A pilot test of a motivational interviewing social network intervention to reduce substance use among Housing First residents

Kennedy, David P.; Osilla, Karen Chan; Hunter, Sarah B.; Golinelli, Daniela; Maksabedian Hernandez, Ervant; Tucker, Joan S.

doi:10.1016/j.jsat.2017.12.005

Cited by 40Substance Abuse Treatment and OutcomesHomelessness and Social IssuesHIV, Drug Use, Sexual Risk

A pilot test of a motivational interviewing social network intervention to reduce substance use among Housing First residents

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Kennedy, David P., Osilla, Karen Chan, Hunter, Sarah B., Golinelli, Daniela, Maksabedian Hernandez, Ervant, Tucker, Joan S.·2018·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2017.12.005PMC PMC5808606

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Abstract

This article presents findings of a pilot test of a Motivational Interviewing social network intervention (MI-SNI) to enhance motivation to reduce high risk alcohol and other drug (AOD) use among formerly homeless individuals transitioning to housing. Delivered in-person by a facilitator trained in MI, this four-session computer-assisted intervention provides personalized social network visualization feedback to help participants understand the people in their network who trigger their alcohol and other drug (AOD) use and those who support abstinence. If ready, participants are encouraged to make changes to their social network to help reduce their own high-risk behavior. Participants were 41 individuals (33 male, 7 female, 1 other; 23 African-American, 5 non-Latino White, 6 Latino, 7 other, mean age 48) who were transitioning from homelessness to permanent supportive housing. They were randomly assigned to either the MI-SNI condition or usual care. Readiness to change AOD use, AOD abstinence self-efficacy, and AOD use were assessed at baseline and shortly after the final intervention session for the MI-SNI arm and around 3-months after baseline for the control arm. Acceptability of the intervention was also evaluated. MI-SNI participants reported increased readiness to change AOD use compared to control participants. We also conducted a subsample analysis for participants at one housing program and found a significant intervention effect on readiness to change AOD use, AOD abstinence self-efficacy, and alcohol use compared to control participants. Participants rated the intervention as highly acceptable. We conclude that a brief computer-assisted Motivational Interviewing social network intervention has potential to efficaciously impact readiness to change AOD use, AOD abstinence self-efficacy, and AOD use among formerly homeless individuals transitioning to permanent supportive housing, and warrants future study in larger clinical trials.

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Studies comparing Housing First with Treatment First or TAU reported mixed results on clients' alcohol and illegal substance use.
“Studies comparing Housing First with Treatment First programs7,26 or TAU15,22,24,28 reported mixed results on clients’ alcohol and illegal substance use”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [22]
The Introduction reports that Housing First residents had similar or improved alcohol and other drug outcomes relative to programs requiring abstinence and treatment, while also citing evidence of no reduction compared with treatment as usual. But the Methods (section 2.4) show that this paper tested an intervention among Housing First residents; it did not itself compare Housing First with Treatment First or treatment as usual, as the citing sentence implies. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measured
One randomized pilot study examined the effects of a motivational interviewing social network intervention for new Housing First tenants on binge drinking in the past month.
“One randomized pilot study examined the effects of a motivational interviewing social network intervention for new Housing First tenants on binge drinking in the past month (Kennedy et al., 2018).”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Kennedy et al., 2018
Two studies in this review highlighted the feasibility of implementing adjunct interventions to facilitate behavioural change related to alcohol harms.
“Two studies in our review (Clifasefi et al., 2020; Kennedy et al., 2018) highlighted the feasibility of implementing adjunct interventions to facilitate behavioural change related to alcohol harms.”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Kennedy et al., 2018

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Additional file 1 of Integrating traditional practices and social network visualization to prevent substance use: study protocol for a randomized controlled trial among urban Native American emerging adults
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Feasibility of a computer-assisted social network motivational interviewing intervention to reduce substance use and increase supportive connections among emerging adults transitioning from homelessness to housing
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Self-citation
A computer-assisted motivational social network intervention to reduce alcohol, drug and HIV risk behaviors among Housing First residents
Kennedy, D. P., Hunter, S. B., Osilla, K. C., Hernandez, E. J. M., Golinelli, D., & Tucker, J. S. (2016) · Addiction Science & Clinical Practice · doi:10.1186/s13722-016-0052-y · Cited by 37 · see citing works
Self-citation
Feasibility of a computer-assisted social network motivational interviewing intervention for substance use and HIV risk behaviors for housing first residents
Osilla, K. C., Kennedy, D. P., Hunter, S. B., & Hernandez, E. J. M. (2016) · Addiction Science & Clinical Practice · doi:10.1186/s13722-016-0061-x · Cited by 18 · see citing works
Self-citation
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Kennedy, D. P., D’Amico, E. J., Brown, R. A., Palimaru, A. I., Dickerson, D. L., Johnson, C. L., & Lopez, A. (2022) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00334-1 · Cited by 11 · see citing works
Self-citation
Motivational Interviewing-based interventions for reducing substance misuse and increasing treatment engagement, retention, and completion in the homeless populations of high-income countries: An equity-focused systematic review and narrative synthesis
Orciari, E. A., Perman‐Howe, P. R., & FOXCROFT, D. R. (2021) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2021.103524 · Cited by 11 · see citing works

Authors: Kennedy, D. P., Osilla, K. C., Hunter, S. B., Golinelli, D., Maksabedian Hernandez, E., & Tucker, J. S.
Affiliations: RAND Corporation (US)
Corresponding author: Kennedy, David P.
Osilla, Karen Chan
Hunter, Sarah B.
Golinelli, Daniela
Tucker, Joan S.
ORCID: Kennedy, David P.
Osilla, Karen Chan
Hunter, Sarah B.
Golinelli, Daniela
Maksabedian Hernandez, Ervant
Tucker, Joan S.
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2018-03
Volume: 86
Pages: 36-44
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2017.12.005
PMC: PMC5808606
OpenAlex: W2772956407
Semantic Scholar: 7b19553ec7a588ce643c4744915f8bfc38fd2330
Cited by: 40
References: 76
Citations by year: 2026: 3 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 10 · 2020: 4 · 2019: 2 · 2018: 4
FWCI: 2.14
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R34 DA034855)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords: motivational interviewing, social network intervention, substance use reduction, alcohol consumption, drug use, Housing First, permanent supportive housing, social network visualization, abstinence self-efficacy, readiness to change, computer-based intervention, treatment acceptability
MeSH terms: Adult, Female, Ill-Housed Persons, Housing, Humans, Male, Middle Aged, Pilot Projects, Los Angeles, Substance-Related Disorders, Social Networking, Motivational Interviewing

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A pilot test of a motivational interviewing social network intervention to reduce substance use among Housing First residents

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