Evidence map›Paper›PMID 26117081›Full record

Trial reportJournal of substance abuse treatment2016

A Randomized Evaluation of Motivational Interviewing Training for Mandated Implementation of Alcohol Screening and Brief Intervention in Trauma Centers.

Doyanne Darnell, Christopher Dunn, David Atkins, Leah Ingraham, Douglas Zatzick

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  11. Improvement in therapist skills over sessions in brief motivational interventions predicts client language and alcohol use outcomes.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Doyanne DarnellDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: darnelld@uw.edu.
Christopher DunnDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
David AtkinsDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Leah IngrahamDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Douglas ZatzickDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
University of Washington · US

Funding

Disseminating Organizational SBI Services (DO-SBIS) at Trauma CentersR01AA016102 · NIAAA · UNIVERSITY OF WASHINGTON · PI ZATZICK, DOUGLAS F · 2007 to 2011
$3.2M
Improving Mental Health Care in Safety Net Medical SettingsT32MH082709 · NIMH · UNIVERSITY OF WASHINGTON · PI COMTOIS, KATHERINE ANNE · 2010 to 2014
$1.4M
Research, Mentoring & Dissemination for PTSD Intervention in Acute Care SettingsK24MH086814 · NIMH · UNIVERSITY OF WASHINGTON · PI ZATZICK, DOUGLAS F · 2010 to 2014
$867k
NIAAA NIH HHS R01 AA016102NIAAA NIH HHS R01/AA016102NIMH NIH HHS K24 MH086814NIMH NIH HHS K24/MH086814NIMH NIH HHS T32 MH082709NIMH NIH HHS T32/MH082709
6 · The paper itself

Abstract

The American College of Surgeons has mandated that level I and level II trauma centers implement universal alcohol screening and brief intervention (SBI) for injured patients. This study was a secondary analysis of a national, 20-hospital, cluster-randomized implementation trial focusing on practical issues of training and supervising alcohol SBI providers in motivational interviewing (MI). The purpose of this study was to examine whether real-world trauma center providers can be trained to provide higher quality counseling using MI as part of brief interventions for alcohol and whether MI skills can be maintained over time. Sites were randomly assigned to receive a 1day workshop training in MI for alcohol SBI or not, and all providers regardless of training completed up to seven standardized patient assessments of MI fidelity over 27months. Six domains on the Motivational Interviewing Treatment Integrity (MITI) coding system were assessed and compared to proficiency criteria. Providers in the intervention training group showed substantially improved MITI scores over the course of the 27-month time period. Domains that had particularly strong improvement were MI spirit and empathy; however, despite the overall improvement in the intervention group scores, expert-derived proficiency criteria were attained only for the global scores. Routine trauma center providers who receive MI training can deliver higher quality counseling in alcohol brief interventions, but may not, however, attain previously derived proficiency standards. Future implementation efforts in real-world acute care medical settings could further elucidate provider characteristics that predict training response and also strive to demonstrate that higher quality alcohol SBI implementation is associated with improved patient-level outcomes.

Indexed as

Program EvaluationTrauma CentersAdultAlcohol-Related DisordersFemaleHumansMaleMiddle AgedMotivational InterviewingSurvivorsWounds and InjuriesAlcoholDissemination and implementation researchMotivational interviewingPolicy mandateScreening and brief interventionTrainingTraumatic injury

Identifiers

PMID26117081
PMCPMC4669233
OpenAlexW649757930

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.