NCT01184612

Brief Summary

Motivational Interviewing (MI) is a communication style demonstrated to decrease drug and alcohol use. A five session MI intervention (BSF) was implemented in the Swedish correctional system. The intervention was delivered by counsellors with workshop only MI training (BSF) or by counsellors with workshop MI training followed by peer group supervision based on audio taped feedback (BSF+). Aim was to examine whether BSF in prisons reduces drug and alcohol use more effectively than interviews conducted according to the usual planning interview routine (UPI).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
296

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Apr 2004

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2004

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2007

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2008

Completed
2.1 years until next milestone

First Submitted

Initial submission to the registry

August 18, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 19, 2010

Completed
Last Updated

August 19, 2010

Status Verified

October 1, 2003

Enrollment Period

2.9 years

First QC Date

August 18, 2010

Last Update Submit

August 18, 2010

Conditions

Alcohol Abuse

Keywords

Inmates with heavy use of alcohol or drugs

Outcome Measures

Primary Outcomes (1)

  • number of days with substance use

    alcohol- or drug use as measured by the Addiction Severity Index (ASI) at intake and at 10 months after release

    of the last 30 days

Secondary Outcomes (2)

  • reported days of illegal activity

    during the preceding 30 days

  • number of days working

    during the last 30 days

Study Arms (3)

(BSF) MI sessions

ACTIVE COMPARATOR

5 semi-structured manualised MI sessions was conducted by existing prison staff having undergone 3 days of Motivational Interviewing workshop training and 2 days of training with the BSF manual.

Behavioral: Motivational Interviewing; MI

(BSF+) MI sessions with supervision

ACTIVE COMPARATOR

5 semi-structured manualised MI sessions was conducted by ordinary prison staff having undergone 3 days of Motivational Interviewing workshop training and 2 days of training with the BSF manual, followed by ongoing Motivational Interviewing training with feedback based on audio taped sessions in peer supervision groups.

Behavioral: Motivational Interviewing; MI

(UPI) Usual Planning Interview

ACTIVE COMPARATOR

5 sessions was conducted by prison staff according to usual working practices, with the exception that content was structured into 5 sessions and audio recorded. The provision of a government decree served as a basis for the intervention, covering planning of prison activities and post release arrangements including strategies for drug use cessation.

Behavioral: Motivational Interviewing; MI

Interventions

Motivational Interviewing; MIBEHAVIORAL

MI is a communication style defined as a collaborative, person-centred form of guiding to elicit and strengthen motivation to change. The method is based on four principles: showing empathy; developing discrepancy between the subject's current behaviour and an alternate, more desired, behaviour; reinforcing self-efficacy; and "rolling" with resistance to change. Client arguments for change are elicited and reinforced in an atmosphere that is empathic, collaborative and supportive of autonomy. The choice to change and the responsibility for change remain with the client.

(BSF) MI sessions(BSF+) MI sessions with supervision(UPI) Usual Planning Interview

Eligibility Criteria

Age20 Years - 50 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Born between 01-01-1954 and 31-12-1984;
  • Conditional release no later than 30-06-2005 (this was extended to 19-09-2005 and again to 31-03-2006);
  • Swedish or Norwegian speaker;
  • Not having previously received BSF in remand or any other prison;
  • Heavy use of alcohol or drugs, measured by the standard prison and probation system: 1= occasional use; 2= heavy use;
  • ASI interview at intake;
  • No order for deportation after release from prison

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Karolinska Institutet, Dep Clin Neuroscience

Stockholm, S-171 76, Sweden

Location

MeSH Terms

Conditions

Alcoholism

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Alcohol-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Lars G Forsberg, Ph D

    Karolinska Institutet

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Sponsor Type
OTHER

Study Record Dates

First Submitted

August 18, 2010

First Posted

August 19, 2010

Study Start

April 1, 2004

Primary Completion

March 1, 2007

Study Completion

July 1, 2008

Last Updated

August 19, 2010

Record last verified: 2003-10

Locations

SE(1)