针对自闭症儿童照料者项目中基于动机性访谈的指导的保真度的混合方法评估。
Mixed-method evaluation of fidelity of motivational interviewing-based coaching in Program for caregivers of children with autism.
作者信息
Larson Elizabeth, Jeglum Noreen, Shmays Chloe
机构信息
Department of Kinesiology, University of Wisconsin, Madison, Wisconsin, USA.
Advanced Therapy Solutions, Davenport, IA, USA.
出版信息
PEC Innov. 2023 Mar 21;2:100149. doi: 10.1016/j.pecinn.2023.100149. eCollection 2023 Dec.
OBJECTIVE
This mixed method analysis examined fidelity of the motivational interviewing (MI) delivered during the wellness program for caregivers of children with Autism Spectrum Disorders.
METHODS
Coaches used a manualized MI-approach to collaboratively design participants' individualized wellness programs, and then used it in monthly coaching sessions to support goal pursuit. Audio-recorded consultations and post-participation focus groups were transcribed verbatim. Consultation transcripts were rated for MI adherence using Motivational Interviewing Treatment Integrity Code. Focus group data was coded by the team to identify conceptual categories.
RESULTS
Eighty-seven percent of consultations achieved a beginning (competent) level expert-derived MI standard. Caregivers noted that coaches' MI approach evoked deep emotions and understandings about their lives related to wellness goals, allowed for a permissive flexibility in goal pursuit, and fostered supportive accountability.
CONCLUSION
MI was used with high levels of fidelity. Participants described the MI approach as more productive, precise, and useful in addressing their needs compared to other available interventions.
目的
本混合方法分析考察了在针对自闭症谱系障碍儿童照料者的健康计划中提供的动机性访谈（MI）的保真度。
方法
教练采用手册化的MI方法来协同设计参与者的个性化健康计划，然后在每月的指导课程中使用该方法来支持目标追求。对音频记录的咨询和参与后的焦点小组讨论进行逐字转录。使用动机性访谈治疗完整性代码对咨询记录进行MI依从性评分。焦点小组数据由团队进行编码以识别概念类别。
结果
87%的咨询达到了由专家得出的初级（合格）水平的MI标准。照料者指出，教练的MI方法引发了他们对与健康目标相关生活的深刻情感和理解，在目标追求上允许一种宽松的灵活性，并培养了支持性的问责制。
结论
MI的使用具有高度保真度。与其他可用干预措施相比，参与者将MI方法描述为在满足他们的需求方面更有成效、更精确且更有用。
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