title: The Effectiveness of the Treatment Readiness and Induction Program (TRIP) for Improving During-Treatment Outcomes.
abstract: Treatment engagement is a primary pathway to change. Because motivation consistently predicts engagement and sustained recovery following treatment, targeted efforts at improving problem recognition (i.e., a significant ingredient in motivation) during early weeks of treatment are critical. The purpose of this study is to compare the effectiveness of Standard Operating Practice (SOP) versus SOP plus an 8-session Treatment Readiness and Induction Program (TRIP; delivered in the first weeks of treatment) on cognitive indicators and treatment engagement among youth in 5 residential substance use treatment settings. Structural Equation Modeling (SEM) documented higher problem recognition, decision making, and treatment engagement (participation, satisfaction, counselor rapport) among youth receiving TRIP (compared to SOP only), even when controlling for background characteristics such as age, race-ethnicity, gender, baseline drug use severity, etc. Findings suggest that TRIP is an effective induction tool that directly impacts targeted constructs (i.e., problem recognition, decision making), and also directly affects indicators of engagement.
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX USA. Electronic address: d.knight@tcu.edu.
authors.forename: Danica K
authors.initials: DK
authors.lastname: Knight
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX USA.
authors.forename: George W
authors.initials: GW
authors.lastname: Joe
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX USA.
authors.forename: Rachel D
authors.initials: RD
authors.lastname: Crawley
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX USA.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Becan
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX USA.
authors.forename: Donald F
authors.initials: DF
authors.lastname: Dansereau
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX USA.
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Flynn
mesh_terms: D000293:Adolescent; D003657:Decision Making; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009042:Motivation; D012114:Residential Treatment; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
keywords: Adolescents; Treatment engagement; Treatment motivation; Treatment readiness intervention