학술논문
Development of the Motivational Interviewing Coach Rating Scale (MI-CRS) for health equity implementation contexts.
Document Type
Academic Journal
Author
Naar S; Center for Translational Behavioral Science, Florida State University.; Chapman J; Oregon Social Learning Center.; Cunningham PB; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina.; Ellis D; Department of Family Medicine and Public Health Sciences, Wayne State University.; MacDonell K; Department of Family Medicine and Public Health Sciences, Wayne State University.; Todd L; Department of Family Medicine and Public Health Sciences, Wayne State University.
Source
Publisher: American Psychological Association, Division of Health Psychology Country of Publication: United States NLM ID: 8211523 Publication Model: Print Cited Medium: Internet ISSN: 1930-7810 (Electronic) Linking ISSN: 02786133 NLM ISO Abbreviation: Health Psychol Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: The field of implementation science emphasizes efficient and effective fidelity measurement for research outcomes and feedback to support quality improvement. This paper reports on such a measure for motivational interviewing (MI), developed with rigorous methodology and with diverse samples.
Method: Using item response theory (IRT) methods and Rasch modeling, we analyzed coded (a) recordings (n = 99) of intervention sessions in a clinical trial of African American adolescents with obesity; (b) standard patient interactions (n = 370) in an implementation science study with youth living with HIV; and (c) standard patient interactions (n = 172) in a diverse community sample.
Results: These methods yielded a reliable and valid 12-item scale on several indicators using Rausch modeling including single construct dimensionality, strong item-session maps, good rating scale functionality, and item fit after revisions. However, absolute agreement was modest. The 12 items yielded thresholds for 4 categories: beginner, novice, intermediate and advanced.
Conclusions: The 12-item Motivational Interviewing Coach Rating Scale is the first efficient and effective fidelity measure appropriate with diverse ethnic groups, with interventions that are MI only or interventions that integrate MI with other interventions, and with adolescents and families as well as adults. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Method: Using item response theory (IRT) methods and Rasch modeling, we analyzed coded (a) recordings (n = 99) of intervention sessions in a clinical trial of African American adolescents with obesity; (b) standard patient interactions (n = 370) in an implementation science study with youth living with HIV; and (c) standard patient interactions (n = 172) in a diverse community sample.
Results: These methods yielded a reliable and valid 12-item scale on several indicators using Rausch modeling including single construct dimensionality, strong item-session maps, good rating scale functionality, and item fit after revisions. However, absolute agreement was modest. The 12 items yielded thresholds for 4 categories: beginner, novice, intermediate and advanced.
Conclusions: The 12-item Motivational Interviewing Coach Rating Scale is the first efficient and effective fidelity measure appropriate with diverse ethnic groups, with interventions that are MI only or interventions that integrate MI with other interventions, and with adolescents and families as well as adults. (PsycInfo Database Record (c) 2021 APA, all rights reserved).