Motivational interviewing quality assurance: A systematic review of assessment tools across research contexts

Villarosa‐Hurlocker, Margo C.; Madson, Michael B.; Schumacher, Julie A.

doi:10.1016/j.cpr.2020.101909

Cited by 23 publications

(25 citation statements)

References 58 publications

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“…Thus, group size difference was not due to systematic error, and we considered this factor unlikely to have distorted the outcomes. Additionally, we could not perform a structured fidelity assessment of audio recordings 69 because of limited consent from patients and legal guardians for both MI and TAU consultations. We cannot rule out that TAU pediatricians intuitively used some patient-centered conversation techniques.…”

Section: Limitationsmentioning

confidence: 99%

Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions

et al. 2021

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IMPORTANCE Despite the high prevalence of anxiety and depression in youths with chronic medical conditions (CMCs), physicians encounter substantial barriers in motivating these patients to access mental health care services. OBJECTIVE To determine the efficacy of motivational interviewing (MI) training for pediatricians in increasing youths' use of mental health care. DESIGN, SETTING, AND PARTICIPANTS The COACH-MI (Chronic Conditions in Adolescents: Implementation and Evaluation of Patient-Centered Collaborative Healthcare-Motivational Interviewing) study was a single-center cluster randomized clinical trial at the University Children's Hospital specialized outpatient clinics in Düsseldorf, Germany. Treating pediatricians were cluster randomized to a 2-day MI workshop or treatment as usual (TAU). Patient recruitment and MI conversations occurred between April 2018 and May 2020 with 6-month follow-up and 1-year rescreening. Participants were youths aged 12 to 20 years with CMCs and comorbid symptoms of anxiety and depression; they were advised by their MI-trained or untrained physicians to access psychological counseling services. Statistical analysis was performed from October 2020 to April 2021. INTERVENTIONS MI physicians were trained through a 2-day, certified MI training course; they recommended use of mental health care services during routine clinical appointments. MAIN OUTCOMES AND MEASURESThe primary outcome of uptake of mental health care services within the 6-month follow-up was analyzed using a logistic mixed model, adjusted for the data's cluster structure. Uptake of mental health services was defined as making at least 1 appointment by the 6-month follow-up. RESULTS Among 164 youths with CMCs and conspicuous anxiety or depression screening, 97 (59%) were female, 94 (57%) had MI, and 70 (43%) had TAU; the mean (SD) age was 15.2 (1.9) years.Compared with patients receiving TAU, the difference in mental health care use at 6 months among patients whose physicians had undergone MI training was not statistically significant (odds ratio [OR], 1.96; 95% CI, 0.98-3.92; P = .06). The effect was moderated by the subjective burden of disease (F 2,158 = 3.42; P = .04). Counseling with an MI-trained physician also led to lower anxiety symptom scores at 1-year rescreening (F 1,130 = 4.11; P = .045). MI training was associated with longer conversations between patients and physicians (30.3 [16.7] minutes vs 16.8 [12.5] minutes; P < .001), and conversation length significantly influenced uptake rates across conditions (OR, 1.03; 95% CI, 1.01-1.06; P = .005).

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Section: Limitationsmentioning

confidence: 99%

Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions

et al. 2021

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“…Future studies would do well to ensure that counselors attend at least four supervision sessions after their initial training and are provided with ongoing feedback, which seems to be especially important in learning MI ( 46 ). There are several validated proficiency measures for MI ( 40 ), and tools are already being developed to automatically measure treatment fidelity ( 54 , 55 ). Such tools are especially interesting in relation to chat-based helplines, which could use them to provide counselors with rapid feedback on every chat they conduct, perhaps even while it is ongoing.…”

Section: Discussionmentioning

confidence: 99%

“…Five indices of treatment integrity can be extracted from the MI-SCOPE: the percentage of MI-consistent responses, the percentage of open questions, the percentage of complex reflections, the reflection-to-question ratio and the proportion of change talk. A review by Hurlocker et al ( 40 ) showed that reliability estimates for the MI-SCOPE are generally fair to excellent.…”

Section: Methodsmentioning

confidence: 99%

Can Outcomes of a Chat-Based Suicide Prevention Helpline Be Improved by Training Counselors in Motivational Interviewing? A Non-randomized Controlled Trial

Janssen

Raak

Lucht

et al. 2022

Front. Digit. Health

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ObjectiveTo examine whether the outcomes of a chat-based suicide-prevention helpline could be improved by training counselors in motivational interviewing (MI).MethodsIn a pre- and post-test design, visitors of a chat-based suicide prevention helpline received either the Five-Phase Model (treatment as usual [TAU]) or MI. They completed a pre- and post-chat questionnaire on several suicide-related risk factors. Linear mixed modeling was used to estimate the effect of the condition. Furthermore, the treatment proficiency of newly trained counselors was assessed using MI-Scope.ResultsA total of 756 visitors and 55 counselors were included in this study. The visitors showed an improvement in suicidal ideation and psychological risk factors after a chat conversation. However, there were no significant differences between the MI and TAU conditions (β = 0.03, 95% CI [−0.23–0.30], p = 0.80). The treatment integrity indices showed that the counselors mostly used MI-consistent techniques but were unable to strategically employ these techniques to evoke enough change talk.ConclusionsMI and TAU led to comparable outcomes in a chat-based suicide prevention helpline. The effectiveness of MI might improve by intensifying or improving the training of counselors, keeping the process of engaging more concise or offering visitors multiple sessions of MI.

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“…Challenges related to navigating ongoing agency compliance needs, organizational culture shifts, and the quest for continuous quality improvement through program implementation are not unique to VR, but are increasingly relevant, as awareness to adopt evidence-based strategies in our programs develops (Durlak, 2015;Lockett et al, 2018;Nilsen, 2015). A growing body of evidence suggests that development of a framework and consistent use of related tools are key in supporting the advancement of QA efforts within disciplines, including VR (Green et al, 2019;Hurlocker et al, 2020;Lockett et al, 2018).…”

Section: Background and Purposementioning

confidence: 99%

A Pilot Study to Develop a VR Case Review Instrument for WIOA Performance Measure Data Collection

Robertson

2021

Rehabilitation Counselors and Educators Journal

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The South Carolina Commission for the Blind sought to implement a consistent case review instrument to increase compliance with legislative requirements and provide a better overall assessment of agency performance. A new tool was developed, validated, and subsequently adopted for use, thereby serving as a tool for counselors, supervisors, and Quality Assurance (QA) staff to use in targeting specific data collection and informing supervision and guidance. Case documentation procedures within the agency's system were revised to reflect needs expressed by the counselors and improve internal case documentation aligned with federal requirements.

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Motivational interviewing quality assurance: A systematic review of assessment tools across research contexts

Cited by 23 publications

References 58 publications

Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions

Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions

Can Outcomes of a Chat-Based Suicide Prevention Helpline Be Improved by Training Counselors in Motivational Interviewing? A Non-randomized Controlled Trial

A Pilot Study to Develop a VR Case Review Instrument for WIOA Performance Measure Data Collection

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