Self-Talk Videos for Reducing Alcohol Consumption

Overseen By Jennifer Stidham, BA

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Wayne State University

Disqualifiers: Failure to meet inclusion criteria

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: 1

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new method to help people reduce drinking through motivational interviews and self-talk videos. Participants will either have a simple interview, an interview plus a video, or just answer questions without any intervention. The video group will create a personal video message about their reasons for wanting to drink less and their commitment to doing so. This video will be sent to them later as a reminder. Individuals who drink heavily and have internet access with a camera and microphone might be suitable for this trial. As an unphased trial, this study offers a unique opportunity to explore innovative methods for reducing alcohol consumption.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this method is safe for reducing alcohol consumption?

Research has shown that motivational interviewing (MI) is generally safe and well-tolerated for reducing alcohol use. Studies have found that MI helps individuals reflect on their drinking habits and encourages change without causing harm. Its supportive and non-judgmental nature contributes to its popularity.

Introducing self-talk videos is a newer concept, but it is not expected to cause harm. This involves participants speaking positively to themselves. Similar motivational techniques have not reported negative effects. Based on current knowledge, both motivational interviewing and self-talk videos are considered safe for participants. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about using self-talk videos alongside motivational interviews to help reduce alcohol consumption because this approach adds a unique psychological component to the treatment process. While traditional methods often rely on counseling or medication, this treatment leverages personalized video messages to reinforce positive behavior change and self-motivation. By targeting the mental and emotional aspects of addiction, this method could offer a more engaging and empowering alternative to standard care, potentially increasing the effectiveness of the intervention.

What evidence suggests that this trial's treatments could be effective for reducing alcohol consumption?

Research has shown that motivational interviewing (MI) can help people reduce alcohol consumption. Studies have found that MI not only decreases drinking but also keeps individuals engaged in their treatment. In this trial, some participants will receive MI combined with a personalized self-talk video, which might enhance its effectiveness. This video encourages individuals to communicate with their future selves about their reasons for reducing alcohol intake. This new method, based on motivational concepts, aims to strengthen commitment to change. While early results are promising, further research is needed to determine the video's impact on enhancing MI. ^{1 2 3 6 7}

Are You a Good Fit for This Trial?

This trial is for individuals struggling with alcohol consumption or abuse. Participants should be willing to undergo motivational interviewing and, if assigned, create a self-talk video addressing their future selves about reducing alcohol use.

Inclusion Criteria

Accessibility to internet and laptop with camera and microphone

Meets National Institute on Alcohol Abuse and Alcoholism criteria for heavy drinking

Exclusion Criteria

Failure to meet inclusion criteria

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants complete a semi-structured, motivational intervention. BMI + video group participants create a personalized video for future self-motivation.

6 weeks

1 visit (in-person) for baseline session

Post-Intervention Contact

Participants in the BMI + video group receive their personalized videos 21 days after the baseline session to reinforce motivation.

3 weeks

Follow-up

Participants are monitored for changes in alcohol use and satisfaction with the intervention.

6 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Motivational Interview with Self-Talk Video

Trial Overview The study tests whether adding a personalized self-talk video to standard motivational interviewing helps reduce alcohol use more effectively. Participants are divided into three groups: control, standard intervention (BMI), and BMI plus the self-talk video.

How Is the Trial Designed?

Group I: Motivational Interview Plus Video Experimental Treatment 1 Intervention

Group II: Assessment Only Active Control 1 Intervention

Group III: Motivational Interview Only Active Control 1 Intervention

Who Is Running the Clinical Trial?

Wayne State University

Lead Sponsor

Trials

318

Recruited

111,000+

Published Research Related to This Trial

Motivational interviewing (MI) significantly reduces substance use compared to no treatment, with the strongest effect observed immediately after the intervention (SMD 0.79), but the effect diminishes over time, becoming non-significant in long-term follow-ups.

MI shows no significant advantage over standard treatment methods, but it outperforms assessment and feedback interventions in medium-term follow-ups (SMD 0.38), indicating its potential value in specific contexts.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Motivational interviewing for substance abuse. Smedslund, G., Berg, RC., Hammerstrøm, KT., et al.[2022]

In a study involving HIV-infected patients who consumed heavy alcohol, the combination of brief motivational interviewing (MI) and HealthCall (an interactive voice response system) significantly reduced the number of drinks per day compared to a control group, showing the potential for enhanced intervention in this population.

While MI alone also showed some effectiveness, the MI+HealthCall group had the most substantial reduction in drinking, particularly among alcohol-dependent patients, suggesting that this approach could be a valuable tool in HIV primary care settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Reducing heavy drinking in HIV primary care: a randomized trial of brief intervention, with and without technological enhancement. Hasin, DS., Aharonovich, E., O'Leary, A., et al.[2021]

Motivational interviewing (MI) significantly increased 'change talk' among problem drinkers compared to a relational MI without directive elements (spirit-only MI), suggesting that MI effectively engages clients in discussions about change.

While all treatment conditions (MI, SOMI, and self-change control) led to a reduction in drinking over the 8-week period, MI was found to reduce drinking more rapidly, indicating its potential for quicker behavioral change in substance use treatment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Motivational interviewing: a pilot test of active ingredients and mechanisms of change. Morgenstern, J., Kuerbis, A., Amrhein, P., et al.[2022]

In a study involving 47 undergraduates with drinking concerns, change talk was significantly more prevalent in the change talk evocation condition compared to the functional analysis condition, indicating that specific techniques can effectively elicit client motivation for behavior change.

The results support the idea that change talk is a key component of motivational interviewing, suggesting that training clinicians to recognize and respond to this language could enhance their effectiveness in promoting behavioral change.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Chasing change talk: the clinician's role in evoking client language about change. Glynn, LH., Moyers, TB.[2010]

The study found that an automated motivational interviewing technique (TAMI) effectively elicited 'change talk' from participants, with an average of 16 out of 25 responses indicating motivation for change, suggesting its potential efficacy in enhancing motivation.

Participants appreciated the opportunity to reflect on their goals during the automated interview, although they expressed a desire for a more personalized interaction, indicating that while TAMI is motivating, improvements could enhance user experience.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Say it aloud: Measuring change talk and user perceptions in an automated, technology-delivered adaptation of motivational interviewing delivered by video-counsellor. Galvão Gomes da Silva, J., Kavanagh, DJ., May, J., et al.[2020]

Alcoholics who underwent videotape self-confrontation therapy showed significantly greater positive changes in their drinking behaviors compared to those receiving only behavior counseling or standard inpatient treatment, based on a study involving 40 participants divided into four groups.

The study found that the effectiveness of the experimental treatments, especially videotape self-confrontation, was predictive of better drinking outcomes during follow-up assessments, indicating its potential as a valuable intervention in alcohol treatment programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effects of videotaped modeling and self-confrontation on the drinking behavior of alcoholics. Baker, TB., Udin, H., Vogler, RE.[2019]

Many individuals with alcohol dependence do not receive proper diagnosis or treatment in primary care due to stigma and lack of knowledge among healthcare professionals, highlighting the need for better training and awareness.

Motivational Interviewing and brief interventions, which involve empathetic communication and support for self-efficacy, can significantly improve outcomes for patients with alcohol-related disorders, making primary care a suitable setting for effective screening and intervention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Early detection, negotiation and treatment of alcohol use disorders in primary care]. Reimer, J., Cimander, KF., Reimer, C.[2014]

The study found that using a 'Motivational Interviewing' style significantly improved self-efficacy in individuals receiving treatment for alcohol-related problems, as measured by the Situational Confidence Questionnaire (SCQ).

In contrast, clients who received 'Advice' did not show the same increase in confidence, suggesting that the interview style can impact treatment outcomes and may inform clinical practices in alcohol treatment programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Minimal interventions with problem drinkers--a pilot study of the effect of two interview styles on perceived self-efficacy. Galbraith, IG.[2009]

Motivational interviewing effectively helps alcohol-dependent patients tap into their own motivations for change, emphasizing the importance of the patient's autonomy and inner voice rather than external motivation.

The technique involves a structured approach using principles like OARS (Open-ended questions, Affirmations, Reflective listening, Summarizing) and the EPE (Explore, Provide, Explore) method, which can enhance the likelihood of positive behavior change by fostering 'change talk' during conversations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Motivational interviewing with alcohol-dependent patients]. Spaeth, M., Bleich, S., Hillemacher, T.[2018]

The study involving 158 Latinx heavy drinkers found that specific aspects of self-exploration during motivational interviews, particularly cognitive insights, were linked to reduced drinking days, suggesting that deeper self-reflection can aid in behavior change.

The adapted measure of self-exploration demonstrated good reliability and validity, indicating it could be a useful tool for understanding the relationship between self-exploration and drinking behavior in therapeutic settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Examining client self-exploration in motivational interviewing: Preliminary psychometrics of an observational rating measure. Lee, CS., Magill, M., Figuereo, VJ., et al.[2022]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6121710/

Dismantling Motivational Interviewing: Effects on Initiation ... Results indicated a significant reduction in drinking during treatment, but no significant differences across conditions (Morgenstem et al, 2012). Study results ...

2. withpower.com withpower.com/trial/phase-alcohol-drinking-3-2024-63d2a

Self-Talk Videos for Reducing Alcohol Consumption Trial Overview The study tests whether adding a personalized self-talk video to standard motivational interviewing helps reduce alcohol use more effectively.

3. case.edu case.edu/socialwork/centerforebp/sites/default/files/2024-11/MI%20and%20MET%20for%20AUD%20Full%20Report-09242024-upd-11-15-2024.pdf

Motivational interviewing and motivational enhancement ... Several studies found that MI and MET led to significant reductions in alcohol use, binge or heavy drinking, and high treatment retention.

4. americanaddictioncenters.org americanaddictioncenters.org/therapy-treatment/motivational-interviewing

Motivational Interviewing For Substance Abuse Treatment Studies indicate that utilizing MI in the treatment of substance use disorders yields positive behavioral outcomes when compared to no treatment ...

5. mecp.springeropen.com mecp.springeropen.com/articles/10.1186/s43045-023-00377-3

The outcome of integrated motivational interviewing and ... The authors aimed to evaluate the outcome of combined motivational interviewing and cognitive-behavioral therapy (MICBT) for substance use disorder

6. library.samhsa.gov library.samhsa.gov/sites/default/files/tip-35-pep19-02-01-003.pdf

SAMHSA TIP 35 Enhancing Motivation for Change in ... motivational interviewing interventions to reduce alcohol- exposed pregnancy risk. Journal of Substance Abuse. Treatment, 44(4), 407–416. doi:10.1016/j.jsat ...

7. youtube.com youtube.com/watch?v=67I6g1I7Zao

Motivational Interviewing - Good Example - Alan Lyme Motivational Interviewing Role-Play - Doubts about Substance Use after DUI. Dr. Todd Grande · 47K views ; Introduction to Motivational ...