Treatment fidelity of a nurse-led motivational interviewing-based pre-treatment in pain rehabilitation

V.C. Mertens, L Forsberg, J. Verbunt, R.J.E.M. Smeets, M.E.J.B. Goossens

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Abstract

Treatment fidelity and proficiency of a nurse-led motivational interviewing (MI)-based pre-treatment and control condition was evaluated. A random sample was scored by means of the Motivational Interviewing Treatment Integrity (MITI) scale, and a second rater was in charge. MI fidelity was satisfactory for three out of five ratings. Most mean ratings were higher in the MI-based intervention, but differences were not statistically significant. The threshold for beginning MI proficiency was only exceeded for one score and one additional measure. In general, higher levels of fidelity in the intervention condition confirmed that MI was partially applied there. Although the quality of MI delivery as well as mixed inter-rater reliabilities of the fidelity scores leaves room for improvement, robust findings between the two raters were found. These results suggest the need for rigor selection of MI counselors on beforehand, and continuous supervision. Furthermore, fidelity check in studies using MI is needed.

Original languageEnglish
Pages (from-to)459-473
Number of pages15
JournalJournal of Behavioral Health Services & Research
Volume43
Issue number3
Early online date22 Dec 2015
DOIs
Publication statusPublished - Jul 2016

Keywords

  • RANDOMIZED CONTROLLED-TRIAL
  • TREATMENT INTEGRITY CODE
  • LOW-BACK-PAIN
  • PHYSICAL-ACTIVITY
  • CLINICAL-TRIALS
  • LIFE-STYLE
  • METAANALYSIS
  • BEHAVIOR
  • RECOMMENDATIONS
  • ENHANCEMENT

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