The video assessment of simulated encounters-revised (VASE-R): Reliability and validity of a revised measure of motivational interviewing skills

Abstract

The video assessment of simulated encounters-revised (VASE-R) is a video-based method, administered in individual or group settings, for assessing motivational interviewing (MI) skills. The 18-item instrument includes three video-based vignettes, in which actors portray substance abusers, with each vignette followed by questions that prompt examinees to write responses that are then scored against MI standards. The VASE-R was administered to two independent samples: (1) substance abuse practitioners participating in a study of MI training methods, and (2) MI training facilitators with a high level of MI skill and expertise. This multi-study report describes basic VASE-R psychometric properties -including scoring reliability, internal consistency, concurrent validity, and sensitivity to the effects of training -and then presents proficiency standards based on administration to a sample of MI training facilitators (MI Experts). The findings indicate excellent inter-rater reliability using intra-class correlations for the full-scale score (.85) and acceptable levels for subscales (.44 to .73). The instrument displayed strong concurrent validity with the Helpful Responses Questionnaire (HRQ) and a behavioral sample of clinician behavior with a standardized patient scored using the MI Treatment Integrity (MITI) system, as well as good sensitivity to improvement in MI skill as a result of training. The findings provide an empirical basis for suggesting VASE-R benchmarks for beginning proficiency and expert MI practice.

Motivational Interviewing: An Evidence-Based Practice for Improving Student Practice Skills

“…VSI requires that students respond on demand, in real time, as would be done with a real client (Rosengren et al, 2008), and it lends itself to a testing environment where each student is given the same amount of time to respond and asked to respond to the same stimuli, so that client behavior cannot be blamed for poor skill performance. VSI and written statements also gives the instructor the ability to tailor the course to address specialized populations and target behaviors.…”

“…Overall, the measure has demonstrated good reliability, concurrent validity, and sensitivity, and it has been found to correlate with MITI coded tapes (Rosengren et al, 2008).…”

Moving Criminal Justice Organizations Toward Adoption of Evidence-Based Practice via Advanced Workshop Training in Motivational Interviewing: A Research Note

“…Given that this workshop focused on both strengthening core MI skills and developing advanced skills, the VASE-R (Rosengren et al, 2008) was utilized to assess trainee skills. The VASE-R was administered to training cohorts at the outset and conclusion of each advanced MI workshop.…”

Selecting an optimal instrument to identify active ingredients of the motivational interviewing-process

“…One instrument didn't meet the first inclusion criterion because it measures behavior change counseling (which does not strategically elicit change talk and develop discrepancy) instead of MI [19]. Three instruments are coding responses to scenarios, vignettes or simulated patients [20,32,39,40], and did not meet criterion 2. Two instruments measure through client opinion [22,37], and not through observations (criterion 3), and three instruments collect information with a low level of detail [21,23,36] (criterion 4).…”