The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, Preliminary Reliability and Validity

Moyers, Theresa B.; Rowell, Lauren N.; Manuel, Jennifer K.; Ernst, Denise; Houck, Jon M.

doi:10.1016/j.jsat.2016.01.001

Cited by 548 publications

(703 citation statements)

References 47 publications

Supporting

Mentioning

631

Contrasting

Unclassified

Order By: Relevance

“…Finally, all included studies applied observational coding methods (e.g., Houck, Moyers, Miller, Glynn, & Hallgren, 2010; Martin, Moyers, Houck, Christopher, & Miller, 2005; Miller, 2000; Miller, Moyers, Ernst, & Amrhein, 2003; Miller, Moyers, Ernst, & Amrhein, 2008; Miller, Moyers, Manuel, Christopher, & Amrhein, 2008) to the study of MI within-session process. While studies using the Motivational Interviewing Treatment Integrity Scale (Moyers, Martin, Manuel, Miller, & Ernst, 2003; Moyers, Martin, Manuel, Miller, & Ernst, 2007; Moyers, Martin, Manuel, Miller, & Ernst, 2010) were eligible, these studies must have used these data to examine one or more paths outlined in the MI process model as proposed by Miller and Rose (2009; see also Arkowitz et al, 2008). …”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.

Magill¹,

Apodaca²,

Borsari³

et al. 2018

Journal of Consulting and Clinical Psychology

246

163

View full text Add to dashboard Cite

Objective In the present meta-analysis, we test the technical and relational hypotheses of Motivational Interviewing (MI) efficacy. We also propose an a priori conditional process model where heterogeneity of technical path effect sizes should be explained by interpersonal/relational (i.e., empathy, MI Spirit) and intrapersonal (i.e., client treatment seeking status) moderators. Method A systematic review identified k = 58 reports, describing 36 primary studies and 40 effect sizes (N = 3025 participants). Statistical methods calculated the inverse variance-weighted pooled correlation coefficient for the therapist to client and the client to outcome paths across multiple target behaviors (i.e., alcohol use, other drug use, other behavior change). Results Therapist MI-consistent skills were correlated with more client change talk (r = .55, p < .001) as well as more sustain talk (r = .40, p < .001). MI-inconsistent skills were correlated with more sustain talk (r = .16, p < .001), but not change talk. When these indicators were combined into proportions, as recommended in the Motivational Interviewing Skill Code, the overall technical hypothesis was supported. Specifically, proportion MI consistency was related to higher proportion change talk (r = .11, p = .004) and higher proportion change talk was related to reductions in risk behavior at follow up (r = −.16, p < .001). When tested as two independent effects, client change talk was not significant, but sustain talk was positively associated with worse outcome (r = .19, p < .001). Finally, the relational hypothesis was not supported, but heterogeneity in technical hypothesis path effect sizes was partially explained by inter- and intra-personal moderators. Conclusions This meta-analysis provides additional support for the technical hypothesis of MI efficacy; future research on the relational hypothesis should occur in the field rather than in the context of clinical trials.

show abstract

Section: Methodsmentioning

confidence: 99%

“…MITI 2.0 (Moyers et al, 2005), 3.0 (Moyers et al, 2007), 3.1.1 (Moyers et al, 2010), PEPA (Mastroleo, 2009)]. …”

Section: Figurementioning

confidence: 99%

A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.

Magill¹,

Apodaca²,

Borsari³

et al. 2018

Journal of Consulting and Clinical Psychology

246

163

View full text Add to dashboard Cite

show abstract

“…All audio recordings were then coded using the Motivational Interview Treatment Integrity 3.1 scales (MITI 3.1), a coding system developed and used to assess practitioners’ competence in MI 18 19. Reliability, validity and sensitivity indices have been published for early versions of the MITI 20–22.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a workshop to improve residents' patient-centred obesity counselling skills

Burton

Brezausek

Agne

et al. 2016

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

“…We used a validated measure of MI, the Motivational Interviewing Treatment Integrity (MITI 4.1) tool, 104 to measure the extent to which the peer supporters used MI. Twenty-minute segments are usually randomly selected for MITI 4.1 assessment; however, we adapted this method of measurement for pragmatic reasons, as follows.…”

Section: Feasibility Studymentioning

confidence: 99%

A novel peer-support intervention using motivational interviewing for breastfeeding maintenance: a UK feasibility study

Paranjothy

Copeland

Merrett

et al. 2017

Health Technol Assess

View full text Add to dashboard Cite

Background In total, 81% of women in the UK start breastfeeding, but fewer than half continue beyond 6 weeks. Peer support in the early postnatal period may encourage women to breastfeed for longer. Objective To develop a breastfeeding peer-support intervention based on motivational interviewing (MI) for breastfeeding maintenance and to test the feasibility of delivering it to mothers in areas with high levels of social deprivation. Design Intervention development and a non-randomised multisite feasibility study. Setting Community maternity services in three areas with high levels of social deprivation and low breastfeeding initiation rates in England and Wales. Participants Pregnant women considering breastfeeding. Women who did not plan to breastfeed, who had a clinical reason that precluded breastfeeding continuation or who were unable to consent were excluded. Intervention The intervention Mam-Kind was informed by a survey of infant feeding co-ordinators, rapid literature review, focus groups with service users and peer supporters and interviews with health-care professionals and a Stakeholder Advisory Group. It consisted of face-to-face contact at 48 hours after birth and proactive one-to-one peer support from the Mam-Kind buddy for 2 weeks, followed by mother-led contact for a further 2–6 weeks. Main outcome measures Recruitment and retention of Mam-Kind buddies, uptake of Mam-Kind by participants, feasibility of delivering Mam-Kind as specified and of data collection methods, and acceptability of Mam-Kind to mothers, buddies and health-care professionals. Results Nine buddies were recruited to deliver Mam-Kind to 70 participants (61% of eligible women who expressed an interest in taking part in the study). Participants were aged between 19 and 41 years and 94% of participants were white. Intervention uptake was 75% and did not vary according to age or parity. Most contacts (79%) were initiated by the buddy, demonstrating the intended proactive nature of the intervention and 73% (n = 51) of participants received a contact within 48 hours. Follow-up data were available for 78% of participants at 10 days and 64% at 8 weeks. Data collection methods were judged feasible and acceptable. Data completeness was > 80% for almost all variables. Interviews with participants, buddies and health service professionals showed that the intervention was acceptable. Buddies delivered the intervention content with fidelity (93% of intervention objectives were met), and, in some cases, developed certain MI skills to a competency level. However, they reported difficulties in changing from an information-giving role to a collaborative approach. These findings were used to refine the training and intervention specification to emphasise the focus of the intervention on providing mother-centric support. Health-care professionals were satisfied that the intervention could be integrated with existing services. Conclusions The Mam-Kind intervention was acceptable and feasible to deliver within NHS maternity services and should be tested for effectiveness in a multicentre randomised controlled trial. The feasibility study highlighted the need to strengthen strategies for birth notification and retention of participants, and provided some insights on how this could be achieved in a full trial. Limitations The response rate to the survey of infant feeding co-ordinators was low (19.5%). In addition, the women who were recruited may not be representative of the study sites. Funding The National Institute for Health Research Health Technology Assessment programme.

show abstract

The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, Preliminary Reliability and Validity

Cited by 548 publications

References 47 publications

A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.

A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.

Evaluation of a workshop to improve residents' patient-centred obesity counselling skills

A novel peer-support intervention using motivational interviewing for breastfeeding maintenance: a UK feasibility study

Contact Info

Product

Resources

About