| Community program therapist adherence and competence in a motivational interviewing assessment intake session. | |
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MedLine Citation:
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PMID: 20942726 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Teaching community program therapists to use motivational interviewing (MI) strategies for addictions treatment with sufficient frequency (i.e., adherence) and skill (i.e., competence) is a priority and challenge for the field. The development of psychometrically valid MI integrity measures that can be used for supervision and evaluation and be both sensitive and robust across clinical situations is needed. OBJECTIVE: This article examines the performance of the Independent Tape Rating Scale (ITRS) when used to evaluate the delivery of MI within a one-session assessment intake. METHODS: Audiotapes of 315 sessions of therapists in MI and counseling-as-usual conditions were rated according to the ITRS by raters blind to treatment condition. RESULTS: Results indicate that community therapists were successfully trained and supervised to use MI within an assessment intake session, with MI adherence and competence that was discriminable from counseling-as-usual practices. Increased therapist MI adherence and competence was associated with increases in an index of client motivation for change, though unrelated to treatment outcome. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: The ITRS appears to be a valid instrument for measuring therapist MI adherence and competence within an assessment intake. |
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Authors:
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Carly J Gibbons; Kathleen M Carroll; Samuel A Ball; Charla Nich; Tami L Frankforter; Steve Martino |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Review Date: 2010-10-14 |
Journal Detail:
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Title: The American journal of drug and alcohol abuse Volume: 36 ISSN: 1097-9891 ISO Abbreviation: Am J Drug Alcohol Abuse Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-09 Completed Date: 2011-03-02 Revised Date: 2011-11-01 |
Medline Journal Info:
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Nlm Unique ID: 7502510 Medline TA: Am J Drug Alcohol Abuse Country: England |
Other Details:
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Languages: eng Pagination: 342-9 Citation Subset: IM |
Affiliation:
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Yale University School of Medicine, West Haven, Connecticut, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence* Counseling* Health Behavior Health Personnel* Humans Interviews as Topic Motivation* Patient Acceptance of Health Care Professional-Patient Relations Psychiatric Status Rating Scales Residence Characteristics Standard of Care Substance-Related Disorders / psychology Tape Recording Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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DA1025273/DA/NIDA NIH HHS; K05 DA000457-10/DA/NIDA NIH HHS; K05-DA00089/DA/NIDA NIH HHS; K05-DA00457/DA/NIDA NIH HHS; P50 DA009241-17/DA/NIDA NIH HHS; P50 DA009241-18/DA/NIDA NIH HHS; P50-DA09241/DA/NIDA NIH HHS; U10 DA013038-08/DA/NIDA NIH HHS; U10 DA013038-10/DA/NIDA NIH HHS; U10 DA13038/DA/NIDA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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