2011
Mutual influence in therapist competence and adherence to motivational enhancement therapy
Imel ZE, Baer JS, Martino S, Ball SA, Carroll KM. Mutual influence in therapist competence and adherence to motivational enhancement therapy. Drug And Alcohol Dependence 2011, 115: 229-236. PMID: 21227601, PMCID: PMC3397170, DOI: 10.1016/j.drugalcdep.2010.11.010.Peer-Reviewed Original ResearchMeSH KeywordsBehavior, AddictiveClinical CompetenceCounselingFemaleHealth PersonnelHumansMaleMotivationMulticenter Studies as TopicPatient Acceptance of Health CarePatient ComplianceProfessional CompetenceProfessional-Patient RelationsPsychotherapyRandomized Controlled Trials as TopicSeverity of Illness IndexTreatment OutcomeConceptsMotivational enhancement therapyClinical trialsTherapist adherenceEnhancement therapyMulti-site clinical trialLarge multi-site clinical trialDays of useTreatment protocolTherapists' caseloadsAdherenceTherapist competenceTrialsTherapist performanceClient severityTherapyCaseloadTherapistsThree-level multilevel models
2010
Informal discussions in substance abuse treatment sessions with Spanish-speaking clients
Bamatter W, Carroll KM, Añez LM, Paris M, Ball SA, Nich C, Frankforter TL, Suarez-Morales L, Szapocznik J, Martino S. Informal discussions in substance abuse treatment sessions with Spanish-speaking clients. Journal Of Substance Use And Addiction Treatment 2010, 39: 353-363. PMID: 20817381, PMCID: PMC2967664, DOI: 10.1016/j.jsat.2010.07.005.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyStandard treatmentDrug Abuse Clinical Trials Network protocolTreatment sessionsSubstance abuse treatment outcomesSignificant inverse correlationHispanic clientsEarly treatment sessionsSession audiotapesTreatment outcomesSubstance abuse treatment sessionsEnhancement therapyClient motivationSubstance useInverse correlationTreatment fidelityNational InstituteTreatmentAdverse consequencesTrialsSessionsClient retentionMonolingual SpanishCommunity Program Therapist Adherence and Competence in a Motivational Interviewing Assessment Intake Session
Gibbons CJ, Carroll KM, Ball SA, Nich C, Frankforter TL, Martino S. Community Program Therapist Adherence and Competence in a Motivational Interviewing Assessment Intake Session. The American Journal Of Drug And Alcohol Abuse 2010, 36: 342-349. PMID: 20942726, PMCID: PMC3083446, DOI: 10.3109/00952990.2010.500437.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceCounselingHealth BehaviorHealth PersonnelHumansInterviews as TopicMotivationPatient Acceptance of Health CareProfessional-Patient RelationsPsychiatric Status Rating ScalesResidence CharacteristicsStandard of CareSubstance-Related DisordersTape RecordingTreatment OutcomeTeaching community program clinicians motivational interviewing using expert and train‐the‐trainer strategies
Martino S, Ball SA, Nich C, Canning‐Ball M, Rounsaville BJ, Carroll KM. Teaching community program clinicians motivational interviewing using expert and train‐the‐trainer strategies. Addiction 2010, 106: 428-441. PMID: 20925684, PMCID: PMC3017235, DOI: 10.1111/j.1360-0443.2010.03135.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical CompetenceConnecticutEducation, Medical, ContinuingEducational MeasurementFemaleHumansInterview, PsychologicalMaleMiddle AgedMotivationProgram DevelopmentProgram EvaluationRegression AnalysisSubstance Abuse Treatment CentersSubstance-Related DisordersTeachingTeaching MaterialsTechnology TransferConceptsClinical trial standardsTreatment programPercentage of cliniciansMental health treatment programsCommunity treatment programsMI adherencePrimary outcomeClinician adherenceProgram cliniciansMI performanceTrainer strategyCliniciansAddiction treatmentTrial standardsTrainer approachAdherenceTT conditionsHigh percentageTreatmentSkill-building workshopsTTExMIEffective strategyStudy
2009
The Alliance in Motivational Enhancement Therapy and Counseling as Usual for Substance Use Problems
Crits-Christoph P, Gallop R, Temes CM, Woody G, Ball SA, Martino S, Carroll KM. The Alliance in Motivational Enhancement Therapy and Counseling as Usual for Substance Use Problems. Journal Of Consulting And Clinical Psychology 2009, 77: 1125-1135. PMID: 19968388, PMCID: PMC2829757, DOI: 10.1037/a0017045.Peer-Reviewed Original ResearchA Multisite Randomized Effectiveness Trial of Motivational Enhancement Therapy for Spanish-Speaking Substance Users
Carroll KM, Martino S, Ball SA, Nich C, Frankforter T, Anez LM, Paris M, Suarez-Morales L, Szapocznik J, Miller WR, Rosa C, Matthews J, Farentinos C. A Multisite Randomized Effectiveness Trial of Motivational Enhancement Therapy for Spanish-Speaking Substance Users. Journal Of Consulting And Clinical Psychology 2009, 77: 993-999. PMID: 19803579, PMCID: PMC2792592, DOI: 10.1037/a0016489.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyEnhancement therapySubstance useSubstance usersRandomized Effectiveness TrialIndividual sessionsCurrent substance useX time interactionTreatment condition interactionCondition x time interactionSubstance use problemsClinical trialsEffectiveness trialTreatment exposureTherapy phaseTreatment retentionTreatment sessionsHispanic adultsTherapyHeterogeneous groupHispanic individualsTime interactionIndividual treatmentTrialsUse problemsEvaluating motivational enhancement therapy adherence and competence among Spanish-speaking therapists
Santa Ana EJ, Carroll KM, Añez L, Paris M, Ball SA, Nich C, Frankforter TL, Suarez-Morales L, Szapocznik J, Martino S. Evaluating motivational enhancement therapy adherence and competence among Spanish-speaking therapists. Drug And Alcohol Dependence 2009, 103: 44-51. PMID: 19394164, PMCID: PMC2692434, DOI: 10.1016/j.drugalcdep.2009.03.006.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapySkill factorsNeed of treatmentOutpatient treatment programAdequate fidelityExcellent interrater reliabilitySubstance use problemsUsual sessionTherapy adherenceDrug counselingEnhancement therapyBilingual SpanishTreatment programRating ScaleHispanic individualsIndependent ratingsUse problemsInterrater reliabilitySupervision modelSignificant differencesA treatment for substance abusing pregnant women
Yonkers KA, Howell HB, Allen AE, Ball SA, Pantalon MV, Rounsaville BJ. A treatment for substance abusing pregnant women. Archives Of Women's Mental Health 2009, 12: 221. PMID: 19350369, PMCID: PMC3103065, DOI: 10.1007/s00737-009-0069-2.Peer-Reviewed Original ResearchConceptsPregnant womenMaternal Health ClinicRoutine prenatal careManualized behavioral treatmentYale AdherencePrenatal careClinical trialsHealth clinicsHealth cliniciansBreath testBehavioral treatmentPilot studySubstance useMotivational interviewingSmall urban cityTreatment fidelityTreatment deliveryWomenTherapyCognitive therapyTreatmentSelf-ReportNew HavenClinicCliniciansCorrespondence of motivational enhancement treatment integrity ratings among therapists, supervisors, and observers
Martino S, Ball S, Nich C, Frankforter TL, Carroll KM. Correspondence of motivational enhancement treatment integrity ratings among therapists, supervisors, and observers. Psychotherapy Research 2009, 19: 181-193. PMID: 19396649, PMCID: PMC2782382, DOI: 10.1080/10503300802688460.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyDrug Abuse Clinical Trials Network protocolTraining therapistsEnhancement therapyTherapist performanceGroups of ratersTherapeutic processSupervisorsTherapistsTreatment implementationRatingsCommunity programsDifferent perspectivesObserverCompetenceNational InstituteObjective monitoringRatersPerformanceFindingsCorrespondencePerspectiveConstruct, concurrent and predictive validity of the URICA: Data from two multi-site clinical trials
Field CA, Adinoff B, Harris TR, Ball SA, Carroll KM. Construct, concurrent and predictive validity of the URICA: Data from two multi-site clinical trials. Drug And Alcohol Dependence 2009, 101: 115-123. PMID: 19157723, PMCID: PMC3097110, DOI: 10.1016/j.drugalcdep.2008.12.003.Peer-Reviewed Original ResearchConceptsPredictive validityCommitted actionRhode Island Change AssessmentRole of motivationEffect of motivationBrief motivational interventionMotivational enhancement therapyComposite scoreTreatment outcomesConfirmatory factor analysisAlcohol dependenceDrug Abuse Clinical Trials NetworkClinical trialsMotivational interventionEnhancement therapyMotivational interviewingAlcohol-dependent patientsFactor structureAddiction severityMulti-site clinical trialSubstance useClinical Trials NetworkConstruct validityTreatment retentionURICADepressive Symptoms, Drinking Consequences, and Motivation to Change in First Time DWI Offenders
Holt LJ, O'Malley SS, Rounsaville BJ, Ball SA. Depressive Symptoms, Drinking Consequences, and Motivation to Change in First Time DWI Offenders. The American Journal Of Drug And Alcohol Abuse 2009, 35: 117-122. PMID: 19462293, PMCID: PMC3679647, DOI: 10.1080/00952990802585398.Peer-Reviewed Original ResearchConceptsBeck Depression InventoryDepressive symptomsFirst-time DWI offendersPretreatment depressive symptomsUseful screening toolHigh-risk drinkingPsychosocial assessmentSevere symptomatologyDrinking consequencesAlcohol consumptionDepression InventorySymptomsDWI arrestsScreening toolTime pointsDWI offendersIntervention outcomesDrinking-related consequencesSubsequent treatmentDrinking behaviorPsychological disordersInterventionArrestDrinkingCurrent study
2008
Informal discussions in substance abuse treatment sessions
Martino S, Ball SA, Nich C, Frankforter TL, Carroll KM. Informal discussions in substance abuse treatment sessions. Journal Of Substance Use And Addiction Treatment 2008, 36: 366-375. PMID: 18835679, PMCID: PMC2705985, DOI: 10.1016/j.jsat.2008.08.003.Peer-Reviewed Original ResearchConceptsMotivational interviewingDrug Abuse Clinical Trials Network protocolSubstance abuse treatment sessionsSubstance use outcomesProficient implementationMI proficiencyClient motivationTreatment sessionsCounselor trainingTreatment fidelityUse outcomesSession changesCounselorsProgram retentionSessionsClientsMajor findingsTreatment strategiesInterviewingPersonal informationInformal discussionsMotivationProficiencyFindingsNational InstituteCommunity program therapist adherence and competence in motivational enhancement therapy
Martino S, Ball SA, Nich C, Frankforter TL, Carroll KM. Community program therapist adherence and competence in motivational enhancement therapy. Drug And Alcohol Dependence 2008, 96: 37-48. PMID: 18328638, PMCID: PMC2692429, DOI: 10.1016/j.drugalcdep.2008.01.020.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelClinical CompetenceCognitive Behavioral TherapyCommunity Mental Health ServicesDirective CounselingEducationFemaleHumansMaleMotivationPatient Acceptance of Health CarePatient ComplianceProfessional-Patient RelationsSubstance Abuse Treatment CentersSubstance-Related DisordersTeachingTreatment OutcomeConceptsMotivational enhancement therapyUsual sessionEnhancement therapyTreatment programClinical supervisionClient treatment outcomesExpert-led workshopsCommunity treatment programsTherapist adherenceClient motivationMotivational interviewingDrug counselingAddiction treatment programsSkill factorsIndependent ratingsSession changesWorkshop trainingAdequate fidelityCompetence itemsStandard counselingTherapistsTreatment adherenceSessionsCompetenceCommunity programs
2007
Site Matters: Multisite Randomized Trial of Motivational Enhancement Therapy in Community Drug Abuse Clinics
Ball SA, Martino S, Nich C, Frankforter TL, Van Horn D, Crits-Christoph P, Woody GE, Obert JL, Farentinos C, Carroll KM. Site Matters: Multisite Randomized Trial of Motivational Enhancement Therapy in Community Drug Abuse Clinics. Journal Of Consulting And Clinical Psychology 2007, 75: 556-567. PMID: 17663610, PMCID: PMC2148493, DOI: 10.1037/0022-006x.75.4.556.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapySubstance useEnhancement therapyBrief intervention conditionsOutpatient substance abuse programsSubstance use reductionDrug abuse clinicsSubstance abuse programsSession audiotapesRandomized trialsClinical trialsMultisite Randomized TrialSustained reductionTherapy phaseDrug usersPrimary alcohol usersAlcohol usersAbuse programsIntervention conditionSignificant increaseTherapyTrialsCAUOutpatientsClinic
2006
Brief motivational enhancement and coping skills interventions for heavy drinking
Ball SA, Todd M, Tennen H, Armeli S, Mohr C, Affleck G, Kranzler HR. Brief motivational enhancement and coping skills interventions for heavy drinking. Addictive Behaviors 2006, 32: 1105-1118. PMID: 16945487, DOI: 10.1016/j.addbeh.2006.07.014.Peer-Reviewed Original ResearchConceptsBrief motivational enhancementBrief interventionMotivational enhancementCoping skills interventionWaiting-list participantsHeavy drinking adultsSkills interventionCoping skillsList conditionCommunity sampleDrinking adultsList participantsDependent individualsHand-held computersHeavy drinkingParticipantsIntervention phaseDrinkingInterventionSkillsIntervention subjectsAdultsIndividuals
2005
Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study
Carroll KM, Ball SA, Nich C, Martino S, Frankforter TL, Farentinos C, Kunkel LE, Mikulich-Gilbertson SK, Morgenstern J, Obert JL, Polcin D, Snead N, Woody GE, Network F. Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study. Drug And Alcohol Dependence 2005, 81: 301-312. PMID: 16169159, PMCID: PMC2386852, DOI: 10.1016/j.drugalcdep.2005.08.002.Peer-Reviewed Original ResearchConceptsClinical practiceCommunity-based treatment settingsCourse of treatmentStandard clinical practiceCommunity-based cliniciansForm of treatmentMultisite effectiveness studyMI techniquesMotivational interviewing techniquesSubstance use outcomesSession audiotapesEvaluation sessionsOutpatient treatmentClinical trialsImproved outcomesStandard interventionTreatment settingsTreatment engagementBehavioral therapyEffectiveness studiesSubstance abuseSame sessionUse outcomesHigher skill ratingsSubstance usersReasons for dropout from drug abuse treatment: Symptoms, personality, and motivation
Ball SA, Carroll KM, Canning-Ball M, Rounsaville BJ. Reasons for dropout from drug abuse treatment: Symptoms, personality, and motivation. Addictive Behaviors 2005, 31: 320-330. PMID: 15964152, DOI: 10.1016/j.addbeh.2005.05.013.Peer-Reviewed Original ResearchConceptsAbuse treatmentMaladaptive personality functioningSelf-reported assessment dataSubstance abuse treatmentDrug abuse treatmentPersonality functioningClient motivationSubjective reasonsParticipants' symptomsSubstance abuseDropout risk factorsPrevious researchClient's perspectiveMotivationProgram staffOutpatient treatmentEarly attritionAssessment dataDropoutRisk factorsPersonalityFunctioningReengagementSymptomsAbuse
2002
Characteristics, beliefs, and practices of community clinicians trained to provide manual-guided therapy for substance abusers
Ball S, Bachrach K, DeCarlo J, Farentinos C, Keen M, McSherry T, Polcin D, Snead N, Sockriter R, Wrigley P, Zammarelli L, Carroll K. Characteristics, beliefs, and practices of community clinicians trained to provide manual-guided therapy for substance abusers. Journal Of Substance Use And Addiction Treatment 2002, 23: 309-318. PMID: 12495792, DOI: 10.1016/s0740-5472(02)00281-7.Peer-Reviewed Original ResearchConceptsDrug Abuse Clinical Trials NetworkManual-guided therapiesClinical Trials NetworkSample of cliniciansCommunity treatment programsMotivational enhancement therapyCommunity cliniciansCommunity providersTreatment programTrials NetworkTherapyEnhancement therapyCliniciansPrior exposureSubstance abusersMotivational interviewingTreatment manualAddiction therapyRecovery statusCounseling techniquesSuccessful disseminationParticipantsHigh levelsWilling participantsMET meets the real world: design issues and clinical strategies in the Clinical Trials Network
Network F, Carroll K, Farentinos C, Ball S, Crits-Christoph P, Libby B, Morgenstern J, Obert J, Polcin D, Woody G. MET meets the real world: design issues and clinical strategies in the Clinical Trials Network. Journal Of Substance Use And Addiction Treatment 2002, 23: 73-80. PMID: 12220604, PMCID: PMC3651591, DOI: 10.1016/s0740-5472(02)00255-6.Peer-Reviewed Original ResearchConceptsClinical Trials NetworkBrief behavioral treatmentMotivational enhancement therapyDrug abuse treatment programsSubstance abuse treatmentCommunity-based drug abuse treatment programsEnhancement therapyTraining of cliniciansBehavioral treatmentMotivational interviewingTrials NetworkAbuse treatmentCommunity programsTreatment programStudy treatmentRange of studiesClinical trialsClinical strategiesReal worldTrainingStudy sampleTreatmentInterviewingProgramPharmacologic