CTN-0047: SMART-ED. Brief intervention and telephone booster therapy manual.
This manual is designed to be used as a guide for the delivery of the brief intervention (BI) and telephone booster sessions as part of the research protocol implemented in the National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) protocol CTN-0047, Screening, Brief Intervention and Referral to Treatment in the Emergency Department (SMART-ED).
The BI and booster sessions are based on principles of motivational psychology and motivational interviewing style in which the interventionist attempts to mobilize in a systematic way the inherent resources for change that reside within the patient
This protocol involves one 30-minute BI session using the components in Motivational Enhancement Therapy (MET) delivered during the patient’s visit to the ED as well as the two 15-minute booster calls, which will be delivered over the phone during the one month following the baseline assessment. Ideally, the first call will be within 3 days of the patient’s discharge from the ED and the second call will be within 7 days after the first call.
The brief intervention, which will be conducted by interventionists in the emergency department, is based on motivational interviewing principles including feedback based on screening information, the FRAMES heuristic, and development of a change plan.
The goal of the first telephone booster session will be to re-engage and reinforce the change plan and support continuing efforts. The second telephone booster session will be a check-in session that reinforces positive changes and/or addresses barriers to treatment engagement.
This is an introductory training in the evidence-based clinical method of motivational interviewing (MI) and motivational enhancement therapy (MET). After orientation to the underlying spirit and principles of MI, practical exercises will help interventionists to strengthen empathy skills, recognize and elicit client change talk, and roll with resistance. The use of client assessment feedback in MET will be explained in detail; particularly as it relates to the assessments that will be conducted as part of the SMART-ED protocol.
The information in this manual was adapted from several sources, primarily Miller and Rollnick’s (2002) Motivational Interviewing: Preparing People to Change.
Related protocols: CTN-0047