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首页> 外文期刊>Journal of substance abuse treatment >Assessment of the relationship between a written measure of empathy and an independently rated interview of Motivational Interviewing
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Assessment of the relationship between a written measure of empathy and an independently rated interview of Motivational Interviewing

机译：评估同理心的书面措施与独立访谈采访关系的关系

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摘要

Motivational Interviewing (MI) is an evidence-based practice shown to be effective when working with people in treatment for substance use disorders. However, MI is a complex treatment modality optimized by training with feedback. Feedback, assessment and monitoring of treatment fidelity require measurement, which is typically done using audiotaped sessions. The gold standard for such measurement of MI skill has been an audiotaped interview, scored by a rater with a detailed structured instrument such as the Motivational Interviewing Treatment Integrity 2.0 (MITI 2.0) Coding System (Moyers, et al., 2005). The Helpful Responses Questionnaire (HRQ) (Miller, Hedrick, & Orlofsky, 1991) is a pen-and-paper test of empathy (a foundational MI skill) that does not require an audiotaped session. A randomized trial of three different regimens for training counselors in MI (live supervision using Teleconferencing, Tape-based supervision and Workshop only) (Smith et al., 2012) offered the opportunity to evaluate the performance of the HRQ as a measure of MI ability, compared to the several MITI 2.0 global scores and subscales. Participants were counselors (N=97) working at community-based substance use treatment programs, whose MI proficiency was measured at four time points: baseline (before an initial 2-day MI workshop), post-workshop, 8weeks post-workshop (i.e., post-supervision), and 20weeks post-workshop with both MITI 2.0 and HRQ.HRQ total scores correlated significantly with the Reflection to Question Ratio from the MITI 2.0 at post-workshop (r=0.33), week 8 (r=0.34), and week 20 (r=0.38), and with the Spirit (r=0.32) and Empathy (r=0.32) global scores at week 20. Correlations of HRQ with other MITI 2.0 subscales and time points after workshop were small and not significant. As predicted, HRQ scores differed between training conditions (X2(2)=7.88, p=0.02), with counselors assigned to live supervision achieving better HRQ scores than those in Workshop only.In summary, HRQ is a modestly accurate measure, mainly of the Reflection to Question Ratio, considered a core marker of MI skill. It is sensitive to training effects and may help identify counselors needing more intensive supervision. Given its ease of administration and scoring, HRQ may be a useful marker of MI skill during training efforts.
机译：励志访谈（MI）是一种基于证据的实践，当与物质使用障碍的治疗中合作时，有效。然而，MI是通过通过反馈训练优化的复杂治疗方式。治疗保真度的反馈，评估和监测需要测量，这通常是使用录音带的会话进行的。 MI技能的这种测量的黄金标准一直是录音带的面试，由患者进行评定，详细的结构化仪器，如励志面试治疗完整性2.0（Moyers，等，2005）。有用的回复调查问卷（HRQ）（Miller，Hedrick，＆Orlofsky，1991）是一个不需要录音期会话的同理心（基础MI技能）的笔和纸质测试。在MI培训辅导员的三种不同方案的随机试验（仅使用电话会议，磁带管理和研讨会）（Smith等，2012）提供了有机会评估HRQ的表现作为MI能力的衡量标准，与几个Miti 2.0全球分数和分量相比。参与者是在基于社区的物质使用治疗方案的辅导员（n = 97），其MI熟练程度在四个时间点测量：基线（在初始的2天MI MI讲习班），研讨会后，工作坊8周（即，监督后）和20周的研讨会与MITI 2.0和HRQ.HRQ总分数显着相关，并在研讨会后的MITI 2.0中与MITI 2.0的反射（R = 0.33），第8周（R = 0.34）的反映相关，和第20周（r = 0.38），并在第20周的精神（r = 0.32）和同情（r = 0.32）全球分数。HRQ与其他MITI 2.0分量的相关性和车间之后的时间点小而且不显着。如预测，HRQ分数之间的培训条件（x2（2）= 7.88，p = 0.02），辅导员只分配到实时监督的顾问，从车间才能获得更好的HRQ分数。总结，HRQ是一种适度准确的措施，主要是对问题比率的反思，被认为是MI技能的核心标记。它对培训效应很敏感，并有助于识别需要更加强化监管的辅导员。鉴于其易于行政和评分，HRQ可能是在培训努力期间MI技能的有用标记。

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  • 来源
    《Journal of substance abuse treatment》 |2018年第2018期|共8页
  • 作者

    J.L. Smith; P. Bertone; K.M. Carpenter; R.M. Wain; M.-C. Hu; P.C. Amrhein; E.V. Nunes;

  • 作者单位

    NYS Psychiatric Institute Division of Substance Use Disorders;

    Center for HIV Educational Studies &

    Training Hunter College CUNY;

    NYS Psychiatric Institute Division of Substance Use Disorders;

    NYS Psychiatric Institute Division of Substance Use Disorders;

    Columbia University Department of Psychiatry;

    Columbia University Department of Psychiatry;

    NYS Psychiatric Institute Division of Substance Use Disorders;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 药学;
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