Development of the Motivational Interviewing Coach Rating Scale (MI-CRS) for health equity implementation contexts.

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 samp...

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Publicado en:Health Psychology Vol. 40; no. 7; pp. 439 - 450
Autores principales: Naar, Sylvie, Chapman, Jason, Cunningham, Phillippe B., Ellis, Deborah, MacDonell, Karen, Todd, Lisa
Formato: Artículo
Publicado: American Psychological Association Jul2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2021
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      pub: American Psychological Association
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        152197964
        10.1037/hea0001064
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        atl: Development of the Motivational Interviewing Coach Rating Scale (MI-CRS) for health equity implementation contexts.
      aug:
        au:
          Naar, Sylvie
          Chapman, Jason
          Cunningham, Phillippe B.
          Ellis, Deborah
          MacDonell, Karen
          Todd, Lisa
      su:
        Obesity
        Reliability (Personality trait)
        Health services accessibility
        Motivational interviewing
        Black people
        Health status indicators
        Human services programs
        Experimental design
        Statistics
        HIV-positive persons
        Research evaluation
        Research methodology
        Data analysis
      sug:
        subj:
          Obesity
          Reliability (Personality trait)
          Health services accessibility
          Motivational interviewing
          Black people
          Health status indicators
          Human services programs
          Experimental design
          Statistics
          HIV-positive persons
          Research evaluation
          Research methodology
          Data analysis
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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