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Assessment of Interpersonal Motivation in Transcripts (AIMIT): An Inter- and Intra-rater Reliability Study of a New Method of Detection of Interpersonal Motivational Systems in Psychotherapy

机译:成绩单中人际关系动机的评估(AIMIT):一种在心理治疗中检测人际关系动机系统的新方法的内部和评估者可靠性研究

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Assessing Interpersonal Motivations in Transcripts (AIMIT) is a coding system aiming to systematically detect the activity of interpersonal motivational systems (IMS) in the therapeutic dialogue. An inter- and intra-rater reliability study has been conducted. Sixteen video-recorded psychotherapy sessions were selected and transcribed according to the AIMIT criteria. Sessions relate to 16 patients with an Axis II diagnosis, with a mean Global Assessment of Functioning of 51. For the intra-rater reliability evaluation, five sessions have been selected and assigned to five independent coders who where asked to make a first evaluation, and then a second independent one 14 days later. For the inter-rater reliability study, the sessions coded by the therapist-coder were jointly revised with another coder and finally classified as gold standard. The 16 standard sessions were sent to other evaluators for the independent coding. The agreement (κ) was estimated according to the following parameters for each coding unit: evaluation units supported by the 'codable' activation of one or more IMS; motivational interaction with reference to the ongoing relation between patient and therapist; an interaction between the patient and another person reportedarrated by the patient; detection of specific IMS: attachment (At), caregiving (CG), rank (Ra), sexuality (Se), peer cooperation (PC); and transitions from one IMS to another were also scored. The intra-rater agreement was evaluated through the parameters 'cod', 'At', 'CG', 'Ra', 'Se' and 'PC' described above. A total of 2443 coding units were analysed. For the nine parameters on which the agreement was calculated, eight ['coded (Cod)', 'ongoing relation (Rel)', 'narrated relation (Nar)', 'At', 'CG', 'Ra', 'Se' and 'PC'] have κ values comprised between 0.62 (CG) and 0.81 (Cod) and were therefore satisfactory. The scoring of 'transitions' showed agreement values slightly below desired cut-off (0.56). Intra-rater reliability was very good (κ values for Cod = 0.90; κ?for all IMS = 0.78). Data seem to support the validity of the AIMIT method in terms of reliability, and encourage to further implementation of the AIMIT approach.
机译:评估成绩单中的人际交往动机(AIMIT)是一种编码系统,旨在系统地检测治疗对话中的人际交往动机系统(IMS)的活动。评估者之间和评估者内部的可靠性研究已经进行。根据AIMIT标准,选择并录制了16场心理治疗视频录像。会议涉及16例患有Axis II诊断的患者,平均总体功能评估为51。对于评估者内部可靠性评估,已选择五次评估,并分配给五位独立编码员,他们将被要求进行第一评估,以及然后是14天后的第二次独立。对于评估者间的可靠性研究,由治疗师-编码者编码的会议与另一个编码者共同修订,最终被归类为黄金标准。将这16个标准会话发送给其他评估者以进行独立编码。根据每个编码单元的以下参数估算一致性(κ):一个或多个IMS的“可编码”激活支持的评估单元;关于患者与治疗师之间持续关系的激励互动;患者与患者报告/叙述的另一个人之间的互动;特定IMS的检测:依恋(At),看护(CG),等级(Ra),性(Se),同伴合作(PC);从一个IMS到另一个IMS的过渡也得到了评分。通过上述参数“ cod”,“ At”,“ CG”,“ Ra”,“ Se”和“ PC”评估评估者内部的一致性。总共分析了2443个编码单元。对于计算协议的9个参数,有8个[“编码(Cod)”,“正在进行的关系(Rel)”,“叙述的关系(Nar)”,“ At”,“ CG”,“ Ra”,“ Se '和'PC']的κ值介于0.62(CG)和0.81(Cod)之间,因此令人满意。 “转换”的得分显示协议值略低于所需的临界值(0.56)。评分者内部的可靠性非常好(Cod的κ值= 0.90;所有IMS的κ值= 0.78)。数据似乎在可靠性方面支持AIMIT方法的有效性,并鼓励进一步实施AIMIT方法。

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