Table 2.
Comparison | ||||||||
---|---|---|---|---|---|---|---|---|
Study | Population | Substance | N | Tx. Effect | MI | Measurement | Data Source | Condition |
Amrhein, 2003 | Tx. Seeking | Heroin | 84 | n/a | Add-on, pre | Idiosyncratic | Observer | No Comparison |
Cocaine | ||||||||
Amphetamines | ||||||||
Marijuana | ||||||||
Baird, 2007 | Volunteers | Alcohol | 210 | n/a | Stand-alone | Standardized | Therapist | Standard Care |
Bien, 1993 | Tx. Seeking | Alcohol | 32 | Yes/No | Add-on, pre | Idiosyncratic | Observer | Standard Care |
Borsari, 2005 | Volunteers | Alcohol | 64 | Yes/No | Stand-alone | Standardized | Observer | Minimal/Placebo |
Budney, 20001 | Tx. Seeking | Marijuana | 40 | No | Stand-alone | Revised | Client | Active Treatment |
Carroll, 2006 | Tx. Seeking | Alcohol | 423 | No | Add-on, pre | Revised | Observer | Standard Care |
Marijuana | ||||||||
Methamphetamines | ||||||||
Cocaine | ||||||||
Opiates | ||||||||
Benzodiazepines | ||||||||
Dench, 2000 | Tx. Seeking | Alcohol | 51 | No | Add-on, pre | Standardized | Client | Minimal/Placebo |
Karno, 20042 | Tx. Seeking | Alcohol | 33 | Yes/No | Add-on, post | Standardized | Observer | Active Treatment |
Karno, 2005 | Tx. Seeking | Alcohol | 61 | n/a | Add-on, post | Standardized | Observer | No Comparison |
LaBrie, 2006 | Volunteers | Alcohol | 30 | Yes | Add-on, pre | Idiosyncratic | Client | No Comparison |
Longshore, 1999 | Volunteers | Heroin | 222 | n/a | Stand-alone | Idiosyncratic | Client | Standard Care |
Cocaine | ||||||||
McNally, 20053 | Volunteers | Alcohol | 73 | Yes | Stand-alone | Revised | Client | Minimal/Placebo |
Idiosyncratic | ||||||||
Miller, 1993 | Volunteers | Alcohol | 42 | No | Stand-alone | Revised | Observer | Minimal/Placebo |
Moyers, 20054 | Unknown | Unknown | 103 | n/a | Unknown | Standardized | Observer | No Comparison |
Rohsenow, 2004 | Tx. Seeking | Cocaine | 149 | Yes/No | Add-on, pre | Standardized | Client | Minimal/Placebo |
Revised | ||||||||
Saunders, 19955 | Tx. Seeking | Opiates | 101 | Yes/No | Add-on, pre | Revised | Client | Minimal/Placebo |
Stein, 2006 | Volunteers | Alcohol | 130 | n/a | Add-on, pre | Revised | Client | Minimal/Placebo |
Marijuana | ||||||||
Strang, 2004 | Volunteers | Marijuana | 44 | Yes | Stand-alone | Idiosyncratic | Therapist | No Comparison |
Stotts, 2001 | Tx. Seeking | Cocaine | 51 | Yes | Add-on, pre | Standardized | Client | Standard Care |
Notes:
Tx. Effect: n/a = not reported in the study; Yes = MI yielded better substance use outcomes than comparison condition in the study; No = MI yielded equal or worse substance use outcomes than comparison condition in the study, Yes/No = MI yielded better outcomes on at least one measure of substance use outcome and equal or worse outcomes on a different measure of substance use outcomes (eg., MI > Minimal/Placebo on reducing overall alcohol consumption, and MI = Minimal/Placebo condition on reducing negative consequences associated with alcohol use).
Measurement: Standardized = use of standardized measure with established reliability and validity with target population; Revised = use of a standardized measure, but which authors report having modified for use in the current study; Idiosyncratic = use of a measure created specifically for the current study with no reliability or validity data reported.
Data Source: Client = paper and pencil measure completed by client following intervention; Therapist = paper and pencil measure completed by therapist following intervention; Observer = use of an observational coding system with ratings assigned by independent observers
Budney, 2000: Compared MI to two other Active treatments; MBT = MI + Cognitive Behavioral Therapy; MBTV = MI + Cognitive Behavioral Therapy + Vouchers
Karno, 2004: Compared MI to two other Active Treatments; CBT = Cognitive Behavioral Therapy; TSF = Twelve-Step Facilitation
McNally, 2005 used two measures of discrepancy. The first was assessed using βan actual-ideal discrepancy gauge constructed for the present research,β described as a single Likert-scale question. The second measure was a modified version of the Dissonance Thermometer, a 24-item self-report measure comprising two subscales: general discomfort, and self-focused negative affect.
Moyers 2005 was designed primarily to study within-session processes of MI. The population was made up of 103 pairs of therapists who had received different levels of MI training and clients from a variety of unspecified treatment settings.
Saunders, 1995 also reported a significant effect of MI over education control on a measure of client readiness, and no significant effect of MI versus education control on measures of client intention, client experience of discrepancy, and client self efficacy. However, effect sizes could not be calculated for these results due to lack of sufficient data reported by the authors.