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Counselor competence for telephone Motivation Interviewing addressing lifestyle change among Dutch older adults
- Source :
- Evaluation and Program planning, 65, 47-53. Elsevier Limited, Evaluation and Program Planning, 65, 47-53, Mesters, I, Keulen, H M V, de Vries, H & Brug, J 2017, ' Counselor competence for telephone Motivation Interviewing addressing lifestyle change among Dutch older adults ', Evaluation and Program planning, vol. 65, pp. 47-53 . https://doi.org/10.1016/j.evalprogplan.2017.06.005, Evaluation and Program Planning, 65, 47-53. Elsevier Science, Evaluation and Program Planning, 65, 47-53. Elsevier
- Publication Year :
- 2017
-
Abstract
- Counselor competence in telephone Motivation Interviewing (MI) to change lifestyle behaviors in a primary care population was assessed using the Motivational Interviewing Treatment Integrity (MITI) rating system. Counselor behavior was evaluated by trained raters. Twenty minutes of a random sample of 336 MI sessions were coded representing 232 counselees. Ninety-four sessions (28%) were double coded to assess inter-rater agreement. The MI fidelity was examined by comparing the MI fidelity scores direction, empathy, spirit, % open questions, % complex reflections, reflections-to-questions ratio, % MI-adherent responses with the matching beginner proficiency MITI threshold.The inter-rater agreements for the MI fidelity summary scores were good (spirit, reflections-to-questions ratio), fair (empathy, % open questions, % MI-adherent responses) or poor (direction, % complex reflection). The MI fidelity scores for direction, empathy, spirit and the percentage of complex reflections exceeded the MITI threshold, but lower scores were found for the percentage of open questions, the reflections-to-questions ratio and the percentage of MI-adherent responses.In conclusion, evidence that MI was implemented was revealed. However, the inter-rater agreements scores and some fidelity scores leave room for improvement indicating that raters and counselors may need more ongoing training and feedback to achieve and maintain adequate competence. These findings apply to more complex skills (as rating complex reflections) in particular.
- Subjects :
- Male
050103 clinical psychology
Strategy and Management
Geography, Planning and Development
BEHAVIOR-CHANGE
Motivational interviewing
law.invention
0302 clinical medicine
Professional Competence
Randomized controlled trial
Life
law
CH - Child Health
Vegetables
030212 general & internal medicine
media_common
Netherlands
education.field_of_study
OUTCOMES
05 social sciences
Behavior change
RANDOMIZED CONTROLLED-TRIAL
FIDELITY
Counselors
Fruit and vegetable consumption
Health
RELIABILITY
TREATMENT INTEGRITY CODE
Female
HEALTH
Psychology
Healthy Living
Clinical psychology
Social Psychology
Interview
media_common.quotation_subject
Population
education
Fidelity
Empathy
Competencies
BRIEF ALCOHOL INTERVENTION
03 medical and health sciences
Young Adult
Humans
0501 psychology and cognitive sciences
Business and International Management
Competence (human resources)
Physical activity
Public Health, Environmental and Occupational Health
COLLEGE-STUDENTS
Diet
Telephone
Logistic Models
PHYSICAL-ACTIVITY
Fruit
ELSS - Earth, Life and Social Sciences
Healthy for Life
Subjects
Details
- Language :
- English
- ISSN :
- 01497189
- Database :
- OpenAIRE
- Journal :
- Evaluation and Program planning, 65, 47-53. Elsevier Limited, Evaluation and Program Planning, 65, 47-53, Mesters, I, Keulen, H M V, de Vries, H & Brug, J 2017, ' Counselor competence for telephone Motivation Interviewing addressing lifestyle change among Dutch older adults ', Evaluation and Program planning, vol. 65, pp. 47-53 . https://doi.org/10.1016/j.evalprogplan.2017.06.005, Evaluation and Program Planning, 65, 47-53. Elsevier Science, Evaluation and Program Planning, 65, 47-53. Elsevier
- Accession number :
- edsair.doi.dedup.....7ae976dae147d496b9d538514b82a764
- Full Text :
- https://doi.org/10.1016/j.evalprogplan.2017.06.005