OBJECTIVE: To test the efficacy of telephone-administered motivational interviewing (MI) to enhance treatment engagement in Iraq and Afghanistan veterans with mental health (MH) problems. METHOD:Between April 23, 2008, and February 25, 2011, 73 Iraq and Afghanistan veterans who screened positive for ≥1 MH problem(s) on telephone-administered psychometric assessment, but were not engaged in treatment, were randomized to either personalized referral for MH services and four sessions of telephone MI or standard referral and four neutral telephone check-in sessions (control) at baseline, 2, 4 and 8 weeks. Blinded assessment occurred at 8 and 16 weeks. RESULTS: In intent-to-treat analyses, 62% assigned to telephone MI engaged in MH treatment compared to 26% of controls [relative risk (RR)=2.41, 95% confidence interval (CI)=1.33-4.37, P=.004], which represented a large effect size (Cohen's h=0.74). Participants in the MI group also demonstrated significantly greater retention in MH treatment than controls [MI mean visits (S.D.)=1.68 (2.73) and control mean visits (S.D.)=0.38 (0.81), incidence rate ratio (IRR)=4.36, 95% CI=1.96-9.68, P<.001], as well as significant reductions in stigma and marijuana use at 8 weeks (P<.05). CONCLUSIONS:Telephone MI enhances MH treatment engagement in Iraq and Afghanistan veterans with MH problems. Published by Elsevier Inc.
RCT Entities:
OBJECTIVE: To test the efficacy of telephone-administered motivational interviewing (MI) to enhance treatment engagement in Iraq and Afghanistan veterans with mental health (MH) problems. METHOD: Between April 23, 2008, and February 25, 2011, 73 Iraq and Afghanistan veterans who screened positive for ≥1 MH problem(s) on telephone-administered psychometric assessment, but were not engaged in treatment, were randomized to either personalized referral for MH services and four sessions of telephone MI or standard referral and four neutral telephone check-in sessions (control) at baseline, 2, 4 and 8 weeks. Blinded assessment occurred at 8 and 16 weeks. RESULTS: In intent-to-treat analyses, 62% assigned to telephone MI engaged in MH treatment compared to 26% of controls [relative risk (RR)=2.41, 95% confidence interval (CI)=1.33-4.37, P=.004], which represented a large effect size (Cohen's h=0.74). Participants in the MI group also demonstrated significantly greater retention in MH treatment than controls [MI mean visits (S.D.)=1.68 (2.73) and control mean visits (S.D.)=0.38 (0.81), incidence rate ratio (IRR)=4.36, 95% CI=1.96-9.68, P<.001], as well as significant reductions in stigma and marijuana use at 8 weeks (P<.05). CONCLUSIONS: Telephone MI enhances MH treatment engagement in Iraq and Afghanistan veterans with MH problems. Published by Elsevier Inc.
Authors: Karen H Seal; Brian Borsari; Jennifer Tighe; Beth E Cohen; Kevin Delucchi; Benjamin J Morasco; Yongmei Li; Emily Sachs; Linda Abadjian; Erin C Watson; Jennifer K Manuel; Lea Vella; Jodie Trafton; Amanda Midboe Journal: Contemp Clin Trials Date: 2018-12-17 Impact factor: 2.226
Authors: Andrea K Finlay; David Smelson; Leon Sawh; Jim McGuire; Joel Rosenthal; Jessica Blue-Howells; Christine Timko; Ingrid Binswanger; Susan M Frayne; Janet C Blodgett; Tom Bowe; Sean C Clark; Alex H S Harris Journal: Crim Justice Policy Rev Date: 2013-12-18
Authors: Brian Borsari; Ali Yurasek; Mary Beth Miller; James G Murphy; Meghan E McDevitt-Murphy; Matthew P Martens; Monica G Darcy; Kate B Carey Journal: Am J Orthopsychiatry Date: 2017
Authors: Emily M Johnson; Kimberly A Barrie; Kyle Possemato; Michael Wade; April Eaker; Paige C Ouimette Journal: Mil Med Date: 2016-10 Impact factor: 1.437