Measuring the quality of motivational interviewing in primary health care encounters: The development and validation of the motivational interviewing assessment scale (MIAS)

Autor: Manuel Campiñez Navarro, Jesús Manuel Novo Rodríguez, Carmen Domingo Peña, Jaime Jesús Castro Moreno, Gabriela Renée Rivas Doutreleau, Remedios Martín Alvarez, Julia Bóveda Fontán, Juan Carlos Arbonies Ortiz, Josep Fontcuberta, Esperanza María Romero Rodríguez, Jose Antonio Prados Castillejo, Nieves Barragán Brun, Luis Ángel Pérula de Torres
Přispěvatelé: [Campinez Navarro, Manuel] CAP Vallcarca, Barcelona, Spain, [Barragan Brun, Nieves] CAP Vallcarca, Barcelona, Spain, [Martin Alvarez, Remedios] CAP Vallcarca, Barcelona, Spain, [Perula de Torres, Luis Angel] Univ Cordoba, Hosp Univ Reina Sofia, Unidad Docente Med Familiar & Comunitaria Cordoba, Dist Sanitario Cordoba & Guadalquivir,IMIBIC, Avda Menendez Pidal S-N, Cordoba, Spain, [Bosch Fontcuberta, Josep M.] Inst Catala Salut, Area Basica Salud Encants Maragall, Barcelona, Spain, [Arbonies Ortiz, Juan Carlos] Ctr Salud Beraun Errenteria, Donostia San Sebastian, Spain, [Novo Rodriguez, Jesus Manuel] Ctr Saude A Milagrosa, Lugo, Spain, [Boveda Fontan, Julia] EAP Colmeiro, Vigo, Spain, [Prados Castillejo, Jose Antonio] Ctr Salud Lucano, Serv Andaluz Salud, Cordoba, Spain, [Rivas Doutreleau, Gabriela Renee] Univ Basque Country, San Sebastian, Spain, [Domingo Pena, Carmen] Univ Basque Country, San Sebastian, Spain, [Castro Moreno, Jaime Jesus] UGC La Carlota, Serv Andaluz Salud, Cordoba, Spain, [Romero Rodriguez, Esperanza Maria] UGC Occidente, Serv Andaluz Salud, Cordoba, Spain, Spanish Society of Family Physicians (semFYC), Health Council of the Andalusian Government
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Popis: Motivational interviewing (MI) is a collaborative, goal-oriented method to help patients change behaviour. Tools that are often used to measure MI are the motivational interviewing skills code' (MISC), the 'motivational interviewing treatment integrity' (MITI) and the 'behaviour change counselling index' (BECCI). The first two instruments have not been designed to be used in primary healthcare (PHC) settings. The BECCI actually is time-consuming. The motivational interviewing assessment scale (MIAS, 'EVEM' in Spanish) was developed to measure MI in PHC encounters as an alternative to the previous instruments.To validate MIAS as an instrument to assess the quality of MI in PHC settings.(a)Sixteen experts in MI participated in the design, face and consensus validity, using a Delphi-type methodology. (b)27 PHC centres located in Spain.four experts in MI tested its psychometric properties with 332 video recordings coming from the Dislip-EM study (consultations provided by 37 practitioners).dimensionality, internal consistency, reliability (intra-class correlation coefficient-ICC), sensitivity to change and convergent validity with the BECCI scale.A 14-item scale was obtained after the validation process. Factor analysis: two factors explained 76.6% of the total variance. Internal consistency, α = 0.99. Reliability: intra-rater ICC = 0.96; inter-rater ICC = 0.97. Sensitivity to change: means before and after training were 23.63 versus 38.57 (P 0.001). Spearman's coefficient between the MIAS and the BECCI scale was 0.98 (P 0.001).The MIAS is a consistent and reliable instrument to assess the use of MI in PHC settings. [Box: see text].
Databáze: OpenAIRE