Normative Feedback and Adolescent Readiness to Change: A Small Randomized Trial

Abstract

For adolescents with substance use problems, it is unknown whether the provision of normative feedback is a necessary active ingredient in motivational interviewing (MI). This study investigated the impact of normative feedback on adolescents' readiness to change and perceptions of MI quality. Adolescents referred for substance use disorder (SUD) assessments were randomized to MI with normative feedback (NF; MI + NF, n = 26) or MI only (MI, n = 22). There were no significant differences between the MI + NF or MI conditions with reference to changes in readiness, and although not significant, there was a decline in readiness for the overall sample. Treatment satisfaction and ratings of MI quality were generally high with no between-group differences. Post hoc analyses revealed a nonsignificant trend where race interacted with treatment condition. Larger replication studies are needed to further study the effects of NF and potential NF by participant characteristic interactions.

Keywords: African Americans; addictions; adolescents; field of practice; motivational interviewing; normative feedback; outcome study; population; readiness to change.

Figure 1

CONSORT participant flow diagram.

Figure 2

Treatment satisfaction and Client Evaluation of Motivational Interviewing (CEMI) Scale scores for motivational interviewing (MI) and MI + normative feedback (NF) participants.