Within-Provider Variability in Motivational Interviewing Integrity for Three Years after MI Training: Does Time Heal?
Within-Provider Variability in Motivational Interviewing Integrity for Three Years after MI Training: Does Time Heal?
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DOI：
10.1016/j.jsat.2016.02.008
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发表时间：
2016-06-01
影响因子：
3.9
通讯作者：
Roy-Byrne, Peter
中科院分区：
文献类型：
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作者：
Dunn, Chris;Darnell, Doyanne;Roy-Byrne, Peter
本研究探讨了动机面试（MI）的完整性之间的15个供应商的三年培训后的变化。数据来自一项有效性试验，在该试验中，提供者接受了培训，以提供简短的单次MI干预。使用动机性访谈治疗完整性（MITI）3.1.1评级系统对每个会话进行音频记录和MI完整性编码。MI完整性的提供者内变化很大，特别是行为计数评分（例如，开放性问题，复杂的反思），MI精神和同理心的全球会议分数仅略低。在大多数情况下，供应商内部的变化大于供应商之间的变化，没有证据表明供应商随着时间的推移而明显改善。这些调查结果引起了人们对大规模实施工作中所提供的管理信息质量的关注，并对更高质量的管理信息的监测和培训产生了影响。(C)2016 Elsevier Inc. All rights reserved.
This study examined variability in Motivational Interviewing (MI) integrity among 15 providers for three years following training. Data come from an effectiveness trial in which providers were trained to deliver brief single-session MI interventions. Each session was audio-recorded and coded for MI integrity using the Motivational Interviewing Treatment Integrity (MITI) 3.1.1 rating system. Within-provider variation in MI integrity was large, especially for behavior count scores (e.g., open questions, complex reflections) and only slightly smaller for global session scores of MI Spirit and Empathy. Within-provider variability was in most cases larger than between-provider variability and there was no evidence that providers improved appreciably over time. These findings raise concerns about the quality of MI being delivered in large-scale implementation efforts and have implications for the monitoring and training of higher quality MI. (C) 2016 Elsevier Inc. All rights reserved.