Assessing treatment fidelity in a cultural adaptation of motivational interviewing.

Assessing treatment fidelity in a cultural adaptation of motivational interviewing.
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DOI:
10.1080/15332640.2014.973628
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发表时间:
2015
影响因子:
1.3
通讯作者:
Naab P
Naab P
中科院分区:
医学4区
文献类型:
--
作者:
Lee CS;Tavares T;Popat-Jain A;Naab P

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The efficacy of Motivational Interviewing (MI) for addictions is well-documented. Grounding MI in social/cultural priorities may enhance treatment response. We evaluate the method of assessing competence using the Motivational Interviewing Treatment Integrity system (MITI) for standard (MI) and culturally-adapted MI (CAMI) delivered to Latino heavy drinkers. Twenty audiotapes (MI, n=10; CAMI, n=10) were MITI coded by two raters unaware of treatment assignment. Inter-rater reliabilities were excellent (.78–.99) except for CAMI Complex Reflections, Global ratings of empathy and MI spirit. The MITI reliably evaluates MI and CAMI treatment fidelity. Future research should investigate lower reliabilities for MI Global and complex reflections cross-culturally.