Beckman Maria, Lindqvist Helena, Öhman Lina, Forsberg Lars, Lundgren Tobias, Ghaderi Ata
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Stockholm, Sweden.
MIC Lab AB, Stockholm, Sweden.
Front Psychol. 2022 Jul 26;13:890579. doi: 10.3389/fpsyg.2022.890579. eCollection 2022.
As evaluation of practitioners' competence is largely based on self-report, accuracy in practitioners' self-assessment is essential for ensuring high quality treatment-delivery. The aim of this study was to assess the relationship between independent observers' ratings and practitioners' self-reported treatment integrity ratings of Motivational interviewing (MI). Practitioners ( = 134) were randomized to two types of supervision [i.e., regular institutional group supervision, or individual telephone supervision based on the MI Treatment Integrity (MITI) code]. The mean age was 43.2 years (SD = 10.2), and 62.7 percent were females. All sessions were recorded and evaluated with the MITI, and the MI skills were self-assessed with a questionnaire over a period of 12 months. The associations between self-reported and objectively assessed MI skills were overall weak, but increased slightly from baseline to the 12-months assessment. However, the self-ratings from the group that received monthly objective feedback were not more accurate than those participating in regular group supervision. These results expand findings from previous studies and have important implications for assessment of practitioners' treatment fidelity: Practitioners may learn to improve the accuracy of self-assessment of competence, but to ensure that patients receive intended care, adherence and competence should be assessed objectively.
由于对从业者能力的评估很大程度上基于自我报告，因此从业者自我评估的准确性对于确保高质量的治疗提供至关重要。本研究的目的是评估独立观察者的评分与从业者自我报告的动机性访谈（MI）治疗完整性评分之间的关系。从业者（n = 134）被随机分配到两种监督类型[即常规机构团体监督，或基于MI治疗完整性（MITI）代码的个体电话监督]。平均年龄为43.2岁（标准差 = 10.2），62.7%为女性。所有疗程均使用MITI进行记录和评估，并且在12个月的时间内通过问卷调查对MI技能进行自我评估。自我报告的和客观评估的MI技能之间的关联总体较弱，但从基线到12个月评估时略有增加。然而，接受每月客观反馈的组的自我评分并不比参加常规团体监督的组更准确。这些结果扩展了先前研究的发现，并且对评估从业者的治疗保真度具有重要意义：从业者可能学会提高能力自我评估的准确性，但为了确保患者接受预期的护理，应该客观地评估依从性和能力。
