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Motivational interviewing to enhance adolescent mental health treatment engagement: a randomized clinical trial

Published online by Cambridge University Press:  05 April 2016

S. Dean ,
E. Britt ,
E. Bell ,
J. Stanley  and
S. Collings
S. Dean*
Affiliation:
Social Psychiatry & Population Mental Health Research Unit, University of Otago, Wellington, New Zealand
E. Britt
Affiliation:
Department of Psychology, University of Canterbury, Christchurch,New Zealand
E. Bell
Affiliation:
Department of Psychological Medicine, University of Otago, Wellington,New Zealand Rehabilitation Teaching and Research Unit, University of Otago, Wellington,New Zealand
J. Stanley
Affiliation:
Department of Public Health, University of Otago, Wellington,New Zealand
S. Collings
Affiliation:
Social Psychiatry & Population Mental Health Research Unit, University of Otago, Wellington, New Zealand
*
*Address for correspondence: S. Dean, Dean's Department, Social Psychiatry & Population Mental Health Research Unit, University of Otago, Wellington, New Zealand. (Email: shaystah.dean@postgrad.otago.ac.nz)
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Abstract

Background

The prevalence of anxiety and mood disorders in adolescents is a growing public health concern worldwide. Given the high rates of drop-out and limited resources available in psychiatric settings, the importance of engaging adolescents in evidence-based treatments cannot be understated. The aim of the study was to determine the efficacy of motivational interviewing (MI), as a brief pre-treatment intervention, to enhance treatment engagement in a standard therapy setting (group cognitive behavioral therapy; gCBT) for adolescents with anxiety and mood disorders.

Method

Ninety-six adolescents (13–18 years) with a principal diagnosis of an anxiety or mood disorder participated in a trial conducted at two publicly funded outpatient services. Participants were randomly assigned to individual MI for treatment engagement prior to gCBT (MI + gCBT), or to an individually administered active control (befriending) prior to gCBT (befriending + gCBT). Eight pairs of gCBT were run in parallel. Outcome measures were the mean number of gCBT sessions attended, treatment initiation, and ratings of readiness for treatment.

Results

Participants randomized to MI as a pretreatment intervention attended significantly more group therapy sessions compared to those in the active control condition. The MI group also demonstrated greater treatment initiation, and ratings of treatment readiness were significantly higher for those randomized to MI.

Conclusions

MI, used as a pre-treatment intervention, enhanced group treatment engagement in adolescents diagnosed with anxiety and mood disorders compared to the active control condition. MI is a promising intervention to facilitate engagement in adolescent mental health settings.

Keywords

Adolescent mental healthmotivational interviewingtreatment engagement
Type
Original Articles
Information
Psychological Medicine , Volume 46 , Issue 9 , July 2016 , pp. 1961 - 1969
Copyright
Copyright © Cambridge University Press 2016 

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