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NCT Number: NCT05489068

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

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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Key information

Conditions

Substance-related Disorders Behavior Chemically-Induced Disorders Health Behavior Mental Disorders Treatment Adherence Treatment Adherence and Compliance

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UNM Psychology Clinic

Albuquerque, New Mexico, 87131, United States

Location status: Recruiting

Location contact

Jane Smith

CONTACT

[email protected]

505-277-5165

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

(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  • Physically withdrawn from alcohol or other drugs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

Exclusion criteria

(client participants):

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

Exclusion criteria

(personnel participants):

  • current position: facility owner or clinical director

Treatment and study plan

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.

Primary outcomes

  1. Number of participants who attended the first outpatient treatment program session based on electronic medical record review

    Time frame: up to 36 weeks

    Treatment entry is determined by review of electronic medical record of whether clients attended their first scheduled treatment session

  2. Number of treatment sessions attended during the three-month outpatient treatment program based on electronic medical record review

    Time frame: 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.

  3. Number of participants who completed the three-month outpatient treatment program based on electronic medical record review

    Time frame: up to 36 weeks

    Completion of the three-month outpatient treatment program is determined by review of electronic medical record

Secondary outcomes

  1. Change from baseline in client readiness to enter treatment on the University of Rhode Island Change Assessment Scale (URICA) at 1 hour post-intake

    Time frame: baseline and 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).

  2. Score on therapeutic alliance on the Working Alliance Inventory (WAI) at 1-hour post-intake

    Time frame: 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.

Other outcomes

  1. Change from baseline in organizational readiness to change on the Texas Christian University-Organizational Readiness to Change (TCU-ORC) at 1 year

    Time frame: baseline and 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).

  2. Change from baseline in organizational readiness to change on the Readiness for Organizational Change (ROC) at 1 year

    Time frame: baseline and 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).

  3. Change from baseline in organizational capability to change on the Change Process Capability Questionnaire (CPCQ) at Year 1

    Time frame: baseline and 1 year

    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).

Study contacts

Contact information is provided by the study sponsor or research team.

Margo Hurlocker, PhD

CONTACT

[email protected]

(505) 596-0578

Sponsors and collaborators

Lead sponsor

University of New Mexico

Other

Collaborators

  • National Institute on Drug Abuse (NIDA)

Registry information

Official study title

Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment

Important dates

Study start
2022
Primary completion
2026
Study completion
2026
First posted
Aug 5, 2022
Registry last updated
Mar 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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