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Does Treatment Readiness Enhance the Response of African American Substance Users to Motivational Enhancement Therapy?

Psychology of Addictive Behaviors 2013;27(3):744-753. [doi: 10.1037/a0031274]

Ann Kathleen Burlew, PhD (The Crossroads Center, OV Node), LaTrice Montgomery, MA (University of Cincinnati, OV Node), Andrzej S. Kosinski, PhD (Duke Clinical Research Institute, CTN Data & Statistics Center), Alyssa A. Forcehimes, PhD (University of New Mexico, SW Node).

The development of effective treatments for African Americans and other ethnic minorities is essential for reducing health disparities in substance use. Despite research suggesting that Motivational Enhancement Therapy (MET) may reduce substance use among African Americans, the findings have been inconsistent. This research examined the extent to which readiness-to-change (RTC) affects response to MET among African American substance users. The study was a secondary analysis of the 194 African American substance users participating in National Drug Abuse Treatment Clinical Trials Network (CTN) protocol CTN-0004, a multisite randomized clinical trial evaluating MET. The participants were randomly assigned to receive either three sessions of MET or Counseling-As-Usual (CAU) followed by the ordinary treatment and other services offered at the five participating outpatient programs. Participants were categorized as either high or lower on RTC based on their scores on the University of Rhode Island Change Assessment (URICA). The participants reported their substance use at baseline and throughout the 16 weeks after randomization. Among the high RTC participants, those in MET tended to report fewer days of substance use per week over time than participants in CAU. However, among the lower RTC participants, the CAU group tended to report fewer days of substance use over time than MET participants.

Conclusions: In contrast to previous thinking, the findings suggest that MET may be more effective for high than lower RTC African American participants. This study contributes to the public health need for more empirical evidence on effective substance abuse treatments for African Americans. (Article (Peer-Reviewed), PDF, English, 2013)

Keywords: African Americans | Behavior therapy | Community health services | CTN platform/ancillary study | Cultural competence | Minority groups | Motivational Enhancement Therapy (MET) | Motivational interviewing (MI) | Psychology of Addictive Behaviors (journal)

Document No: 958, PMID: 23421576, NIHMS: NIHMS487558.

Submitted by CTN Dissemination Librarians, 2/26/2013.

Burlew, Ann Kathleen mail
Forcehimes, Alyssa A. mail
Kosinski, Andrzej S. mail
Montgomery, LaTrice
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