A randomized study of lyric analysis on recognition, taking steps, and commitment to sobriety in adults on a detoxification unit

Background: Motivation represents a core concept in substance use disorder (SUD) treatment while commitment constitutes a compelling construct lacking empirical investigation. Although music therapy can positively impact motivation in people with SUD, randomized research measuring the effects of specific interventions on commitment is warranted. Purpose: The purpose of this cluster-randomized effectiveness study was to determine the effects of a single lyric analysis (LA) session on recognition, taking steps, and commitment to sobriety in adults with SUD on a detoxification unit. Method: Adults with SUD hospitalized on a detoxification unit (N = 128) were randomly assigned by cluster to one of two single-session conditions: LA or control. Results: Although there was no significant between-group difference in recognition or taking steps, LA participants had slightly higher mean scores on these measures than control participants. There was a significant between-group difference in commitment to sobriety (p =.046), with LA participants having higher commitment to sobriety than control participants. Conclusions: Despite the temporal limitations of single-session therapy typical of detoxification units, LA may represent an engaging and effective intervention to address motivation and commitment in adults with SUD. Implications for clinical practice, limitations, and suggestions for future research are provided.