Development of Motivational Interviewing Treatment Integrity (MITI) Fidelity Codes Assessing Motivational Interviewing with Couples.

Development of Motivational Interviewing Treatment Integrity (MITI) Fidelity Codes Assessing Motivational Interviewing with Couples.
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开发动机访谈治疗完整性(MITI)的保真度代码,评估与夫妻的动机访谈。

DOI:
10.1007/s10461-021-03288-8
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发表时间:
2022-01
期刊:
影响因子:
4.4
通讯作者:
Ingersoll KS
Ingersoll KS
中科院分区:
医学2区
文献类型:
--
作者:
Starks TJ;Doyle KM;Stewart JL;Bosco SC;Ingersoll KS

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本研究评估了初步的信度和效度证据,新的分数,扩展了动机性面试治疗完整性(MITI)编码系统,以评估独特的动机性面试(MI)与夫妇的元素。我们招募了20对顺男性夫妇,其中至少有一方年龄在18-29岁之间;报告了药物使用情况;并且是HIV阴性。夫妇被随机分为三个阶段的MI或注意力匹配的教育控制。四个编码器在这两种条件下的初始会议的录音。新的总体评分具有较高的接近精确的一致性百分比(减少二元矛盾=100%;促进二元功能=94%)。新行为计数的一致性良好(ICCdyadic反射= 0.72),高于最小阈值(关系确认的近似精确一致率=78%)。MI会议产生了新的和建立的MITI代码,显着优于教育会议,提供了有效性的初步证据。研究结果提供了初步支持,在未来的研究中使用这些新的分数评估MI为基础的物质使用和艾滋病毒风险降低研究与夫妇。
This study evaluated preliminary reliability and validity evidence for novel scores that extend the Motivational Interviewing Treatment Integrity (MITI) coding system to assess elements unique to Motivational Interviewing (MI) with couples. We recruited 20 cismale couples where at least one partner was aged 18-29; reported substance use; and was HIV-negative. Couples were randomized to a three-session MI or attention-matched education control. Four coders rated audio-recordings of initial sessions in both conditions. Novel global scores had high nearly-exact percent agreement (Decreasing Dyadic Ambivalence=100%; Facilitating Dyadic Functioning=94%). Consistency for novel behavior counts was good (ICCdyadic reflections=.72) and above minimum thresholds (nearly-exact agreement for Relationship Affirmations=78%). MI sessions generated novel and established MITI codes that were significantly better than education sessions, providing preliminary evidence of validity. Findings provided initial support for the use of these novel scores in future research evaluating MI-based substance use and HIV risk reduction studies with couples.
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