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Assessing competence in the use of motivational interviewing
Abstract
This report presents reliability, validity and sensitivity indices for the Motivational Interviewing Treatment Integrity (MITI) scale. Factor analysis of MI treatment sessions coded with the Motivational Interviewing Skills Code (MISC) was used to derive 10 elements of MI practice, forming the MITI. Canonical correlation revealed that the MITI captured 59% of the variability in the MISC. Reliability estimates for the MITI were derived using three masked, independent coders. Intra-class coefficients ranged from .5 to .9 and were generally in the good to excellent range. Comparison of MITI scores before and after MI workshops indicate good sensitivity for detecting improvement in clinical practice as result of training. Implications for the use of this instrument in research and supervision are discussed.
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“Screening, brief intervention, and referral for treatment (SBIRT) is an evidence-based model for reduction in alcohol consumption in primary care health settings in the Western world.”
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Metadata
- Authors
- Moyers, T. B., Martin, T., Manuel, J. K., Hendrickson, S. M. L., & Miller, W. R.
- Affiliations
- University of New Mexico (US)
- Corresponding author
- Moyers, Theresa B.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2005-01
- Volume
- 28
- Issue
- 1
- Pages
- 19-26
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2037776127
- Cited by
- 738
- References
- 23
- Citations by year
- 2026: 26 · 2025: 9 · 2024: 13 · 2023: 18 · 2022: 29 · 2021: 21 · 2020: 31 · 2019: 33 · 2018: 42 · 2017: 38 · 2016: 59 · 2015: 64 · 2014: 57 · 2013: 64 · 2012: 58
- FWCI
- 12.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA 13696-01, R01AA013696)
- National Institute on Drug Abuse (R01 DA 13801)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Keywords
- motivational interviewing, implementation fidelity, clinical competence assessment, inter-rater reliability, sensitivity to change, clinical training evaluation, clinical supervision, addiction treatment
- MeSH terms
- Clinical Competence, Educational Measurement, Factor Analysis, Statistical, Female, Humans, Interview, Psychological, Male, Middle Aged, Motivation, Psychotherapy, Sensitivity and Specificity, United States, Reproducibility of Results, Substance-Related Disorders
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