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Type: Journal article
Title: Fidelity of motivational interviewing in an early childhood caries intervention involving indigenous Australian mothers
Author: Jamieson, L.
Bradshaw, J.
Lawrence, H.
Broughton, J.
Venner, K.
Citation: Journal of Health Care for the Poor and Underserved, 2016; 27(1):125-138
Publisher: Johns Hopkins University Press
Issue Date: 2016
ISSN: 1049-2089
Statement of
Lisa Jamieson, Julia Bradshaw, Herenia Lawrence, John Broughton, Kamilla Venner
Abstract: Objectives. This paper assessed the fidelity of an early childhood caries MI intervention among Aboriginal mothers in South Australia. Methods. Four MI-trained staff delivered the intervention and all interviews were recorded. A randomly selected subset (n = 164, 41.2%) were tested for MI fidelity using the Motivational Interviewing Treatment Integrity (MITI) code 3.1.1. A further randomly selected 20 taped sessions were additionally scored by an external expert to assess external reliability. Results. Mean scores for evocation, collaboration, autonomy/support, direction and empathy ranged from 3.5 (95% CI 3.4–3.7) to 4.1 (95% CI 4.0–4.2). The mean global score was 3.8 (95% 3.7–3.9). The Reflection:Question ratio was 0.9 (95% CI 0.8–1.0), % Open-ended Questions was 54.9 (95% CI 50.0–59.8), % Complex Reflections was 54.0 (95% CI 50.5–57.5) and % MI-adherent statements was 95.0 (95% CI 92.0–98.0). Inter-assessor reliability was high. Conclusions. Beginner to expert competency in fidelity to the MI model was observed.
Keywords: Motivational interviewing; intervention; Indigenous Australians; childbearing; oral health; behaviour change
Rights: © Meharry Medical College
RMID: 0030064456
DOI: 10.1353/hpu.2016.0036
Appears in Collections:Public Health publications

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