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Normative Feedback and Adolescent Readiness to Change: A Small Randomized Trial
Douglas C Smith1, Jordan P Davis1, Daniel J Ureche1
1University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Normative feedback (NF) did not significantly impact adolescent readiness for change in motivational interviewing (MI). Treatment satisfaction and MI quality were high, regardless of NF inclusion for substance use disorder assessments.
Area of Science:
- Addiction research
- Adolescent psychology
- Clinical intervention studies
Background:
- Motivational interviewing (MI) is a common intervention for adolescent substance use.
- The role of normative feedback (NF) as an essential component of MI for this population is unclear.
Purpose of the Study:
- To determine if normative feedback (NF) is a necessary active ingredient in motivational interviewing (MI) for adolescents with substance use problems.
- To assess the impact of NF on adolescents' readiness to change and their perceptions of MI quality.
Main Methods:
- Adolescents with substance use disorder (SUD) assessments were randomized.
- Participants received either MI with NF (MI + NF) or MI only (MI).
- Readiness to change, treatment satisfaction, and MI quality were measured.
Main Results:
- No significant differences were found in readiness to change between the MI + NF and MI groups.
- A nonsignificant decline in readiness to change was observed in the overall sample.
- Treatment satisfaction and MI quality ratings were high and similar across both conditions.
Conclusions:
- Normative feedback may not be a necessary active ingredient in MI for adolescents with SUD.
- Further research with larger samples is needed to explore NF effects and interactions with participant characteristics.
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