Assessing the Integrity of Motivational Interviewing Interventions: Reliability of the Motivational Interviewing Skills Code

Moyers, Theresa B.; Martin, T. A.; Catley, Delwyn; Harris, Kari Jo; Ahluwalia, Jasjit S.

doi:10.1017/s1352465803002054

Cited by 180 publications

(163 citation statements)

References 7 publications

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“…The initial MI session was 30-45 minutes and the two follow-up sessions were 10-15 minutes. Health coaches were deemed proficient in MI per the Motivational Interviewing Skill Code (MISC) (Moyers, Martin & Catley, 2003). During each session they addressed the participant's risk factor(s) and employed client-centered techniques such as empathic listening, collaboration, evocation, and affirmation in order to establish rapport, reduce resistance, support self-efficacy, and elicit "change talk" (one's own reasons and arguments for change) (Hettema, Steele & Miller, 2005;Miller & Rollnick, 2002).…”

mentioning

confidence: 99%

Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion

Prochaska¹,

Butterworth²,

Redding³

et al. 2008

Preventive Medicine

210

193

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Objective-This study was designed to compare the initial efficacy of Motivational Interviewing (MI), Online Transtheoretical Model (TTM) Tailored communications and a brief Health Risk Intervention (HRI) on four health risk factors (inactivity, BMI, stress and smoking) in a worksite sample.Method-A randomized clinical trial assigned employees to one of three recruitment strategies and one of the three treatments. The treatment protocol included an HRI session for everyone and in addition either a recommended three TTM online sessions or three MI in person or telephone sessions over 6 months. At the initial post-treatment assessment at six months, groups were compared on the percentage who had progressed from at-risk to taking effective action on each of the four risks.Results-Compared to the HRI only group, the MI and TTM groups had significantly more participants in the Action stage for exercise and effective stress management and significantly fewer risk behaviors at 6 months. MI and TTM group outcomes were not different. Conclusion: This was the first study to demonstrate that MI and online TTM could produce significant multiple behavior changes. Future research will examine the long-term impacts of each treatment, their cost effectiveness, effects on productivity and quality of life, and process variables mediating outcomes. KeywordsMultiple behavior change; Motivational Interviewing; TTM Tailoring; exercise; stress; smoking; BMI Increasingly it is recognized that a major barrier to dissemination of evidence-based health promotion programs is that most programs were not designed or developed to reach at-risk populations (Glasgow et al., 2003). They were designed for and evaluated on self-selected samples of at-risk individuals. For example, in the United States Public Health Services Corresponding Author: James O. Prochaska, Ph.D., Cancer Prevention Research Center, 2 Chafee Road, University of Rhode Island, Kingston, RI 02881, Tel: 401-874-2830, Fax: 401-874-5562, jop@uri.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 1996 Clinical Guidelines for the Treatment of Tobacco, over 3,000 studies on tobacco were identified. The Guidelines were able to recommend a broad range of evidence-based interventions for motivated smokers; i.e., those prepared to quit in the next month (Fiore et al., 1996). There were no evidence-based interventions recommended for unmotivated smokers, even though they make up more than 80% of all U.S. smokers (Velicer et al., 1995) and more than 90% of daily smokers (Wewers et al., 2003). In the second edition of the Guidelines there w...

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mentioning

confidence: 99%

Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion

Prochaska¹,

Butterworth²,

Redding³

et al. 2008

Preventive Medicine

210

193

View full text Add to dashboard Cite

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“…Clinician fidelity to MI principles and techniques was assessed with the Motivational Interviewing Treatment Integrity coding system (MITI) by an independent rater (Moyers, Martin, Catley, Harris, & Ahluwalia, 2003). The MITI provides two sets of ratings, global ratings of MI Spirit which represents the characteristics of competent MI clinicians (i.e., evocative, collaborative, and autonomy supportive), and counts of MI-related behaviors (i.e., giving information, MI adherent behaviors, MI non-adherent behaviors, closed questions, open questions, simple reflections, complex reflections).…”

Section: Clinicians Intervention and Fidelitymentioning

confidence: 99%

An Open Trial of Motivational Interviewing to Address Suicidal Ideation With Hospitalized Veterans

Britton¹,

Conner²,

Maisto

2012

J Clin Psychol

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Objective-The purpose of this open trial was to test the acceptability of Motivational Interviewing to Address Suicidal Ideation (MI-SI) for psychiatrically hospitalized veterans with suicidal ideation, estimate its pre-post effect size on the severity of suicidal ideation, and examine the rate of treatment engagement after discharge.Methods-Participants received a screening assessment, baseline assessment, one or two MI-SI sessions, post-treatment assessment, and 60-day follow-up assessment. Thirteen veterans were enrolled, nine (70%) completed both MI-SI sessions and the post-treatment assessment, and eleven (85%) completed the follow-up assessment.Results-Participants found MI-SI to be acceptable. They experienced large reductions in the severity of suicidal ideation at post-treatment and follow-up. In the two months following discharge, 73% of participants completed two or more mental health or substance abuse treatment sessions each month.Conclusions-These preliminary findings suggest that MI-SI has potential to reduce risk for suicide in psychiatrically hospitalized veterans and that a more rigorous trial is needed. KeywordsVeterans; suicidal ideation; motivational interviewing; inpatients; treatment engagement Veterans who are hospitalized on acute inpatient units are at high risk for suicide. In a prospective study of psychiatric inpatients from 128 Veteran Administration (VA) Medical

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“…1 were derived directly from an existing reliable and valid scale of MI called the MITI (Motivational Interviewing Treatment Integrity) code. 155 MITI consists of three items about collaboration, evocation and autonomy support. Items for the remaining domains were constructed afresh, directly from the content of the learning programme, resulting in an additional global judgement for each of four domains: agenda-setting, 'pros and cons' , 'importance and confidence' and 'goal-setting' .…”

Section: Rating Scale Developmentmentioning

confidence: 99%

“…The starting point was a decision to focus on practitioner skills only, given the primary aim of assessing their adherence to the learning programme content. Following the lessons learned in the validation of the MITI scale, 155 a decision was also made to use global ratings of domains rather than actual behaviour counts. It then became a question of what domains to assess and how they might be designed so that raters broadly familiar with MI would be able to listen to a recording, and conduct their assessment.…”

Section: Rating Scale Developmentmentioning

confidence: 99%

“…Finally, the assessment of practitioner performance used routine consultation recordings and benefited from an existing validated measure drawn from the field of MI as well as a newly validated measure tailored to the specific intervention. 155 Previous reviews have highlighted the need to embrace the views of both lay and professional stakeholders. In DEPICTED, this input occurred at many levels.…”

Section: Diabetes-specific Issuesmentioning

confidence: 99%

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Development and evaluation by a cluster randomised trial of a psychosocial intervention in children and teenagers experiencing diabetes: the DEPICTED study

Gregory

Robling²,

Bennert³

et al. 2011

Health Technol Assess

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Assessing the Integrity of Motivational Interviewing Interventions: Reliability of the Motivational Interviewing Skills Code

Cited by 180 publications

References 7 publications

Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion

Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion

An Open Trial of Motivational Interviewing to Address Suicidal Ideation With Hospitalized Veterans

Development and evaluation by a cluster randomised trial of a psychosocial intervention in children and teenagers experiencing diabetes: the DEPICTED study

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