Assessing competence in the use of motivational interviewing

Assessing competence in the use of motivational interviewing
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DOI:
10.1016/j.jsat.2004.11.001
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发表时间:
2005-01-01
影响因子:
3.9
通讯作者:
Miller, WR
Miller, WR
中科院分区:
医学2区
文献类型:
--
作者:
Moyers, TB;Martin, T;Miller, WR

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本报告提出了动机访谈治疗诚信(MITI)量表的信度、效度和敏感性指标。运用动机访谈技能编码(MISC)对MI治疗过程进行因素分析,得出MI实践的10个要素,形成MITI。典型相关表明,MITI捕获了MISC中59%的变异性。MITI的可靠性估计是使用三个屏蔽的独立编码器得出的。类内系数在0.5到0.9之间,一般在良好到优秀的范围内。MI研讨会前后的MITI评分比较表明,对于检测临床实践由于培训的结果的改善,具有良好的敏感性。讨论了在研究和监督中使用这一工具的意义。(C)2005 Elsevier Inc.保留所有权利。
This report presents reliability, validity and sensitivity indices for the Motivational Interviewing Treatment Integrity (MITI) scale. Factor analysis of MI treatment sessions coded with the Motivational Interviewing Skills Code (MISC) was used to derive 10 elements of MI practice, forming the MITI. Canonical correlation revealed that the MITI captured 59% of the variability in the MISC. Reliability estimates for the MITI were derived using three masked, independent coders. Intra-class coefficients ranged from .5 to .9 and were generally in the good to excellent range. Comparison of MITI scores before and after MI workshops indicate good sensitivity for detecting improvement in clinical practice as result of training. Implications for the use of this instrument in research and supervision are discussed. (c) 2005 Elsevier Inc. All rights reserved.