Randomized trial of motivational interviewing plus feedback for soldiers with untreated alcohol abuse.

Substance use disorders (SUDs) are a significant problem among our nation’s military veterans. In the following overview, we provide information on the prevalence of SUDs among military veterans, clinical characteristics of SUDs, options for screening and evidence-based treatment, as well as relevant treatment challenges. Among psychotherapeutic approaches, behavioral interventions for the management of SUDs typically involve short-term, cognitive-behavioral therapy interventions. These interventions focus on the identification and modification of maladaptive thoughts and behaviors associated with increased craving, use, or relapse to substances. Additionally, client-centered motivational interviewing approaches focus on increasing motivation to engage in treatment and reduce substance use. A variety of pharmacotherapies have received some support in the management of SUDs, primarily to help with the reduction of craving or withdrawal symptoms. Currently approved medications as well as treatment challenges are discussed.

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“…The findings showed that the intervention resulted in significantly fewer drinks per week and lower rates of alcohol dependence diagnosis. 42 …”

Section: Introductionmentioning

confidence: 99%

Substance use disorders in military veterans: prevalence and treatment challenges

Teeters

Lancaster

Brown

et al. 2017

SAR

208

118

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“…37,38 Similar to our study, Walker et al found that repeated assessment for alcohol abuse followed by a single session of telephone-delivered MI versus psychoeducation (no MI) were both associated with increased treatmentseeking in soldiers with untreated alcohol abuse, pinpointing repeated assessment as a key ingredient. 39 The between-group descriptive analyses for the secondary outcomes demonstrated that veteran peer motivational coaching resulted in improved MH symptoms, reduced cannabis use, improved quality of life scores, and encouraged self-care activities compared to controls as observed in another study. 31 This finding may be explained by the fact that "partnership" was the highest of the peers' MITI global ratings.…”

Section: Discussionmentioning

confidence: 65%

“…These findings align with studies which have demonstrated that assessment of substance use alone is associated with significant reductions in use, known as “assessment reactivity.” 37 , 38 Similar to our study, Walker et al found that repeated assessment for alcohol abuse followed by a single session of telephone‐delivered MI versus psychoeducation (no MI) were both associated with increased treatment‐seeking in soldiers with untreated alcohol abuse, pinpointing repeated assessment as a key ingredient. 39 …”

Section: Discussionmentioning

confidence: 99%

Telephone veteran peer coaching for mental health treatment engagement among rural veterans: The importance of secondary outcomes and qualitative data in a randomized controlled trial

Seal

Pyne

Manuel

et al. 2021

The Journal of Rural Health

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Purpose: To determine the effectiveness of telephone motivational coaching delivered by veteran peers to improve mental health (MH) treatment engagement among veterans.Methods: Veterans receiving primary care from primarily rural VA community-based outpatient clinics were enrolled. Veterans not engaged in MH treatment screening positive for ≥1 MH problem(s) were randomized to receive veteran peer-delivered feedback on MH screen results and referrals plus 4 sessions of telephone motivational coaching (intervention) versus veteran peer-delivered MH results and referrals without motivational coaching (control). Blinded telephone assessments wereThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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“…By contrast, video and telephone‐based motivational interviewing and mobile health apps to provide behavioural prompts and feedback have been used successfully to change behaviours in other populations. These populations include those with diabetes and long‐term conditions that require sustained adherence behaviours . The use of technology to support behaviours is of particular relevance when considering that the cognitive abilities of those who have diabetic foot ulceration are reduced .…”

Section: Discussionmentioning

confidence: 99%

“…These populations include those with diabetes and long-term conditions that require sustained adherence behaviours. [47][48][49][50] The use of technology to support behaviours is of particular relevance when considering that the cognitive abilities of those who have diabetic foot ulceration are reduced. 42 Mobile devices can play a significant role in prompting and motivating behavioural change where there is a reduced cognitive capacity and a decreased ability to concentrate.…”

Section: By Contrast Video and Telephone-based Motivational Interviementioning

confidence: 99%

Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration

Binning

Woodburn

Bus

et al. 2018

Diabetes Metabolism Res

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Summary Diabetic foot ulceration is a major complication associated with high morbidity. Little evidence exists on which interventions are effective at preventing ulceration. Participants who are adherent to self‐care behaviours have significantly better outcomes. Motivational interviewing is an intervention that has been used successfully for conditions where adherence is important, such as reduction of obesity and HbA1c levels. A systematic review was conducted to determine whether motivational interviewing is effective at improving adherence for the prevention of Diabetic Foot Ulceration. Electronic searches were run without date or language restrictions in MEDLINE (viaEBSCOhost), CINAHL (viaEBSCOhost), ProQuest (Health and Medical Collection, Nursing and Allied Health Database, PsycINFO, Psychology, PsychArticles), AMED, EMBASE, Cochrane Central Register of Controlled Trials, ScienceDirect, and Web of Science Core Collections. Papers were included if participants had or were at risk of diabetic foot ulceration. Studies required motivational interviewing or a motivational approach as the sole intervention or as a component. Randomised controlled trials and quasi‐experimental studies were included if ulceration and/or at least one behavioural outcome was measured before and after the intervention. Five studies met the inclusion criteria. Heterogeneity prevented the pooling of data. One study used motivational interviewing as the sole intervention. This study found a short‐term positive effect on footwear adherence. The remaining four studies had a motivational component within their interventions. Two of these studies showed the intervention to be effective but both were at a high risk of bias. This review demonstrates an evidence gap. More research is needed.

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Randomized trial of motivational interviewing plus feedback for soldiers with untreated alcohol abuse.

Abstract: This novel adaptation of MIF shows promise for decreasing drinking and alcohol dependence among this high-risk sample of non-treatment-seeking soldiers and may complement existing AUD services already provided by the Army. (PsycINFO Database Record

Cited by 23 publications

References 46 publications

Substance use disorders in military veterans: prevalence and treatment challenges

Substance use disorders in military veterans: prevalence and treatment challenges

Telephone veteran peer coaching for mental health treatment engagement among rural veterans: The importance of secondary outcomes and qualitative data in a randomized controlled trial

Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration

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