A pilot training program for a motivational enhancement approach to hepatitis C virus treatment among individuals in Israeli methadone treatment Centers

Diane S. Morse*, Miriam Schiff, Shabtay Levit, Rinat Cohen-Moreno, Geoffrey C. Williams, Yehuda Neumark

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Although hepatitis C virus (HCV) can be cleared, very few infected persons complete the treatment, resulting in disease progression and transmission. Motivational interventions effectively address health and substance-use-related conditions in many cultures. The research team piloted an HCV treatment motivational enhancement training and supervision for four counselors treating four patients in one (of 11) large methadone programs in Israel between 2007 and 2008. The counselors received a 3-day training followed by seven supervision sessions. Training included cultural and language adaptation from the original United States version to practice in Israel. Feasibility was assessed and demonstrated through training field notes and questionnaire feedback, review of taped intervention sessions for counselor proficiency and patient engagement, and patient completion of intervention sessions and piloted measures. While positive feasibility outcomes were noted, future studies should employ larger numbers of counselors and patients to assess the effectiveness of motivational enhancement in promoting HCV treatment in methadone patients.

Original languageAmerican English
Pages (from-to)56-66
Number of pages11
JournalSubstance Use and Misuse
Issue number1
StatePublished - Jan 2012

Bibliographical note

Funding Information:
Assistant Professor of medicine and psychiatry at the School of Medicine and Dentistry, University of Rochester. She is an internist whose present research focuses on the application of self-determination theory to comorbid HIV and HCV treatment utilization. She has also published research on sequelae of family violence history, including childhood abuse and intimate partner violence, and on empathy and self-disclosure in patient-physician communication. Her clinical work currently focuses on medical care of patients with psychiatric comorbidities. Her activities during the period of this project were funded by the National Institute of Mental Health (NIMH T32 MH18911, PI Eric Caine, MD) and the Fulbright Scholar Program, US Department of State.

Funding Information:
Ph.D., MD, is currently the Director of the Healthy Living Center at the University of Rochester. He is also a Professor of medicine, psychiatry, and psychology. He has 20 years of practice experience in academic internal medicine and training as a health psychologist. He has contributed to the development of the self-determination theory model for health behavior change. He has been the recipient of numerous grants including research support from the National Cancer Institute, the National Institute on Drug Abuse, the National Institute of Diabetes and Digestive and Kidney Diseases, Small Business Innovation Research, and the National Institute of Mental Health. He has published over 50 peer-reviewed articles as well as books and numerous book chapters. In addition, he has presented at over 50 major national professional meetings.


  • Addiction
  • Hepatitis C virus (HCV)
  • Illicit drug use
  • Israel
  • Methadone maintenance program
  • Motivation
  • Self-determination


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