Clinical trial NCT01642381: Component Analysis for Motivational Interviewing
Official title: Component Analysis for Motivational Interviewing
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alcohol-Related Disorders
Alcohol Use Disorders
Alcohol Drinking
Alcoholism
Alcohol Abuse
Keywords: Drinking
Alcohol Problems
Alcoholism
Moderation-Oriented Treatment
Controlled Drinking
Reduced Drinking
Heavy Drinking
Problematic Drinking
Non-Abstinence-based Drinking
Lead sponsor: Northwell Health
Sponsor class: OTHER
Collaborators: name: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
First posted: 2012-07-17
Enrollment: 139
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to investigate the critical components of motivational interviewing (MI), a psychotherapeutic intervention, in reducing heavy or problematic drinking. The study will disaggregate MI into its component parts and test full MI compared to MI without its directive strategies. This study will test whether the directive elements of MI are critical or whether MI effects may be attributable solely to its Rogerian, non-directive components. For more information, go to http://caspirnyc.org/p_motion.html

Detailed description: Project Motion is a clinical research study for people seeking to reduce, but not stop their drinking. Individuals who qualify will receive a comprehensive assessment and brief individual psychotherapy at no cost. The study is being conducted by a team of scientists at Columbia University College of Physicians and Surgeons and the New York State Psychiatric Institute and is funded by the National Institutes of Health (NIH). Our offices are located next to Columbus Circle and we offer convenient hours for appointments.

The purpose of our study is to understand how brief psychotherapy helps people reduce alcohol consumption and drinking problems. For example, we know that some people can reduce drinking with little or no treatment, whereas others benefit from one-on-one psychotherapy. However, we do not know why this happens. Individuals who qualify and decide to participate will be assigned by chance to one of three conditions. Individuals assigned to the first two conditions will receive brief psychotherapy, beginning the first week of their participation in the study. Individuals in the third condition will receive feedback on their drinking and be asked to reduce their drinking with the aid of telephone self-monitoring for a period of 8 weeks. Individuals in the third condition will then receive psychotherapy as well. The delay of 8 weeks will allow us to understand how the psychotherapy works compared to how people change without counseling.

Eligibility criteria: Inclusion Criteria:

* Primary current diagnosis of Alcohol Use Disorder
* Meets DSM-IV criteria for inability to control or cut down on drinking
* Have an average weekly consumption of \>24 standard drinks for men and \>15 standard drinks for women
* Show no evidence of significant cognitive impairment
* Are willing to reduce drinking to non-hazardous levels
* Not seeking to quit drinking
* Agree not to seek additional substance abuse treatment during treatment period
* Fluent in English

Exclusion Criteria:

* Have a current DSM-IV diagnosis of drug dependence (other than nicotine/marijuana)
* Have a serious psychiatric illness (e.g., psychotic disorder, bipolar disorder, major depression) or substantial suicide or violence risk
* Have clinically severe alcoholism as evidenced by a history of significant medical problems associated with drinking, seizures or severe withdrawal symptoms, or an inpatient treatment episode for drinking
* Legally mandated to receive substance abuse treatment
* Sufficiently socially unstable as to preclude completion of study requirements (e.g., homeless)

Primary outcomes:
measure: Time Line Follow Back
timeFrame: 36 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Great Neck
country: United States
facility: North Shore LIJ Health Systems
state: New York
Study officials:
affiliation: North Shore LIJ Health Systems
name: Jonathan Morgenstern, PhD
role: PRINCIPAL_INVESTIGATOR
References: