Site matters: multisite randomized trial of motivational enhancement therapy in community drug abuse clinics.

Abstract:

:The effectiveness of motivational enhancement therapy (MET) in comparison with counseling as usual (CAU) for increasing retention and reducing substance use was evaluated in a multisite randomized clinical trial. Participants were 461 outpatients treated by 31 therapists within 1 of 5 outpatient substance abuse programs. There were no retention differences between the 2 brief intervention conditions. Although both 3-session interventions resulted in reductions in substance use during the 4-week therapy phase, MET resulted in sustained reductions during the subsequent 12 weeks whereas CAU was associated with significant increases in substance use over this follow-up period. This finding was complicated by program site main effects and higher level interactions. MET resulted in more sustained substance use reductions than CAU among primary alcohol users, but no difference was found for primary drug users. An independent evaluation of session audiotapes indicated that MET and CAU were highly and comparably discriminable across sites.

journal_name

J Consult Clin Psychol

authors

Ball SA,Martino S,Nich C,Frankforter TL,Van Horn D,Crits-Christoph P,Woody GE,Obert JL,Farentinos C,Carroll KM,National Institute on Drug Abuse Clinical Trials Network.

doi

10.1037/0022-006X.75.4.556

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

556-67

issue

4

eissn

0022-006X

issn

1939-2117

pii

2007-11558-005

journal_volume

75

pub_type

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