TY - JOUR
T1 - Implementation of motivational interviewing in substance use disorder treatment
T2 - Research network participation and organizational compatibility
AU - Rieckmann, Traci R.
AU - Abraham, Amanda J.
AU - Bride, Brian E.
N1 - Publisher Copyright:
Copyright © 2016 American Society of Addiction Medicine.
PY - 2016
Y1 - 2016
N2 - Introduction: Despite considerable empirical evidence that psychosocial interventions improve addiction treatment outcomes across populations, implementation remains problematic. A small body of research points to the importance of research network participation as a facilitator of implementation; however, studies examined limited numbers of evidence-based practices. To address this gap, the present study examined factors impacting implementation of motivational interviewing (MI). Methods: This study used data from a national sample of privately funded treatment programs (n=345) and programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN) (n=156). Data were collected via face-to-face interviews with program administrators and clinical directors (2007-2009). Analysis included bivariate t tests and chi-square tests to compare private and CTN programs, and multivariable logistic regression of MI implementation. Findings: A majority (68.0%) of treatment programs reported use of MI. Treatment programs participating in the CTN (88.9%) were significantly more likely to report use of MI compared with non-CTN programs (58.5%; P<0.01). CTN programs (82.1%) also were more likely to use trainers from the Motivational Interviewing Network of Trainers as compared with private programs (56.1%; P<0.05). Multivariable logistic regression models reveal that CTN-affiliated programs and programs with a psychiatrist on staff were more likely to use MI. Programs that used the Stages of Change Readiness and Treatment Eagerness Scale assessment tool were more likely to use MI, whereas programs placing greater emphasis on confrontational group therapy were less likely to use MI. Discussion: Findings suggest the critical role of research network participation, access to psychiatrists, and organizational compatibility in adoption and sustained use of MI.
AB - Introduction: Despite considerable empirical evidence that psychosocial interventions improve addiction treatment outcomes across populations, implementation remains problematic. A small body of research points to the importance of research network participation as a facilitator of implementation; however, studies examined limited numbers of evidence-based practices. To address this gap, the present study examined factors impacting implementation of motivational interviewing (MI). Methods: This study used data from a national sample of privately funded treatment programs (n=345) and programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN) (n=156). Data were collected via face-to-face interviews with program administrators and clinical directors (2007-2009). Analysis included bivariate t tests and chi-square tests to compare private and CTN programs, and multivariable logistic regression of MI implementation. Findings: A majority (68.0%) of treatment programs reported use of MI. Treatment programs participating in the CTN (88.9%) were significantly more likely to report use of MI compared with non-CTN programs (58.5%; P<0.01). CTN programs (82.1%) also were more likely to use trainers from the Motivational Interviewing Network of Trainers as compared with private programs (56.1%; P<0.05). Multivariable logistic regression models reveal that CTN-affiliated programs and programs with a psychiatrist on staff were more likely to use MI. Programs that used the Stages of Change Readiness and Treatment Eagerness Scale assessment tool were more likely to use MI, whereas programs placing greater emphasis on confrontational group therapy were less likely to use MI. Discussion: Findings suggest the critical role of research network participation, access to psychiatrists, and organizational compatibility in adoption and sustained use of MI.
KW - Clinical trials network
KW - Health services research
KW - Implementation science
KW - Motivational interviewing
KW - Research network participation
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U2 - 10.1097/ADM.0000000000000251
DO - 10.1097/ADM.0000000000000251
M3 - Article
C2 - 27559847
AN - SCOPUS:85010058342
SN - 1932-0620
VL - 10
SP - 402
EP - 407
JO - Journal of addiction medicine
JF - Journal of addiction medicine
IS - 6
ER -