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Effects of Motivational Interviewing in Prison

Primary Purpose

Alcohol Abuse

Status

Completed

Phase

Phase 3

Locations

Sweden

Study Type

Interventional

Intervention

Motivational Interviewing; MI

About this trial

This is an interventional treatment trial for Alcohol Abuse focused on measuring Inmates with heavy use of alcohol or drugs

Eligibility Criteria

20 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

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

Exclusion Criteria:

Sites / Locations

Karolinska Institutet, Dep Clin Neuroscience

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Arm Label

(BSF) MI sessions

(BSF+) MI sessions with supervision

(UPI) Usual Planning Interview

Arm Description

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.

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.

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.

Outcomes

Primary Outcome Measures

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

Secondary Outcome Measures

reported days of illegal activity

as measured by Addiction Severity Index at intake and 10 months after release

number of days working

as measured by the Addiction Severity Index at intake and 10 months after release

Full Information

NCT ID

NCT01184612

First Posted

August 18, 2010

Last Updated

August 18, 2010

Sponsor

Karolinska Institutet

Collaborators

the research committee of the National Prison and Probation Administration

1. Study Identification

Unique Protocol Identification Number

NCT01184612

Brief Title

Effects of Motivational Interviewing in Prison

Official Title

Motivational Interviewing Delivered by Existing Prison Staff: A Randomized Controlled Study of Effectiveness on Substance Use After Release

Study Type

Interventional

2. Study Status

Record Verification Date

October 2003

Overall Recruitment Status

Completed

Study Start Date

April 2004 (undefined)

Primary Completion Date

March 2007 (Actual)

Study Completion Date

July 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor

Karolinska Institutet

Collaborators

the research committee of the National Prison and Probation Administration

4. Oversight

Data Monitoring Committee

5. Study Description

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).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Alcohol Abuse

Keywords

Inmates with heavy use of alcohol or drugs

7. Study Design

Primary Purpose

Treatment

Study Phase

Phase 3

Masking

Outcomes Assessor

Allocation

Randomized

Enrollment

296 (Actual)

8. Arms, Groups, and Interventions

Arm Title

(BSF) MI sessions

Arm Type

Active Comparator

Arm Description

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.

Arm Title

(BSF+) MI sessions with supervision

Arm Type

Active Comparator

Arm Description

Arm Title

(UPI) Usual Planning Interview

Arm Type

Active Comparator

Arm Description

Intervention Type

Behavioral

Intervention Name(s)

Motivational Interviewing; MI

Intervention Description

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.

Primary Outcome Measure Information:

Title

number of days with substance use

Description

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

Time Frame

of the last 30 days

Secondary Outcome Measure Information:

Title

reported days of illegal activity

Description

as measured by Addiction Severity Index at intake and 10 months after release

Time Frame

during the preceding 30 days

Title

number of days working

Description

as measured by the Addiction Severity Index at intake and 10 months after release

Time Frame

during the last 30 days

10. Eligibility

Sex

Male

Minimum Age & Unit of Time

20 Years

Maximum Age & Unit of Time

50 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: 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 Exclusion Criteria: -

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Lars G Forsberg, Ph D

Organizational Affiliation

Karolinska Institutet

Official's Role

Principal Investigator

Facility Information:

Facility Name

Karolinska Institutet, Dep Clin Neuroscience

City

Stockholm

ZIP/Postal Code

S-171 76

Country

Sweden

12. IPD Sharing Statement

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Effects of Motivational Interviewing in Prison

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