Motivational Assessment Program to Initiate Treatment (MAPIT)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01891656
Recruitment Status : Completed
First Posted : July 3, 2013
Last Update Posted : April 13, 2016
National Institute on Drug Abuse (NIDA)
Information provided by (Responsible Party):
University of North Texas Health Science Center

Brief Summary:
Substance abuse treatment in the criminal justice system can reduce drug use and related criminal behavior. Although drug and alcohol treatment are common mandates in criminal justice programs, only a minority of clients actually initiate treatment. This proposal will compare two intervention formats that target motivation to initiate and engage in treatment among a group of probationers who have drug or alcohol treatment conditions. Six hundred drug and alcohol offenders in two probation sites (Baltimore, MD and Dallas, TX) will be randomized to receive: 1) an in-person motivational interviewing session (MI), 2) a motivational computer program (MC), or 3) supervision intake and monitoring as usual (SAU). The MI condition will be structured along the lines of the "Check-Up" format which consists of an assessment and personalized feedback delivered in an MI style; the content of the MC condition will be drawn from previous literature on effective motivational computer programs. Both interventions will be delivered at the start of the probation process, with follow-up assessments at 2 and 6 months. Primary outcomes include engagement and participation in substance abuse treatment; secondary outcomes include drug and alcohol use, probation progress, criminal behavior, and HIV testing and care. This project will be the first to develop and test two interventions for encouraging criminal justice clients to follow through with treatment recommendations, with the goal of increasing treatment initiation, and reducing subsequent drug use and criminal behavior. It also contributes to ongoing partnerships with two large probation agencies—the Dallas County Supervision and Corrections Department and the Maryland Division of Parole and Probation.

Condition or disease Intervention/treatment Phase
Substance-Related Disorders Behavioral: Motivational Interviewing Behavioral: Motivational Computer Not Applicable

Detailed Description:

Specific Aims

  • 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: In-Person VS. Computer Interventions for Increasing Probation Compliance
Study Start Date : June 2012
Actual Primary Completion Date : June 2015
Actual Study Completion Date : February 2016

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
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

Primary Outcome Measures :
  1. 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.

Secondary Outcome Measures :
  1. 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.

  2. 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.

  3. 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.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • >=18 years old
  • Drug or Alcohol use in the last 90 days

Exclusion Criteria:

  • <18 years old
  • Cannot speak English
  • Already participate in a substance abuse treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its 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
Sponsors and Collaborators
University of North Texas Health Science Center
National Institute on Drug Abuse (NIDA)
Principal Investigator: Scott T Walters, PhD UNT Health Science Center

Publications of Results:
Other Publications:
Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: University of North Texas Health Science Center Identifier: NCT01891656     History of Changes
Other Study ID Numbers: R01DA029010-01 ( U.S. NIH Grant/Contract )
5R01DA029010-06 ( U.S. NIH Grant/Contract )
First Posted: July 3, 2013    Key Record Dates
Last Update Posted: April 13, 2016
Last Verified: April 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by University of North Texas Health Science Center:
Motivational Interviewing
Substance-Related Disorders
Criminal Justice

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders