-month outpatient treatment program based on electronic medical record review
时间窗: up to 36 weeks
Completion of the three-month outpatient treatment program is determined by review of electronic medical record
次要结局
- Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake(1 hour post-intake)
- Change from baseline in client readiness to enter treatment on the University of Rhode Island Change Assessment Scale (URICA) at 1 hour post-intake(baseline and 1 hour post-intake)