Development of a Scale to Measure Practitioner Adherence to a Brief Intervention in the Emergency Department

Pantalon, Michael V.; Martino, Steve; Dziura, James; Li, Fang-Yong; Owens, Patricia H.; Fiellin, David A.; O'Connor, Patrick G.; D'Onofrio, Gail

doi:10.1016/j.jsat.2012.08.011

Cited by 30Substance Abuse Treatment and OutcomesHealth Policy Implementation ScienceHealth Education and Validation

Development of a Scale to Measure Practitioner Adherence to a Brief Intervention in the Emergency Department

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Pantalon, Michael V., Martino, Steve, Dziura, James, Li, Fang-Yong, Owens, Patricia H., Fiellin, David A., O'Connor, Patrick G., D'Onofrio, Gail·2012·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2012.08.011PMC PMC3661016

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Abstract

Brief intervention (BI) can reduce harmful and hazardous drinking among emergency department patients. However, no psychometrically-validated instrument for evaluating the extent to which practitioners correctly implement BIs in clinical practice (e.g., adherence) exists. We developed and subsequently examined the psychometric properties of a scale that measures practitioner adherence to a BI, namely the Brief Negotiation Interview (BNI). Ratings of 342 audiotaped BIs in the emergency department demonstrated that the BNI Adherence Scale (BAS) has: (1) excellent internal consistency and discriminant validity; (2) good to excellent inter-rater reliability, and (3) good construct validity, with an eight-item, two-factor structure accounting for 62% of the variance, but (4) no predictive validity in this study. The BAS provides practitioners with a brief, objective method to evaluate their BNI skills and give feedback to them about their performance.

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The BI Assessment Scale has good psychometric properties including inter- and intra-rater reliability with Kappa and ICC values above 0.80 and a strong ability to differentiate standard PPKAY sessions with poorly performed PPKAY sessions.
“In prior work, our team adapted and validated the BI Assessment Scale [60] to the Tanzanian setting. It has good psychometric properties including inter- and intra-rater reliability with Kappa and ICC values above 0.80 and a strong ability to differentiate standard PPKAY sessions with poorly performed PPKAY sessions.”
From Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania (2023) · cites this paper as [60]
Overall, 76% of the PPKAY interventions delivered had 19 or more of the 22 critical actions as recommended in the BI Assessment Scale.
“Overall, 76% of the PPKAY interventions delivered had 19 or more of the 22 critical actions as recommended in the BI Assessment Scale [37,60].”
From Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania (2023) · cites this paper as [60]

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A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients
D'Onofrio, G., Fiellin, D. A., Pantalon, M. V., Chawarski, M. C., Owens, P. H., Degutis, L. C., Busch, S. H., Bernstein, S. L., & O'Connor, P. G. (2012) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2012.02.006 · Cited by 207 · see citing works
Self-citation

Authors: Pantalon, M. V., Martino, S., Dziura, J., Li, F.-Y., Owens, P. H., Fiellin, D. A., O'Connor, P. G., & D'Onofrio, G.
Affiliations: Yale University (US)
Corresponding author: Pantalon, Michael V.
ORCID: Martino, Steve
Dziura, James
Fiellin, David A.
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2012-12
Volume: 43
Issue: 4
Pages: 382-388
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2012.08.011
PMC: PMC3661016
OpenAlex: W2162476628
Cited by: 30
References: 39
Citations by year: 2026: 1 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 6 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
FWCI: 1.44
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01 AA 12417-01A1, R01AA014963, R01AA012417, R01 AA14963-05)
National Institute on Drug Abuse (P50DA009241, R01DA027194, U10DA015831, R25DA026636, R01DA023230, K23DA015144)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Education › Health Education and Validation
Keywords: brief intervention, scale development, psychometric validation, emergency department, hazardous drinking, alcohol abuse, inter-rater reliability, construct validity, performance feedback
MeSH terms: Adult, Alcohol Drinking, Clinical Competence, Emergency Service, Hospital, Follow-Up Studies, Humans, Interview, Psychological, Psychometrics, Psychotherapy, Brief, Reproducibility of Results, Observer Variation, Practice Guidelines as Topic, Alcohol-Related Disorders, Guideline Adherence

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Development of a Scale to Measure Practitioner Adherence to a Brief Intervention in the Emergency Department

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