Lee Christina S, Tavares Tonya, Popat-Jain Ami, Naab Pamela
a Northeastern University , Boston , Massachusetts.
J Ethn Subst Abuse. 2015;14(2):208-19. doi: 10.1080/15332640.2014.973628.
The efficacy of motivational interviewing (MI) for addictions is well documented. Grounding MI in social/cultural priorities may enhance treatment response. We evaluate the method of assessing competence using the motivational interviewing treatment integrity system (MITI) for standard MI and culturally adapted MI (CAMI) delivered to Latino heavy drinkers. Twenty audiotapes (MI, n = 10; CAMI, n = 10) were MITI coded by two raters unaware of treatment assignment. Inter-rater reliabilities were excellent (.78-.99) except for CAMI complex reflections, global ratings of empathy, and MI spirit. The MITI reliably evaluates MI and CAMI treatment fidelity. Future research should investigate lower reliabilities for MI global and complex reflections cross-culturally.
动机性访谈(MI)对成瘾问题的疗效已有充分记录。将MI建立在社会/文化优先事项的基础上可能会增强治疗反应。我们评估了使用动机性访谈治疗完整性系统(MITI)来评估针对拉丁裔重度饮酒者实施的标准MI和文化适应型MI(CAMI)的胜任能力的方法。20盘录音带(MI,n = 10;CAMI,n = 10)由两名不知道治疗分配情况的评分者按照MITI进行编码。除了CAMI复杂反映、共情整体评分和MI精神外,评分者间信度极佳(0.78 - 0.99)。MITI能够可靠地评估MI和CAMI的治疗保真度。未来的研究应该调查MI整体和复杂反映在跨文化方面较低的信度情况。