Motivational Assessment Program to Initiate Treatment (MAPIT)
|ClinicalTrials.gov Identifier: NCT01891656|
Recruitment Status : Completed
First Posted : July 3, 2013
Last Update Posted : April 13, 2016
|Condition or disease||Intervention/treatment|
|Substance-Related Disorders||Behavioral: Motivational Interviewing Behavioral: Motivational Computer|
- Develop two intervention formats (Motivational Interviewing (MI) and Motivational Computer (MC)) for increasing motivation to initiate and engage in substance abuse treatment and/or HIV / AIDS testing and, if appropriate, HIV care.
- Test the efficacy of MI and MC on treatment initiation and participation, substance abuse, HIV testing/care, and recidivism, as compared to Supervision As Usual (SAU);
- Evaluate offender characteristics (e.g., risk level, gender, ethnicity, motivation) as potential moderators of the intervention effect; and,
- Assess the relative cost and cost-effectiveness of MI and MC on substance abuse treatment and/or linkage to or participation in HIV/AIDS care, supervision outcomes, recidivism, and substance abuse.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||380 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||In-Person VS. Computer Interventions for Increasing Probation Compliance|
|Study Start Date :||June 2012|
|Primary Completion Date :||June 2015|
|Study Completion Date :||February 2016|
Experimental: Motivational Interviewing
Participants randomized to the MI group will receive a single 60-minute MI session focused on motivation to initiate and engage in treatment. The MI session will be organized around the "Check-Up" format, with additional planning components as desired by the client.
Behavioral: Motivational Interviewing
MI is a "client centered, directive style of interacting with a person to help explore and resolve ambivalence about change" (Miller & Rollnick, 2002). MI borrows from Client-Centered Counseling in its emphasis on empathy, optimism, and respect for client choice (Rogers, 1961). MI also draws from Self-Perception Theory, which says that a person becomes more or less committed to an action based on the verbal stance he or she takes (Bem, 1972). The effects of MI tend to be in the small-to-medium range when compared to no treatment, and nonsignificant when compared to more extensive treatment.
Other Name: Motivational Enhancement Therapy
No Intervention: Supervision As Usual
Participants randomized to the SAU group will receive the standard agency intake process as well as baseline and follow-up research interviews, but will not receive any additional intervention as part of the study. They will be referred to a treatment program as per the normal routine.
Experimental: Motivational Computer
Participants randomized to the MC group will complete a 60 minute computer intervention focused on motivation to initiate and engage in treatment. The program will be self-guided, interactive, and to the extent possible, will mirror the features of MI session. The MC program will have two main components: a motivation component and a planning component.
Behavioral: Motivational Computer
The growing use of technology has led to the development of automated interventions for behavior change, including some that target drug and alcohol use (Elliott, et al, 2008; Lustria, et al, 2009; Revere & Dunbar, 2001; Walters, et al, 2006) and treatment interest (Lieberman & Massey, 2008). As discussed by Hester & Miller (2006), automated interventions have several potential advantages over face-to-face interventions: (I) They require little or no staff contact, which may increase cost-effectiveness; (2) they can allow for automatic data collection and follow-up; and (3) they can be disseminated with little loss of fidelity.
Other Name: Web-Based Interventions
- Treatment Progress [ Time Frame: 6 months ]Treatment progress assesses initiation, engagement and retention at 2 and 6 months via telephone. In-person visits are assessed at baseline and during a 6 month visit.
- Drug and Alcohol Use [ Time Frame: 6 months ]Drug and alcohol use is a secondary outcome measured at baseline and 6 months during an in-person interview. In addition, this outcome is measured at 2 via telephone.
- Probation Progress [ Time Frame: 6 months ]Probation progress is measured at baseline and 6 months via in-person interview. In addition, this outcome is measured at 2 via a telephone interview.
- Criminal Behavior [ Time Frame: 6 months ]Criminal Behavior is measured during in-person interviews at baseline and 6 months. In addition, this outcome is measured at 2 months via telephone.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01891656
|United States, Texas|
|University of North Texas Health Science Center|
|Fort Worth, Texas, United States, 76107|
|United States, Virginia|
|George Mason University|
|Fairfax, Virginia, United States, 22030|
|Principal Investigator:||Scott T Walters, PhD||UNT Health Science Center|