Integrating Motivational Interviewing With Cognitive-behavioral Therapy
1 other identifier
interventional
49
1 country
1
Brief Summary
Cognitive-behavioral therapy (CBT) is efficacious for anxiety disorders and depression, but not all patients achieve remission, and dropout is considerable. Motivational interviewing (MI) may strengthen motivation to change, and influence non-response and dropout. Research shows that MI as a pretreatment to CBT produces moderate effects compared to CBT alone. Studies integrating MI with CBT (MI-CBT) throughout treatment are scarce. The present study explored the feasibility of MI-CBT in routine psychiatric care, and compared CBT alone to MI-CBT for anxiety disorders, depression, and unhealthy lifestyle behaviors. The Anxiety, Depression, Diet, Alcohol, Physical activity, and Tobacco (ADDAPT) feasibility study had a randomized controlled design, and data were analyzed using hierarchical regression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2014
1 active site
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
February 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2015
CompletedFirst Submitted
Initial submission to the registry
February 1, 2020
CompletedFirst Posted
Study publicly available on registry
February 5, 2020
CompletedSeptember 5, 2021
August 1, 2021
11 months
February 1, 2020
August 31, 2021
Conditions
Outcome Measures
Primary Outcomes (2)
Index measure of aggregated psychiatric symptoms
Symptoms of principal anxiety disorder or principal depression, expressed as z scores; higher scores indicate more severe symptoms
12 weeks
Index measure of aggregated unhealthy lifestyle behaviors
Unhealthy lifestyle behaviors related to diet, physical activity, alcohol, or tobacco, expressed as z scores; higher scores indicate more problematic behaviors
12 weeks
Study Arms (2)
Cognitive-behavioral therapy (CBT)
ACTIVE COMPARATORIntegrated motivational interviewing and CBT
EXPERIMENTALInterventions
Psychological treatment focusing on changing cognitions and behaviors using information processing theory and learning theory approaches.
Motivational interviewing is a psychological treatment approach focusing on increasing motivation by eliciting patient talk favoring behavior change and resolving patient ambivalence about change.
Eligibility Criteria
You may qualify if:
- years of age or older
- A principal diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) of panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder, posttraumatic stress disorder, or major depressive disorder
- At least one of the following unhealthy lifestyle behaviors: unhealthy eating habits, hazardous use of alcohol, insufficient physical activity, or tobacco use, according to screening criteria suggested by the National Board of Health and Welfare
You may not qualify if:
- Psychotic symptoms
- DSM-IV-TR criteria for substance abuse other than alcohol
- DSM-IV-TR criteria for substance dependence including alcohol
- Moderate to severe suicide risk according to the Mini-International Neuropsychiatric Interview or a score of 2 or above on item 9 on the Patient Health Questionnaire 9
- Another simultaneous psychological treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
WeMind Psykiatri AB
Stockholm, SE-11357, Sweden
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Benjamin Bohman
Karolinska Institutet
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
February 1, 2020
First Posted
February 5, 2020
Study Start
February 1, 2014
Primary Completion
December 31, 2014
Study Completion
June 30, 2015
Last Updated
September 5, 2021
Record last verified: 2021-08