Assessing Motivational Interviewing Integrity for Group Interventions With Adolescents
Assessing Motivational Interviewing Integrity for Group Interventions With Adolescents
复制标题
DOI：
10.1037/a0027987
复制
发表时间：
2012-12-01
影响因子：
3.4
通讯作者：
Hunter, Sarah B.
中科院分区：
文献类型：
--
作者：
D'Amico, Elizabeth J.;Osilla, Karen C.;Hunter, Sarah B.
小组形式通常用于酒精和其他药物（ACID）青少年治疗环境，但很少有研究存在于使用动机访谈（MI）的团体。此外，很少有工作评估MI提供组设置的完整性。本研究描述了一种方法来评估MI的完整性，使用的数据从一组MI干预的风险青年。使用动机访谈治疗完整性（MITI）量表，版本3.1，我们编码140组会议由3个不同的主持人。四名训练有素的编码员评估了小组会议。评价者之间的协议进行了评估，使用的方法的基础上的限制协议，并讨论了用于监测和计算组MI完整性的关键决策。结果表明，评分者之间有足够的协议，我们还发现MI干预组和常规护理组之间的MI使用的差异MI全球评级和行为计数。这项研究表明，它是可能的，以确定是否组MI实施与完整的组设置和MI在这种设置是不同的，发生在平时的护理。
The group format is commonly used in alcohol and other drug (ACID) adolescent treatment settings, but little research exists on the use of motivational interviewing (MI) in groups. Further, little work has assessed the integrity of MI delivered in group settings. This study describes an approach to evaluate MI integrity using data from a group MI intervention for at-risk youth. Using the Motivational Interviewing Treatment Integrity (MITI) scale, version 3.1, we coded 140 group sessions led by 3 different facilitators. Four trained coders assessed the group sessions. Agreement between raters was evaluated using a method based on limits of agreement, and key decisions used to monitor and calculate group MI integrity are discussed. Results indicated that there was adequate agreement between raters; we also found differences on use of MI between the MI-intervention group and a usual-care group on MI global ratings and behavioral counts. This study demonstrates that it is possible to determine whether group MI is implemented with integrity in the group setting and that MI in this setting is different from what takes place in usual care.