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Randomized Controlled Trial
. 2010 Feb 1;107(1):23-30.
doi: 10.1016/j.drugalcdep.2009.08.021.

Effect of motivational interviewing on reduction of alcohol use

Adeline Nyamathi  1 , Steven Shoptaw, Allan Cohen, Barbara Greengold, Kamala Nyamathi, Mary Marfisee, Viviane de Castro, Farinaz Khalilifard, Daniel George, Barbara Leake
Affiliations
Randomized Controlled Trial

Effect of motivational interviewing on reduction of alcohol use

Adeline Nyamathi et al. Drug Alcohol Depend. .

Abstract

Background: Methadone-maintained (MM) clients who engage in excessive alcohol use are at high risk for HIV and hepatitis B virus (HBV) infection. Nurse-led hepatitis health promotion (HHP) may be one strategy to decrease alcohol use in this population.

Objective: To evaluate the impact of nurse-led HHP, delivered by nurses compared to motivational interviewing (MI), delivered by trained therapists in group sessions or one-on-one on reduction of alcohol use.

Methods: A three-arm randomized, controlled trial, conducted with 256 MM adults attending one of five MM outpatient clinics in the Los Angeles area. Within each site, moderate-to-heavy alcohol-using MM participants were randomized into one of three conditions: (1) nurse-led hepatitis health promotion group sessions (n=87); (2) MI delivered in group sessions (MI-group; n=79), or (3) MI delivered one-on-one sessions (MI-single, n=90).

Results: Self-reported alcohol use was reduced from a median of 90 drinks/month at baseline to 60 drinks/month at 6-month follow-up. A Wilcoxon sign-rank test indicated a significant reduction in alcohol use in the total sample (p<.05). In multiple logistic regression analysis controlling for alcohol consumption at baseline and other covariates, no differences by condition were found.

Discussion: As compared to two programs delivered by MI specialists, a culturally-sensitive and easy to implement nurse-led HHP program produced similar reductions in alcohol use over 6 months. Employing nurse-led programs may allow cost savings for treatment programs as well as a greater integration of alcohol reduction counseling along with a more comprehensive focus on general health-related issues than previously conducted.

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Conflict of interest statement

Conflict of Interest:

All authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Description of the Sample. a. Methadone Maintained. b. Alcohol Severity Index. c. Motivational Interviewing – Single. d. Motivational Interviewing – Group. e. Nurse-led Hepatitis Health Promotion. f. Follow-up.
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