Evidence map›Paper›PMID 27431042›Full record

Trial reportJournal of substance abuse treatment2016

The Effectiveness and Cost of Clinical Supervision for Motivational Interviewing: A Randomized Controlled Trial.

Steve Martino, Manuel Paris, Luis Añez, Charla Nich, Monica Canning-Ball, Karen Hunkele, Todd A Olmstead, Kathleen M Carroll

Abstract readComparative StudyMulticenter StudyRandomized 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 37 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 9 pooled it
11.5field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 9 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Psychosocial interventions for stimulant use disorder.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Job Satisfaction of Nurses in the Context of Clinical Supervision: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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  15. Observational
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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

8 authors at 2 institutions in 1 country.

Steve MartinoVA Connecticut Healthcare System, Psychology Service, 950 Campbell Avenue, West Haven, CT, 06516, USA; Yale University School of Medicine, Department of Psychiatry, Division of Substance Abuse, 950 Campbell Avenue, West Haven, CT, 06516, USA. Electronic address: steve.martino@yale.edu.
Manuel ParisYale University School of Medicine, The Hispanic Clinic, 25 Park Street, New Haven, CT, 06511, USA. Electronic address: manuel.paris@yale.edu.
Luis AñezYale University School of Medicine, The Hispanic Clinic, 25 Park Street, New Haven, CT, 06511, USA. Electronic address: luis.aneznava@yale.edu.
Charla NichYale University School of Medicine, Department of Psychiatry, Division of Substance Abuse, 950 Campbell Avenue, West Haven, CT, 06516, USA. Electronic address: charla.nich@yale.edu.
Monica Canning-BallYale University School of Medicine, Department of Psychiatry, Division of Substance Abuse, 950 Campbell Avenue, West Haven, CT, 06516, USA. Electronic address: monica.canning-ball@yale.edu.
Karen HunkeleYale University School of Medicine, Department of Psychiatry, Division of Substance Abuse, 950 Campbell Avenue, West Haven, CT, 06516, USA. Electronic address: karen.hunkele@yale.edu.
Todd A OlmsteadThe University of Texas at Austin, Lyndon B. Johnson School of Public Affairs, 2300 Red River Street, Austin, TX, 78713, USA; Seton/UT Clinical Research Institute, 1400 North IH 35, Austin, TX, 78701, USA. Electronic address: tolmstead@austin.utexas.edu.
Kathleen M CarrollYale University School of Medicine, Department of Psychiatry, Division of Substance Abuse, 950 Campbell Avenue, West Haven, CT, 06516, USA. Electronic address: kathleen.carroll@yale.edu.
Yale University · USThe University of Texas at Austin · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TSF to enhance treatment of cocaine dependenceP50DA009241 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 1994 to 2018
$40.5M
Three Strategies for Implementing Motivational Interviewing on Medical InpatientR01DA034243 · NIDA · YALE UNIVERSITY · PI MARTINO, STEVE, YONKERS, KIMBERLY A · 2012 to 2016
$3.7M
Effectiveness of Motivational Interviewing Supervision in Community ProgramsR01DA023230 · NIDA · YALE UNIVERSITY · PI MARTINO, STEVE · 2008 to 2012
$2.4M
NCATS NIH HHS UL1 TR001863NIDA NIH HHS P50 DA009241NIDA NIH HHS R01 DA023230NIDA NIH HHS R01 DA034243
6 · The paper itself

Abstract

The effectiveness of a competency-based supervision approach called Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA: STEP) was compared to supervision-as-usual (SAU) for increasing clinicians' motivational interviewing (MI) adherence and competence and client retention and primary substance abstinence in a multisite hybrid type 2 effectiveness-implementation randomized controlled trial. Participants were 66 clinicians and 450 clients within one of eleven outpatient substance abuse programs. An independent evaluation of audio recorded supervision sessions indicated that MIA: STEP and SAU were highly and comparably discriminable across sites. While clinicians in both supervision conditions improved their MI performance, clinician supervised with MIA: STEP, compared to those in SAU, showed significantly greater increases in the competency in which they used fundamental and advanced MI strategies when using MI across seven intakes through a 16-week follow-up. There were no retention or substance use differences among the clients seen by clinicians in MIA: STEP or SAU. MIA: STEP was substantially more expensive to deliver than SAU. Innovative alternatives to resource-intensive competency-based supervision approaches such as MIA: STEP are needed to promote the implementation of evidence-based practices.

Indexed as

Clinical CompetenceAdultAmbulatory CareCosts and Cost AnalysisEvidence-Based PracticeFemaleFollow-Up StudiesGuideline AdherenceHealth PersonnelHumansMaleMiddle AgedMotivational InterviewingSubstance-Related DisordersYoung AdultClinical supervisionCost estimationImplementation strategiesMotivational interviewingSubstance abuse treatment

Identifiers

PMID27431042
PMCPMC4955716
OpenAlexW2346203965

What OpenQuestion holds

Textmetadata
LicenceTDM
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.