• Eur J Gen Pract · Sep 2016

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

    • Manuel Campiñez Navarro, Luis Ángel Pérula de Torres, Josep M Bosch Fontcuberta, Nieves Barragán Brun, Juan Carlos Arbonies Ortiz, Jesús Manuel Novo Rodríguez, Julia Bóveda Fontán, Remedios Martín Alvarez, Jose Antonio Prados Castillejo, Gabriela Renée Rivas Doutreleau, Carmen Domingo Peña, Jaime Jesús Castro Moreno, and Esperanza María Romero Rodríguez.
    • a CAP Vallcarca , Barcelona , Spain ;
    • Eur J Gen Pract. 2016 Sep 1; 22 (3): 182-8.

    BackgroundMotivational 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.ObjectivesTo validate MIAS as an instrument to assess the quality of MI in PHC settings.Methods(a)DevelopmentSixteen experts in MI participated in the design, face and consensus validity, using a Delphi-type methodology. (b)ValidationSetting27 PHC centres located in Spain.Subjectsfour experts in MI tested its psychometric properties with 332 video recordings coming from the Dislip-EM study (consultations provided by 37 practitioners).Measurementsdimensionality, internal consistency, reliability (intra-class correlation coefficient-ICC), sensitivity to change and convergent validity with the BECCI scale.ResultsA 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).ConclusionThe MIAS is a consistent and reliable instrument to assess the use of MI in PHC settings. [Box: see text].

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…