Tailored Motivational Interviewing Implementation-Effectiveness Trial in Multidisciplinary Adolescent HIV Care Settings
CompletedResults postedLast updated 15 January 2025
What this trial tests
trial testing Competency: 12-Item Motivational Interviewing (MI) Coach Rating Scale (CRS) in HIV Infections in 188 participants. Completed in 31 December 2021.
Adults 18 to 65, any sex, with HIV Infections or Adolescent Development. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Raw Average: 12-Item Motivational Interviewing (MI) Coach Rating Scale (CRS)Primary· Every three months over fifteen months
Providers will complete a 15-minute standard patient role-play at each point during baseline, implementation and sustainment.
The Research Assistant (RA) will code these interactions on the 12-item MI CRS and reliability will continue to be monitored with one coding per month co-coded by Dr. Naar. These reports will be cumulatively reported and collected quarterly. Each item on the CRS has a score of 1 (lowest) to 4 (highest). The 12 scores are added and averaged for a score that reflects competency: \<2.0=Beginner. \>=2.0 to \<2.6. \>=2.6 to \<3.3=Intermediate. \>=3.3=Advanced. The outcomes
Implementation Phase
Group
Value
95% CI
Block 1 Site 7 - CoP Alone
2.72
± 0.45
Block 1 Site 10 - CoP Facilitated
2.50
± 0.46
Block 2 Site 3 - CoP Facilitated
1.99
± 0.34
Block 2 Site 8 - CoP Alone
2.32
± 0.51
Block 3 Site 1 - CoP Facilitated
2.47
± 0.53
Block 3 Site 11 - CoP Alone
2.91
± 0.37
Block 4 Site 2 - CoP Facilitated
2.62
± 0.50
Block 4 Site 12 - CoP Alone
2.39
± 0.43
Block 5 Site 6 - CoP Alone
2.63
± 0.49
Block 5 Site 13 - CoP Facilitated
2.66
± 0.48
Sustainment Phase
Group
Value
95% CI
Block 1 Site 7 - CoP Alone
2.78
± 0.43
Block 1 Site 10 - CoP Facilitated
2.59
± 0.26
Block 2 Site 3 - CoP Facilitated
2.19
± 0.37
Block 2 Site 8 - CoP Alone
2.19
± 0.26
Block 3 Site 1 - CoP Facilitated
2.38
± 0.56
Block 3 Site 11 - CoP Alone
2.82
± 0.43
Block 4 Site 2 - CoP Facilitated
2.73
± 0.51
Block 4 Site 12 - CoP Alone
2.41
± 0.48
Block 5 Site 6 - CoP Alone
2.76
± 0.61
Block 5 Site 13 - CoP Facilitated
2.65
± 0.45
Change in Individual Patients' Records Report Related to HIV Viral LoadSecondary· 12 months prior to start; The end of the 12 month intervention, and 6 months after end of implementation interview
Record/chart abstraction conducted for patients in care at the site for
* The 12 months prior to the start of implementation
* The 12 months during implementation; and
* The 6 months after the end of the implementation intervention.
These data include viral load
Baseline Phase - 12 months prior to the start of implementation
Group
Value
95% CI
Block 1 Site 7
1.88
± 0.80
Block 1 Site 10
2.43
± 1.04
Block 2 Site 3
2.29
± 1.05
Block 2 Site 8
2.28
± 1.12
Block 3 Site 1
2.30
± 1.17
Block 3 Site 11
2.20
± 0.99
Block 4 Site 2
2.36
± 1.25
Block 4 Site 12
2.35
± 1.20
Block 5 Site 6
1.92
± 1.70
Block 5 Site 13
1.11
± 2.89
Implementation Phase - 12 months during implementation
Group
Value
95% CI
Block 1 Site 7
1.85
± 0.86
Block 1 Site 10
1.81
± 0.61
Block 2 Site 3
2.12
± 1.25
Block 2 Site 8
1.89
± 0.97
Block 3 Site 1
2.00
± 1.07
Block 3 Site 11
2.07
± 1.09
Block 4 Site 2
2.12
± 1.27
Block 4 Site 12
2.10
± 1.21
Block 5 Site 6
1.78
± 1.49
Block 5 Site 13
2.38
± 1.25
Sustainment Phase - 6 months after the end of the implementation
Group
Value
95% CI
Block 1 Site 7
1.88
± 0.83
Block 1 Site 10
1.80
± 0.59
Block 2 Site 3
2.31
± 1.23
Block 2 Site 8
2.00
± 1.10
Block 3 Site 1
1.98
± 1.08
Block 3 Site 11
1.90
± 0.77
Block 4 Site 2
2.22
± 1.19
Block 4 Site 12
1.76
± 0.87
Block 5 Site 6
1.79
± 0.77
Block 5 Site 13
2.17
± 1.15
Sponsor's own description
The goal of this study is to test a multi-faceted Tailored Motivational Interviewing Implementation intervention (TMI), based on the Dynamic Adaptation Process (DAP) to scale up an Evidence-based Practice (EBP) in multidisciplinary adolescent HIV care settings while balancing flexibility and fidelity.
A mixed-methods design will be used, in which the dominant method is quantitative (a dynamic wait-listed design; DWLD) to determine the impact of TMI on the integration of MI with fidelity in 10 adolescent HIV clinics with an average of 15 providers and 100 patients each.
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Florida State University
Last refreshed: 15 January 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03681912.