Motivational Interviewing to Acutely Admitted Psychiatric Patients With Comorbid Substance Use

Study Overview
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Brief Summary
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The purpose for this study is to determine whether 2x45 minutes Motivational Interviewing given during hospital stay to acutely admitted psychiatric patients with substance use problems, can reduce substance use after discharge.

Detailed Description
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The aims of the study are in a randomized controlled trial to compare the effects of 2 x 45 minutes Motivational Interviewing and standard treatment with standard treatment alone.All patients acutely admitted to Østmarka Psychiatric Hospital are evaluated for substance use, and all patients with substance use that give their consent to participate are randomized to Motivational Interviewing and standard treatment or standard treatment alone. Substance use and function will be followed for two years.Admittances to hospital and contacts with primary health care for five years.

Official Title
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Motivational Interviewing to Acutely Admitted Psychiatric Patients With Comorbid Substance Use

Conditions
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Substance-Related Disorders

Intervention / Treatment
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* Behavioral: Motivational Interviewing
* Other: Treatment as usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: substance use acutely admitted to psychiatric hospital Exclusion Criteria: dementia serious brain damage not speaking Norwegian or English

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: motivational interviewing<br>Manual guided motivational interviewing in addition to treatment as usual | Behavioral: Motivational Interviewing<br>* 2 sessions of 45 minutes each with manual guided motivational interviewing delivered individually by a trained therapist.<br>Other: Treatment as usual<br>* Treatment as usual is individualized according to the clinical condition of the patients during the stay and in accordance with general national and international medical standards. It includes detoxification, pharmacotherapy, and general psychotherapy. Also, treatment is given for any coexisting non-substance-related disorder, including psychiatric disorders.<br>|
| Other: control group<br>treatment as usual | Other: Treatment as usual<br>* Treatment as usual is individualized according to the clinical condition of the patients during the stay and in accordance with general national and international medical standards. It includes detoxification, pharmacotherapy, and general psychotherapy. Also, treatment is given for any coexisting non-substance-related disorder, including psychiatric disorders.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Substance use and function questionnaire |  | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Admissions to hospital |  | 2 years | 
| Number of contacts with primary ealth care |  | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Motivational Interviewing, Substance abuse, Acuteley admitted psychiatric patients, Emergency Services, Psychiatric