Trial reportAddiction (Abingdon, England)2020
A randomized clinical trial of mobile phone motivational interviewing for alcohol use problems in Kenya.
Trial report in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
32 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Integrating Depression and Alcohol Use Care Into Primary Care in Low- and Middle-Income Countries: A Meta-Analysis.Psychiatric services (Washington, D.C.) · 2023Pooled it
- The Impact of Virtual Consultations on the Quality of Primary Care: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Psychosocial and pharmacologic interventions to reduce harmful alcohol use in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Effectiveness of eHealth Interventions for HIV Prevention and Management in Sub-Saharan Africa: Systematic Review and Meta-analyses.AIDS and behavior · 2022Pooled it
- Pooled it
- Culturally adapted evidence-based treatments for adults with substance use problems: A systematic review and meta-analysis.Drug and alcohol dependence · 2021Pooled it
- Trial
- Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study.Evidence-based mental health · 2021Trial
- Effectiveness of brief motivational interviewing for alcohol misuse: a systematic review of randomized controlled trials.Addictive behaviors reports · 2026Review
- Psychosocial Interventions for Alcohol Use Disorder: A Review of Efficacy, Mechanisms, and Clinical Implications.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Application of tobacco control experience to alcohol consumption measures.Bulletin of the World Health Organization · 2026Article
- Motivational interviewing for substance use among adults in low- and middle-income countries: A systematic review.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- Grouping motivational interviewing for alcohol craving in individuals with alcohol use disorder: the influence of drinking history on its efficacy.European archives of psychiatry and clinical neuroscience · 2025Article
- Improving outcomes for people who are homeless and have severe mental illness in Ethiopia, Ghana and Kenya: overview of the HOPE programme.Epidemiology and psychiatric sciences · 2025Article
- Telemedicine Adoption and Prospects in Sub-Sahara Africa: A Systematic Review with a Focus on South Africa, Kenya, and Nigeria.Healthcare (Basel, Switzerland) · 2025Review
- Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025Article
- Application of digital health technologies to substance use reduction among students in higher education institutions: A scoping review.F1000Research · 2025Article
- Digital interventions for alcohol use and alcohol use disorders in low- and-middle-income countries: a systematic review.Oxford open digital health · 2025Review
- A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder.Brain sciences · 2024Review
- A scoping review of substance use brief interventions in Africa.PLOS global public health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
aimTo test the effectiveness of a motivational interviewing (MI) intervention using the mobile phone among adults with alcohol use problems.
designA randomized clinical trial of mobile MI and standard in-person MI with 1- and 6-month follow-up, including a 1-month waitlist control followed by mobile MI.
settingA primary health center in rural Kenya.
participantsThree hundred adults screening positive for alcohol use problems were randomized and received immediate mobile MI (n = 89), in-person MI (n = 65) or delayed mobile MI (n = 76) for waiting-list controls 1 month after no treatment, with 70 unable to be reached for intervention. INTERVENTION AND COMPARATOR: One MI session was provided either immediately by mobile phone, in-person at the health center or delayed by 1 month and then provided by mobile phone. MEASUREMENTS: Alcohol use problems were repeatedly assessed using the Alcohol Use Disorder Identification Test (AUDIT) and the shorter AUDIT-C. The primary outcome was difference in alcohol score 1 month after no intervention for waiting-list control versus 1 month after MI for mobile MI. The secondary outcomes were difference in alcohol score for in-person MI versus mobile MI one and 6 months after MI.
findingsFor our primary outcome, average AUDIT-C scores were nearly three points higher (difference = 2.88, 95% confidence interval = 2.11, 3.66) for waiting-list controls after 1 month of no intervention versus mobile MI 1 month after intervention. Results for secondary outcomes supported the null hypothesis of no difference between in-person and mobile MI at 1 month (Bayes factor = 0.22), but were inconclusive at 6 months (Bayes factor = 0.41).
conclusionMobile phone-based motivational interviewing may be an effective treatment for alcohol use problems among adults visiting primary care in Kenya. Providing mobile motivational interviewing may help clinicians in rural areas to reach patients needing treatment for alcohol use problems.
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Registered trials
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.